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Very upbeat article!

Bob Martone
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Giant Step Toward Parkinson's Cure

Embryonic Stem Cells Repair Rat Brains
By   Daniel DeNoon

Jan. 7, 2002 -- In a potential breakthrough for Parkinson's
disease, Harvard researchers have found that early embryo
cells can fix the brains of animals with the disease.

Even with luck and a lot of hard work, it will be five to 10
years before this is ready for human tests. Still, the
finding is a giant step forward. It points the way to
treating -- and maybe curing -- Parkinson's patients with
stem cells grown in laboratories. Such cells already exist.

"Our goal has been to get stem cells to develop into
particular kind of cells -- the cells damaged in Parkinson's
disease," study leader Ole Isacson, MD, PhD, tells WebMD.
"Now we have done this."

Isacson directs the Udall Parkinson's Disease Research
Center and the Neuroregeneration Laboratory at Harvard
University. He and co-workers reported the findings in the
Jan. 8 issue of the Proceedings of the National Academy of
Sciences.

The study shows that cells taken from mouse embryos turn
into brain cells when placed in rat brains. They don't just
sit there: they hook up to the brain and work like normal
brain cells.

In Parkinson's disease, certain brain cells die off. These
are the cells that make dopamine, an extremely important
chemical messenger that helps nerves communicate. It is
involved in many bodily activities, including movement. If
researchers kill dopamine cells in live rats, the animals
lose the ability to move properly -- just like people with
Parkinson's disease. When Isacson and co-workers gave these
rats transplants of mouse embryo cells, they regained normal
movement.

"We've shown that the stem cells develop into brain cells
with all the characteristics of normal dopamine cells,"
Isacson says. "Furthermore, we've shown that the cells
secrete dopamine in response to the proper signals -- and
that this results in behavioral changes."

Neurologist William C. Koller, MD, PhD, director of the
Parkinson's Disease Center at the University of Miami, Coral
Gables, Fla., calls the results a major finding.

"This is a big step forward," Koller tells WebMD. "It is
proof of concept that this can eventually work in people. It
is a pretty big deal."

Earlier studies showed that transplants of fetal brain cells
could help people with Parkinson's disease. But these cells
didn't work very well, Koller says. They were already too
highly developed to hook up with patients' brains.

Early embryonic cells don't have this problem. That's
because they come from recently fertilized eggs. They are so
basic that they can be transplanted without rejection by the
immune system. One of the Isacson team's major findings was
that these cells -- when separated from each other -- grow
into brain cells all by themselves.

"This is one of the most elegant biological things I have
ever seen," Isacson says.

There's a lot of daunting work ahead. One problem is that
the embryonic cells become different kinds of brain cells.
Isacson's team is working on a way to get even more of them
to become the specific kind of brain cell that Parkinson's
patients need.

"I am very passionate about getting this to the patients,
but there are technical issues to solve," he says. "Just
having a rocket doesn't mean you can go to the moon. Our
work convinces me that one day we can transplant these cells
to patients. To get there requires a lot of technical and
biological research. It is an enormous effort to make these
things move forward."

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