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From: E-MOVE <[log in to unmask]>
To: E-MOVE <[log in to unmask]>
Date: Mon, 14 Oct 2002 20:11:14 GMT
Subject: GDNF Restores Behavioral and Cell Function in PD Models
Message-ID: <B0000017686@liquidus-www>

1. Chronic, controlled GDNF infusion promotes structural and functional
recovery in advanced parkinsonian monkeys
R Grondin, Z Zhang, A Yi, WA Cass, N Maswood, AH Andersen, DE Elsberry,
MC Klein, GA Gerhardt, DM Gash
Brain 2002;125:2191-2201

GDNF delivered via pump to the striatum or ventricles improves motor
function and markers of dopaminergic cell function in monkeys, according
to this study.

Thirteen rhesus monkeys received unilateral MPTP injections, followed two
months later by implantation of a minipump and catheter to deliver either
vehicle (n=5) or glial cell line-derived neurotrophic factor to either
the putamen (n=3) or the lateral ventricle adjacent to the striatum
(n=5). The dose delivered was either 5 or 15 micrograms per day.

Behavioral assessment via blinded videotape indicated a 30-60%
improvement in parkinsonian disability versus baseline in treated, but
not control, animals after 11 weeks, with no differences between the two
sites of administration. Neurochemical assessment indicated a significant
increase in dopamine and DOPAC, but not HVA, in the medial striatum on
the lesioned side, but not in the intermediate or lateral portions
further from the ventricle. On the unaffected side, significant increases
were seen in HVA in all three portions. Compared to controls, treated
animals had a five-fold increase in tyrosine hydroxylase-positive fibers
in the periventricular region of the lesioned striatum, as well as
increased perikaryal size of dopaminergic neurons. These effects were
also seen on the unlesioned side.

The authors argue that since at least two months elapsed between MPTP
administration and GDNF delivery, their results are primarily
attributable to the restorative, rather than neuroprotective, actions of
GDNF.

An editorial by Patrik Brundin accompanies the report. An E-MOVE meeting
report on GDNF in PD patients is archived at
http://www.wemove.org/emove/article.asp?ID=436

Here is the meeting report :

Subject: Putaminal GDNF Administration, Retinal Epithelial Cells Improve
PD Symptoms (AAN 2002)
Date: 4/23/2002

E-MOVE reports from the 54th Annual Meeting of the American Academy of
Neurology, April 13-20, in Denver Colorado. Poster numbers, session
numbers, and pages are from Neurology 2002;58(supplement 7).

1. Intraparenchymal putaminal administration of glial-derived
neurotrophic factor in the treatment of advanced Parkinson's disease
SS Gil, NK Patel, K O'Sullivan, DJ Brooks, GR Hotton, C Svendsen, P
Heywood
S31.003, A241

Direct infusion of GDNF to the putamen improves symptoms of PD, according
to this study.

Five patients received GDNF to the putamen delivered via mini-pump and
implanted cannula. At 12 months, off time was reduced, on time increased,
and dyskinesias were improved. Total UPDRS off score declined from
approximately 60 at baseline to approximately 35 at 12 months.

The authors note their results are in contrast to a previous double-blind
trial of intraventricular GDNF
(http://www.wemove.org/emove/article.asp?ID=327). They suggest the
difference may be due to the direct delivery to the putamen in this
study.
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2. Neuroprotective and restorative effects of intrastriatal grafting of
encapsulated GDNF-producing cells in a rat model of Parkinson's disease
T Shingo, I Date, H Yoshida, T Ohmoto
J Neurosci Research 2002;69:946-954

Implantation of encapsulated cells producing GDNF can mitigate the
effects of 6-OHDA in a rat model of Parkinson's disease, according to
this study.

Rats received either control cells or GDNF-producing cells to the right
striatum either 7 days before (Experiment 1) or 2-4 weeks after
(Experiment 2) lesioning with 6-OHDA to induce unilateral parkinsonism.
Compared to Exp 1 controls, apomorphine-induced rotation was reduced 92%
in GDNF-treated animals. In Exp 2, rotation was reduced by approximately
30% in GDNF animals treated at 2 weeks post-lesion, but only 10% in those
treated at 4 weeks. The number of tyrosine hydroxylase-positive fibers
was significantly greater in GDNF-treated animals than in controls at all
time points up to six months. Animals treated at 2 weeks post-lesion had
more such fibers than those treated at 4 weeks.



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opyright 2002 WE MOVE
Editor: Richard Robinson ([log in to unmask])
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