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New procedure uses gene therapy to treat Alzheimer

SAN DIEGO (April 10, 2001 9:22 p.m. EDT) - In a pioneering procedure,
neurosurgeons have injected genetically modified cells into the brain of an
Alzheimer's patient in what may hold the promise of halting or reversing
brain cell loss caused by the disease.

The 11-hour procedure at the University of California, San Diego, marked the
first use of human gene therapy in the treatment of brain disease,
researchers said Tuesday.

If the procedure works as hoped, improved brain function might be seen in
the patient over the next few weeks, but doctors cautioned it will take
years to learn if the therapy would benefit Alzheimer's patients in general.

Scientists took skin cells from a 60-year-old Oregon woman in the early
stages of Alzheimer's disease and isolated genes that secrete a protein
found in healthy brains called nerve growth factor. On Thursday, two drops
of a solution containing those genes were injected into the woman's brain.

She was discharged from the hospital two days later.

"Our hope is that this procedure will be a way of delaying the progress of
the disease and improving the quality of life for several years," said Dr.
Mark Tuszynski, who led the study. "It's unlikely to be a cure."

The federal government approved human trials for nerve growth factor two
years ago after a team of UCSD researchers showed the protein reversed
deterioration in the brains of aging monkeys.

Another patient will undergo the procedure in three months, and researchers
are looking for six more candidates for initial studies to determine whether
the therapy is safe. Future tests will gauge whether patients maintain their
mental abilities.

Four million Americans have Alzheimer's disease, which causes a decline in
memory and the ability to care for oneself. Ten percent of people over 65
and nearly half of those over 85 have Alzheimer's disease, according to the
Alzheimer's Association.

Bill Thies, vice president of medical and scientific affairs for the
Chicago-based group, said he was cautious but optimistic about the new
procedure.

"Anytime you start a clinical trial, you don't know whether the benefits
outweigh the risks," Thies said. "You always want to be cautious at the
beginning."

He noted that Alzheimer's only afflicts humans, and doctors may not
experience the same success they had with monkeys. He also said the
complexity of the procedure may hamper wider use.

"We're not going to do neurosurgery on 4 million people," Thies said.

The therapy targeted an area about the size of an aspirin tablet deep within
the brain of the former Oregon schoolteacher.

By SETH HETTENA, Associated Press
Copyright 2001 Nando Media
http://www.nandotimes.com/noframes/story/0,2107,500472400-500723946-50406353
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