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Source: http://www.betterhumans.com/News/news.aspx?articleID=2003-04-11-2
Date:     April 11, 2003

Enzyme Discovery Means that Arthritis Drugs Could Treat Parkinson's Disease

Dwayne Hunter
Betterhumans Staff

[Friday, April 11, 2003] Researchers have found that an enzyme associated
with arthritis might contribute to the progression of Parkinson's disease,
meaning that arthritis drugs already on the market could help battle the
neurological condition.

Parkinson's is a degenerative disorder of the brain that usually affects
older people and is characterized by such symptoms such as tremors,
slowness of movement and muscle stiffness to the point of paralysis.

The disease involves diminishing production of the neurotransmitter
dopamine. Although the cause of Parkinson's is not known, dopamine is
recognized as important in regulating movement and drugs such as levodopa
that replenish it reduce symptoms.

No treatment has proven to slow the progressive death of dopamine-producing
cells, however, which makes researchers hopeful about the enzyme findings,
which were published this week in the early edition of the Proceedings of
the National Academy of Sciences.

COX-2

The enzyme, COX-2, produces inflammation in damaged tissues, including those
found in the brain.

Many researchers now see the inflammation as a critical process in
neurodegenerative diseases.

Serge Przedborski, professor of neurology and pathology in the College of
Physicians & Surgeons and faculty member in the Columbia University Center
for Neurobiology and Behavior, looked for COX-2 in postmortem brains of
Parkinson's patients.

He and postdoctoral researcher Peter Teismann found higher levels of the
enzyme in their dopamine neurons than in the neurons of brains without the
disease.

Mice with Parkinson's

The researchers then tested the importance of COX-2 in mice that had a mouse
model of Parkinson's disease.

The mice had the same high level of COX-2 in their dopamine neurons as human
patients.

COX-2 was also found to have an instrumental role in the death of the
neurons. When it was removed from the mice or inhibited with drugs, more
dopamine neurons survived. About 88% of the neurons endured with drug
treatment compared to 41% percent without it.

The finding means that COX-2 inhibitors such as Celebrex and Vioxx, commonly
used as treatments for arthritis, may help in preventing the neuron death
that characterizes Parkinson's.

Oxidative stress

Researchers believe that the COX-2 enzyme may hasten cell death by causing
oxidative stress, which involves the production of free radicals that damage
surrounding cells. After enough damage, cells die.

Previous research had linked Parkinson's with oxidative stress, but there
was nothing to show how COX-2 might be involved.

"Regardless of how COX-2 works in Parkinson's disease, the benefit we see in
animal models with COX-2 inhibitors suggests the drugs could be useful in
slowing the disease's progression in patients," says Przedborski. "The drugs
are safe and they get into the brain reasonably well."

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