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The source of this article is Forbes: http://tinyurl.com/95sxq

Parkinson's Disease Vaccine Shows Promise
By Kathleen Doheny
HealthDay Reporter


WEDNESDAY, June 15 (HealthDay News) -- A vaccine to treat Parkinson's
disease looks promising in a preliminary animal study, researchers report
in the June issue of Neuron.

"What we found is overall there was a significant decrease in
disease-related changes in the mice treated with the vaccine," said study
co-author Leslie Crews, a research associate at the University of
California, San Diego department of neurosciences.

Parkinson's disease affects about 1.5 million Americans, according to the
National Parkinson's Foundation. The degenerative illness gradually
triggers the death of nerve cells, or neurons, in the brain that produce
the chemical dopamine, a neurochemical involved in muscle movement and
function. Advancing illness is characterized by loss of balance, tremor,
rigidity and other disabling symptoms. A drug called levodopa can help slow
disease progression, but its effect diminishes over time.

The UCSD team, led by Dr. Eliezer Masliah, a professor of neurosciences and
pathology, also included researchers from Elan Pharmaceuticals, in San
Francisco, which is developing the vaccine and helped fund the study.

The researchers focused on two groups of mice with a simulated form of
Parkinson's disease and compared their outcomes to a group of healthy,
control mice.

A protein called alpha-synuclein, involved in neuron-to-neuron
communication, is crucial to healthy brain function. But in Parkinson's,
the protein's structure changes and becomes abnormal. When too much of this
abnormal protein accumulates, disease-linked brain changes begin.

The new vaccine was made with the human form of alpha-synuclein and an
adjuvant compound that allows it to be carried to the brain. The team
vaccinated one group bred to have Parkinson's, using the vaccine and an
adjuvant. They vaccinated the second group with Parkinson's with just the
adjuvant.

By vaccinating with the protein, the researchers hoped to spur the
production of immune antibodies, which would then enter the brain and help
rid it of abnormal protein accumulation.

That process seems to have worked -- at least in mice, the researchers report.

"All the mice treated [with the vaccine] had decreases in the level of
abnormal alpha-synuclein and increases in markers that showed their brains
were functioning better," said Crews. "About 50 percent of the treated mice
had 'high affinity' antibodies," she said, meaning their immune response
was specific to the protein injected.

"In that group, the level of neural integrity brain cell function was equal
to what the normal controls looked like," Crews said. "That means that
basically all of the neuronal connections and cellular communication were
functioning."

On the other hand, "in the group treated with just the adjuvant, the
markers of neuron integrity decreased by about 20 percent at about six
months," she said.

The research team emphasized that this form of "active immunization" may
not prove useful in humans. As experiments with similar vaccines for
Alzheimer's disease have shown, active immunization can result in harmful
inflammation. Eventually, it might be possible to inject the antibodies
themselves directly, as if the Parkinson's patient were creating his or her
own supply, Masliah said in a prepared statement.

While most people think of a vaccine as a way to prevent disease, in this
case, Crews said, the vaccine is being studied as a treatment. "But we are
currently investigating whether it would be useful as a preventive measure
as well," she said.

Another expert, Michael Jakowec, an assistant professor of neurology at the
George and MaryLou Boone Parkinson's Disease and Movement Disorders
Research Center at the University of Southern California Keck School of
Medicine, Los Angeles, said the study results are "very interesting."

But he added the caveat that the work is preliminary and confined to animals.

"It's promising, and I think it's an approach worthy of pursuit. It comes
from a strong group of well-respected scientists," he said.

"At least it will underscore the importance of understanding pathology, the
role of pathology in neurodegenerative disease," he said. "We [in the
field] are beginning to debate, "is there a link between pathology and
clinical symptoms?"

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