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Nicole Calakos

Lincoln Financial Group Distinguished Professor of Neurobiology
Neurology, Movement Disorders
Duke Box 2900, Durham, NC 27710
311 Bryan Res Drive, Durham, NC 27710

Overview


We all know that as part of our daily lives we are constantly interacting with our environment - learning, adapting, establishing new memories and habits, and for better or for worse, forgetting as well. At the cellular level, these processes can be encoded by changes in the strength of synaptic transmission between neurons. The process by which neuronal connections change in response to experience is known as “synaptic plasticity” and this process is a major interest of our laboratory. Our goals are to understand the molecular mechanisms for synaptic plasticity and identify when these processes have gone awry in neurological diseases. In doing so, we will establish the necessary framework to target these processes for therapeutic interventions; potentially identifying novel and improved treatment options.

We focus these interests on the striatal circuitry of the basal ganglia. The striatum is a key entry point for cortical information into the basal ganglia. The basal ganglia are involved in a wide variety of behaviors because they are critical for our movement, including the learning of motor routines and when to call them into action. Disorders in this process have wide ranging manifestations and substantially contribute to diseases like Parkinson’s disease, OCD, dystonia, Tourette’s and addictive behavior.

Our lab has pioneered a number of molecular and circuit-cracking methodologies that have provided new views into the workings of the striatal circuitry and its plasticity rules. Our lab has deep expertise in electrophysiology and optical physiology (two photon calcium imaging) and state-of-the-art molecular genetic mouse modeling techniques. Yet, our insights are further amplified by the highly collaborative approach we have with colleagues at Duke and beyond.

To get a better view of how pathway balance in basal ganglia circuitry may be affected, our lab has developed tools and approaches that make it possible to study the function of striatal medium spiny neurons in the direct and indirect pathways simultaneously in living tissue (Shuen et al., 2008Ade et al., 2011O’Hare and Ade et al., 2016). We use them to identify functional differences between these two types of medium spiny neurons and their role in normal adaptive plasticity and disease processes.

In habit, we identified circuit predictors of behavior. These include some classic expectations for mechanisms of plasticity such as increased firing activity, but also some surprises, like finding shifts in the timing of firing between these two cell types (O’Hare and Ade et al., 2016) and that a key coordinator is an interneuron (O’Hare et al., eLife 2017).

In disease settings, we leverage the Sapap3 KO model to understand what causes repetitive, self-injurious behavior and anxiety-like behaviors (“OCD-like”). We find a central role for striatal group 1 metabotropic glutamate receptor overactivity (Ade et al., Biol. Psych. 2016). By developing a unique high-throughput screening assay for an inherited cause of the movement disorder, dystonia, we came to recognize that multiple forms of this disease were united by a common defect in signaling by the proteostasis pathway known as the “integrated stress response” or ISR (also eIF2alpha phosphorylation) (Rittiner and Caffall et al., Neuron 2016).

Currently, ISR research in the lab has markedly expanded to address both its basic mechanisms (Helseth and Hernandez-Martinez et al., Science 2021) and its translational potential (Caffall et al., Sci. Transl. Med. 2021) for dystonia, Parkinson’s and other brain diseases.

Current Appointments & Affiliations


Lincoln Financial Group Distinguished Professor of Neurobiology · 2020 - Present Neurology, Movement Disorders, Neurology
Professor in Neurology · 2018 - Present Neurology, Movement Disorders, Neurology
Professor in Neurobiology · 2018 - Present Neurobiology, Basic Science Departments
Professor of Cell Biology · 2018 - Present Cell Biology, Basic Science Departments
Faculty Network Member of the Duke Institute for Brain Sciences · 2008 - Present Duke Institute for Brain Sciences, University Institutes and Centers
Associate of the Duke Initiative for Science & Society · 2017 - Present Duke Science & Society, University Initiatives & Academic Support Units

In the News


Published February 26, 2025
Treating Parkinson’s & Other Brain Disorders
Published October 18, 2022
Nicole Calakos Elected to U.S. National Academy of Medicine
Published October 26, 2021
Duke-Led Teams Awarded $18 Million to Investigate Parkinson’s Disease

View All News

Recent Publications


Motor network reorganization associated with rTMS-induced writing improvement in writer's cramp dystonia.

Journal Article Brain Stimul · February 7, 2025 BACKGROUND: Writer's cramp (WC) dystonia is an involuntary movement disorder with distributed abnormalities in the brain's motor network. Prior studies established the potential for repetitive transcranial magnetic stimulation (rTMS) to either premotor cor ... Full text Link to item Cite

Emerging Molecular-Genetic Families in Dystonia: Endosome-Autophagosome-Lysosome and Integrated Stress Response Pathways.

Journal Article Mov Disord · January 2025 Advances in genetic technologies and disease modeling have greatly accelerated the pace of introducing and validating molecular-genetic contributors to disease. In dystonia, there is a growing convergence across multiple distinct forms of the disease onto ... Full text Link to item Cite

The Perineuronal Net Protein Brevican Acts in Nucleus Accumbens Parvalbumin-Expressing Interneurons of Adult Mice to Regulate Excitatory Synaptic Inputs and Motivated Behaviors.

Journal Article Biol Psychiatry · November 1, 2024 BACKGROUND: Experience-dependent functional adaptation of nucleus accumbens (NAc) circuitry underlies the development and expression of reward-motivated behaviors. Parvalbumin-expressing GABAergic (gamma-aminobutyric acidergic) interneurons (PVINs) within ... Full text Link to item Cite
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Education, Training & Certifications


Stanford University · 1996 M.D.
Stanford University · 1995 Ph.D.

External Links


Lab website