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New hope for Parkinson's patients

18 April, 2002 12:39 BST - LONDON (Reuters) - An experimental drug pumped
directly into damaged areas of the brain has produced dramatic improvements
in patients suffering from Parkinson's disease, doctors say.

In a pilot study at the Frenchay Hospital in Bristol the drug called GDNF
helped five patients move better and, for one sufferer, restored the sense
of smell and the ability to laugh.

"We thought that this drug would take some months or even years to be
effective. We found that within a month or two patients were noticing
significant changes in their ability to do things," Dr Steven Gill, the
neurosurgeon who led the study, told BBC radio on Thursday.

GDNF, which stands for glial derived neurotrophic factor, is a natural
growth agent needed by brain cells to produce dopamine, which is necessary
to transmit impulses or messages to the body.

A reduced concentration of dopamine in the brain is associated with
Parkinson's disease.

Gill stressed that the results, which were presented at a meeting in Denver
of the American Academy of Neurology, are preliminary and it is still
unknown how long the improvements will last or whether the treatment is
suitable for all Parkinson's patients.

It is the first time such improvements have been shown in patients
following infusion with a growth factor. But Gill and his team said further
trials are needed to confirm the drug's efficacy and safety.

Parkinson's is an incurable neurodegenerative disease. It affects 120,000
people in Britain and millions more around the world including the actor
Michael J Fox and boxing legend Mohammed Ali.

Patients suffer tremors in the limbs, poor balance and have difficulty
speaking and initiating movements. Treatment with the drug levodopa can
restore normal movement in patients with early disease but it gradually
loses effectiveness.

If the treatment is proven safe and successful, it could become widely
available but that would not happen for at least four to five years.

"We are greatly encouraged by these early results of what is a three-year
study," Robert Meadowncroft, of the Parkinson's Disease Society, said in a
telephone interview.

In other studies, GDNF has been shown to block the degeneration of nerve
cells in animals bred to develop Parkinson's disease.

The protein has also shown promise as part of a gene therapy treatment for
the illness. When scientists inserted the gene for GDNF inside a harmless
virus and injected it into the brains of monkeys it made the dopamine
producing cells work better.

By Patricia Reaney

http://www.reuters.co.uk/


janet paterson: an akinetic rigid subtype, albeit perky, parky
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smail: 375 Country Street, Almonte, Ontario, Canada, K0A 1A0
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