Six individuals pose for photo at School of Medicine homecoming luncheon event
Case Western Reserve scientists study acrobatic maneuvers of common flesh flies, offer first proofs of 70-year-old theory on nervous system controlling body rotations CLEVELAND—A common flesh fly takes off and maneuvers effortlessly, its head and body steadied by a hidden, miniscule gyroscope-like structure that gives it an unparalleled balance. That same fly—those specialized structures, known as “halteres,” now surgically removed—takes off again, but immediately begins to tumble wildly about, unable to right herself or tell up from down, side from side. So what’s happening? Why does it matter? And what might it mean for us? Case Western Reserve University’s Alexandra Yarger, a PhD candidate in biology and first author on a new paper published in September in the journal Proceedings of the Royal Society B, has some of the answers to those questions. Yarger studies the electrical activity of neurons in the haltere structure, which was once a second set of wings, but transformed by millions of years of evolution into what serves as the unseen balancing system. Her discoveries might someday help us build more responsive drones or better-balanced robots, said Jessica Fox, assistant professor of biology at Case Western Reserve and Yarger’s mentor on the project. Her lab has been studying the behavior of flies and how sensory systems process information since 2013. “We had already demonstrated in a 2015 paper what flies actually do with their halteres when moving around and in this paper, we’ve asked what their nervous systems do with that information,” she said. Advancing the long history of fly science Yarger gained much of her insight by essentially taking over the operation of the haltere. She glued a bit of metal to the tip of each fly’s haltere and then manipulated it with a small magnet to simulate a change in orientation during flight and then recorded the electrical signals it generated—essentially a code sent “downstream” to the muscles make the fly a better flier than other insects. “We know that the halteres activate the neurons, which in turn, tell their wings and neck what to do—but no one really knew exactly how that happened until now,” said Yarger, who worked on the project over a period of about two years, beginning in 2016. Scientists had first shown the effect of haltere removal as far back as 1714, Fox said. And the idea that that when the fly was rotating, neurons might respond differently than when the fly was not rotating had been postulated 70 years ago by a scientist named J.W. Pringle, but he was never able to test his hypotheses directly for lack of technology to do the job. But Pringle did have two related thoughts—that either some neurons that didn't fire when the fly was flying straight would start firing when the fly rotated; or that some neurons might change the timing of when they fire when the fly rotates, Fox said. “Alex found that both of these ideas were correct and now we have a clear idea of what the code is because she found it,” Fox said. “We found that this single spike moving around in time is what forms the code of ‘I’m rotating’ vs. ‘I’m not rotating.’ "Next, we want to know how the downstream neurons integrate inputs from these 300 cells to produce an appropriate behavioral output."

Marking 175 years of excellence in medical education

This year, the School of Medicine at Case Western Reserve University marks its 175th anniversary, and during homecoming, members of the university community will have the opportunity to join the celebration.

Key events

Dean’s Distinguished Lecture

Friday, Oct. 12
4 to 5 p.m.
Iris S. and Bert L. Wolstein Research Building auditorium

Elaine Batchlor (MED ’83), CEO of the Martin Luther King, Jr. Community Hospital in California, will present “Redefining Healthcare for an Underserved Community.”

Meet the Deans

Saturday, Oct. 13
9 to 10:30 a.m.
InterContinental Cleveland ballroom (9801 Carnegie Ave.)

Join the health sciences deans to begin the day with a light and healthful breakfast and hear the latest news from the School of Medicine, Frances Payne Bolton School of Nursing and the School of Dental Medicine.

Get more information about the School of Medicine’s homecoming celebration.

The School of Medicine’s history

In 1843, the newly formed Medical Department of Western Reserve College had just six faculty members and 67 students. Tuition was $72.

Since that time, Case Western Reserve University School of Medicine has trained thousands of the nation’s finest physicians and stands at the forefront of biomedical research.

And while we live in a vastly different world than that of our forebears, the medical school’s three-part mission is still the same: excellence in medical education with a focus on humanistic care, a commitment to research that has the potential to improve lives, and the development of collaborations and partnerships that promote the health of our communities.

From the first modern blood transfusion in 1905 to the discovery of miconazole as a potential therapy for multiple sclerosis just last year, the School of Medicine has a long list of breakthroughs and firsts.

To name just a few, over the past 175 years, researchers at the School of Medicine developed the first:

  • Simulated milk formula for infants;
  • Diagnostic test for carpal tunnel syndrome;
  • Artificial human chromosome;
  • Link between oral bacteria and preterm birth in humans; and
  • Rapid-detection device for malaria.

In addition to research breakthroughs, the school’s accomplishments extend to medical education. Six of the first seven women to receive U.S. medical degrees—including Emily Blackwell for whom the Blackwell-McKinley Student Society is named—graduated from Western Reserve College in the 1850s.

In 1910, the Flexner Report recognized Western Reserve University for its world-class curriculum and high admissions standards. In 1952, the Western Reserve Curriculum, which integrated the basic and clinical sciences for the first time in medical education, was widely known as the most progressive in the country.

Today’s Western Reserve2 and interprofessional curriculum continues that legacy. During its recent accreditation site visit, the Liaison Committee on Medical Education reviewers again praised the school’s innovative and collaborative culture.