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Saturday June 30  6:46 AM ET
Gene Research Suggests How Parkinson's Might Arise
By Amy Norton

NEW YORK (Reuters Health) - Research into the genetic roots
of inherited forms of Parkinson's disease (news - web sites) may
have opened the door to understanding how all forms of the
degenerative disorder arise. An international team of scientists
has found that two proteins linked to inherited Parkinson's
interact in healthy brains--suggesting that a misstep in this
interaction may be involved in all cases of Parkinson's.

If future research bears out this concept, it may be possible to
design a drug that specifically targets the protein-gone-wrong,
study co-author Dr. Michael G. Schlossmacher of Harvard
Medical School (news - web sites) in Boston, Massachusetts,
said in an interview.

He and his colleagues report their findings in the June 28th issue
of Sciencexpress, the online edition of the journal Science.

Not long ago, researchers believed Parkinson's disease had
no genetic component. But in recent years, scientists have
identified gene mutations linked to inherited Parkinson's--rare
forms of the disease that typically strike relatively young
people. Parkinson's usually affects people older than 50,
causing tremors, muscle rigidity, and balance and coordination
problems that worsen over time.

All cases of Parkinson's are marked by a loss of certain
brain cells that help control movement. All patients also have
an accumulation of a protein called alpha-synuclein in their
brains, according to Schlossmacher. In fact, scientists
recently discovered that a mutation in the gene for
alpha-synuclein is responsible for one of the inherited forms
of the disease.

Mutations in another gene, called parkin, have been
implicated in causing a second inherited type of Parkinson's

To see what role the parkin and alpha-synuclein proteins
might play in common forms of Parkinson's, Schlossmacher and
his colleagues examined both healthy brain tissue and tissue
from patients with Parkinson's due to a parkin mutation. They
found that parkin and alpha-synuclein interact in healthy brains,
with parkin helping to clear alpha-synuclein from cells.
In brains affected by the inherited form of Parkinson's, however,
parkin could not do its job, causing alpha-synuclein to
accumulate.

Because parkin and alpha-synuclein have a healthy working
relationship in normal brains, Schlossmacher and his colleagues
hypothesize that an abnormality in this interaction may be at
the root of Parkinson's. Even though most patients do not have
an overt mutation in these genes, Schlossmacher explained, they
may have a ``subtle abnormal tuning'' in the interaction between
the two proteins that allows alpha-synuclein to accumulate in
the brain.

If alpha-synuclein build-up is the trigger for the loss of
nerve cells in Parkinson's, it may be possible to design drugs
that bring down levels of alpha-synuclein, Schlossmacher said.
However, he stressed, this scenario remains about 10 years
away.

This study, he said, is a ``first and significant step'' in
understanding how Parkinson's disease begins.

SOURCE: Sciencexpress 2001;10.1126.

http://dailynews.yahoo.com/h/nm/20010630/hl/parkinsons_1.html

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