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A Step Closer To Understanding
Scientists hope success in mice study can be used as a model of
cells' potential in fighting brain diseases
BY JAMIE TALAN - STAFF WRITER

November 15, 2004

Recently, Harvard scientists discovered that, at least in mice, the
brain can rally against an all-out attack on brain cells by summoning
stem cells to help repopulate the hard-hit region.

Now the researchers want to determine whether similar stem cell
activity can be orchestrated in diseases like ALS or Parkinson's, in
which a specific group of brain cells dies off. Such a finding would
lead toward an understanding of how to achieve similar results in the
human brain, said Jeffrey Macklis, director of the Massachusetts
General Hospital-Harvard Medical School Center for Nervous System
Repair.

"The goal is to investigate whether this once science-fiction idea of
activating the birth of new neurons within the brain can be
achieved," Macklis said. "We are not there yet, but it is the long-
term goal."

The promise of stem cells - immature cells that can take orders to
become virtually any cell in the body - offers hope for a variety of
diseases. The finding is one of several recent discoveries in which
science is widening its understanding, as researchers aim to coax
stem cells into taking on specific jobs. The field is still in its
infancy, and studies are conducted on small critters engineered to
have the equivalent of human diseases.

The Harvard research, reported in the Proceedings of the National
Academy of Sciences earlier this month, relied on mice. Researchers
destroyed a population of neurons that die in amyotrophic lateral
sclerosis, commonly known as ALS or Lou Gehrig's disease, and spinal
cord injury. They then tagged stem cells that moved to areas in the
brain involved in motor control, and found that the stem cells
behaved just as mature motor neurons do: They migrated from the brain
into the spine.

The hope is that these neurons, and the new connections that they
make in the spine, will repair the communication between nerve cells
and aid in restoring movement. "Rebuilding this circuitry could be
used to regain motor function," Macklis said.

But it's a field mired in controversy because the easiest way to cull
stem cells is from embryos, and the only source is discarded embryos
frozen in in vitro fertilization clinics or from abortions. A
directive issued by President George W. Bush in 2001 prohibits use of
federal funds to develop new lines of stem cells.

Attempts to isolate and develop sources that are not embryonic are
under way, and recent discoveries have found that stem cells found in
bone marrow can be turned into neurons and supporting brain cells.
Such a finding has led to speculation that a person's own bone marrow
could be used to make cells for treatments of specific diseases.

Macklis and his colleagues are working to understand the molecular
orders the cells they identified need to respond to the damaged
brain.

Their work started with the depletion of tens of thousands of neurons
at once. In the immediate aftermath, they found 30 to 50 new neurons
per cubic millimeter. After two months, only 10 percent of the
neurons survived - but a year later, they were still present. The
study is continuing in an effort to determine whether the cells,
which eventually sent connections down to the spine, were
functioning.

In other recent work, scientists at Johns Hopkins Medical Institutes
reported last month that they isolated heart stem cells from adult
humans and other animals and were able to grow them in batches in a
lab dish. The goal is to use them to replenish the damaged heart.

And Dr. Steven Goldman and his colleagues at University of Rochester
Medical Center have made a discovery that he said could lead to a
clinical trial in Huntington's patients within two years. There are
no available treatments.

Like all stem cell scientists looking to treat brain disease, Goldman
has aimed at reshaping the adult brain's store of stem cells. Less
than a decade ago, scientists discovered that the adult brain has
immature stem cells in two areas - the ventricular zone and the
olfactory system.

Goldman says these stem cells normally become support cells, or glia,
that help neurons carry out their job. Scientists have characterized
glia as the workhorses of the brain, and neurons as the generals. But
his lab is taking the glia cells from the olfactory bulb of mice and
turning them into neurons capable of restoring the damaged brain.

Researchers used a gene to pump brain-derived growth hormone -
considered important for stem cell growth - into one of the stem cell
zones. They found that when the stem cells of this region were bathed
in a growth hormone called brain-derived neurotrophic factor, some of
the glial cells developed into the kind of neurons that are lost in
Parkinson's and Huntington's.

They then used another gene to block a protein that tells stem cells
to mature into glia, and showed they could shut down production of
glial cells and ramp up production of neurons in numbers that Goldman
said could have clinical impact. The findings were presented last
month at the Society for Neuroscience meeting in San Diego.

Mice in the experiment had a genetic mutation that causes
Huntington's disease. Normally they would become very sick at 10
weeks, and those in the lab didn't get sick until they were 4 months
old and lived almost twice as long as expected.

"The haze is really coming off the field," Goldman said. "We are
beginning to understand where stem cells would work, and what the
clinical opportunities will be."

SOURCE: New York Newsday, NY
http://tinyurl.com/6dcbs

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