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MS drug combats blindness

Tuesday, 6 March, 2001, 00:02 GMT - A drug developed to treat multiple
sclerosis may prove to be an effective treatment for one of the most common
causes of blindness.

A team from the Weizmann Institute of Science in Israel used the drug to
block loss of eyesight in animals with a disease resembling the human
condition glaucoma.

The finding suggests that the drug, Copaxone, may also stop, or at least
slow down, the loss of eyesight in people who have a chronic form of the
disease.

The majority of patients with chronic glaucoma have increased pressure
inside the eye due to defective drainage of the transparent fluid that
bathes the eye and nourishes its outer cells.

The increase in this intraocular pressure (IOP) damages the optic nerve,
causing it to degenerate and often leading to loss of eyesight.

For many years, the search for improved glaucoma therapies focused on
correcting the eye's drainage system to reduce IOP.

Eventually, however, it became clear that reducing the pressure was not
enough to halt the ongoing degeneration of the optic nerve and did not
eliminate the risk of blindness.

Professor Michal Schwartz, from the Weizmann Institute, discovered that the
initial damage to the nerve triggers the release of chemicals that cause
further damage.

These chemicals play an important role in keeping the eye healthy, but when
the optic nerve starts to degenerate they are released in much higher,
toxic quantities.

One of these chemicals is the neurotransmitter glutamate, which spills from
damaged nerve cells and adversely affects healthy neighbouring cells.

However, Professor Schwartz and her team found that Copaxone was apparently
able to shield the nerve from the toxic effects of glutamate.

In rats immunised with Copaxone only about 4% of nerve cells died in the
glaucoma-affected eye, compared with 28% in rats that were not immunised.

Trials of the drug in human patients with glaucoma are expected to begin soon.

Keith Barton, a consultant ophthalmologist in the glaucoma service at
Moorfields Eye Hospital in London, said the study sounded "very exciting".

He told BBC News Online: "At the moment there is only one type of treatment
for glaucoma and that is to reduce the pressure in the eye.

"We know that eye pressure is an important factor in glaucoma, but not the
only one so any other effective approach would be welcome."

However, Mr Barton warned that the research was at a very early stage and
is was often difficult to draw conclusions on the back of studies on rats.

Mr Barton estimated that around 7% of glaucoma patients do not respond to
current treatments.

The research was published in the Proceedings of the National Academy of
Sciences USA.

Related to this story:
Drug hope to beat blindness (16 Aug 99 | Health)
Elderly turn a blind eye to vision problems (01 Jun 98 | Latest News)
Doctors fight blindness with eye implant (04 Jul 00 | Health)
Lab-grown corneas 'restore sight' (10 Jul 00 | Health)
Pioneering eye surgery for babies (14 Aug 00 | Health)

Internet links:
Glaucoma Foundation
International Glaucoma Association
Moorfields Eye Hospital
Weizmann Institute of Science

BBC News Online: Health
http://news.bbc.co.uk/low/english/health/newsid_1203000/1203140.stm

janet paterson, an akinetic rigid subtype parkie
53 now / 44 dx cd / 43 onset cd / 41 dx pd / 37 onset pd
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