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Israeli team touts stem cell breakthrough for Parkinson's sufferers
By ISRAEL21c staff
July 11, 2004

Dr. Binyamin Reubinoff : This study shows for the first time that human
embryonic stem cell-developed neural precursors can induce partial
functional recovery in an experimental model of Parkinson's disease.

   The prospect of using stem cells to treat Parkinson's disease is one
step closer after Israeli scientists announced that implanting human stem
cells into the brains of rats has alleviated Parkinson's-like symptoms.

According to Dr. Binyamin Reubinoff of the Hadassah Embryonic Stem Cell
Research Center at Jerusalem's Hadassah Medical Center, the research
represents the first demonstration that human stem cells can replace
damaged neurons in an animal model.

The news will bring new hope to the more than one million Americans
suffering from the degenerative brain disease that currently has no
permanent cure. Reubinoff presented a summary of an abstract that
describes his study last week at the European Society of Human
Reproduction and Embryology in Berlin, Germany.

Stem cells are the body's building blocks that can develop into any part
of the body, from limbs to blood to brain tissue, and can be obtained
from donated embryos, either left over after fertility treatment, or from
embryos deliberately cloned for therapeutic purposes. The progressive
decline associated with Parkinson's is caused by a loss of brain cells
that produce a chemical called dopamine.

Reubinoff's team manipulated human stem cells in the laboratory so that
the ubiquitous cells were poised to develop into the specialist neurons
that become depleted as Parkinson's disease takes hold. These neurons
were then transplanted into the brains of rats that had been engineered
to show manifestations of the condition.

After the procedure, the rats' symptoms were significantly reduced,
Reubinoff told delegates at the annual meeting in Berlin. "This study
shows for the first time that human embryonic stem cell-developed neural
precursors can induce partial functional recovery in an experimental
model of Parkinson's disease," he explained.

"We believe these observations are encouraging, and set the stage for
future development that may eventually allow the use of embryonic stem
cells for the treatment of Parkinson's disease."

Importantly, the study showed that the neural cells did not proliferate
out of control. This concern was highlighted in a former clinical trial
in the USA, which resulted in uncontrolled growth of stem cells that had
been transplanted into the brains of volunteers with Parkinson's disease.
Disastrously, too much dopamine was produced in the brains of 15% of the
participants, resulting in severe side effects such as jerking of the
limbs.

Dr Miodrag Stojkovic, of Newcastle University's Institute of Human
Genetics, welcomed the results, but told The Guardian that caution must
exercised when translating the results to humans.

"This use of human embryonic stem cells to improve the condition of rats
with Parkinson's is excellent news and underlines the huge potential of
this kind of treatment. However, the development of treatments for humans
is much more complicated, because of the difficulties in producing
clinical-grade stem cells which are known to be free from contaminants
such as viruses, and also the need to conduct lengthy clinical trials to
ensure there are no adverse effects, such as the formation of tumors," he
said.

Reubinoff said further studies would be needed before the treatment could
be given to humans because the safety of the treatment could not yet be
assured.

"So far we have shown that the transplants can improve although not
correct the behavior deficit," he told ISRAEL21c. "We've accomplished
only partial correction of behavior deficit of the rats. We would like to
proceed to directing the development of the neuroprecursors toward
generating the specific neurons that degenerate in Parkinson's patients."


Despite the questions raised, Reubinoff's presentation was well received
in Berlin. "It was highly appreciated. We actually received the
Established Scientist prize from the selections committee," he said.

Reubinoff, through his work at the Hadassah Embryonic Stem Cell Research
Center, has been at the forefront of stem cell research. Hadassah,
working together with Monash University in Australia and the National
University of Singapore was the second group in the world to derive stem
cells from human embryos. The researchers have succeeded in producing six
of the human embryonic stem cell lines that are available for
federally-funded research in the U.S.

Five of these lines are among the 12 lines that are currently distributed
to U.S. researchers and are provided to more than 50 other laboratories
around the world involved in stem cell research.

"After one to two weeks in culture, embryonic cells begin to
differentiate into different kinds of stem cells, such as nerve and
muscle cells," Reubinoff said.

A graduate of Hadassah Medical School, and trained in obstetrics and
gynocology, Reubinoff earned a M. Science degree (summa cum laude) in
neurobiology and completed a PhD in biology in Australia. He's also
involved in Hadasit Medical Research Services and Development - which
promotes and markets the intellectual property generated by the Hadassah
Medical Organization.

In May, Hadasit President and CEO Dr. Raphael Hofstein, President and CEO
announced the development of Reubinoff's protocol utilizing stem cells
lines to generate dopaminergic neurons. When injected into the brain of
Parkinson's disease patients, these neurons will replace damaged cells
and are expected to reduce the diseases' debilitating symptoms.

According to Robin Elliott, Executive Director of the Parkinson's Disease

Foundation: "In the long term, this protocol could represent a
potentially magical approach to the treatment of Parkinson's and other
debilitating human diseases."


Reubinoff's successful research has prompted Hadasit to set up together
with the Singapore-based concern ESI, a new Israeli company called Cell
Cure, that focuses on devices for the treatment of Parkinson?s and other
diseases.

"CellCure was established to take the platform and develop it further
toward clinical applications," said Reubinoff.

"The best hope we have for Parkinson's disease is stem cells. We must
move past the early stages of development so that we can start helping
people with this disease," said. Hofstein.

 http://www.israel21c.org

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