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Stem cell research targets Parkinson's
Top researcher fears politics may hamper progress

By BILL HENDRICK
The Atlanta Journal-Constitution
Published on: 10/17/06
More than a millon Americans who suffer from the debilitating neurological
disorder Parkinson's disease are likely to be among the first to benefit
from promising advances in embryonic stem cell research, unless political
controversy keeps slowing down the process, scientists said Monday.
"We want to replenish the population of nerve cells that are dying in the
brains of Parkinson's victims," Dr. Ole Isacson, a professor of neurology
and neuroscience at the Harvard Medical School, said in an interview. "The
encouraging recent scientific finding is that human embryo [embryonic] stem
cells can be grown into the specific dopamine neuron that dies in
Parkinson's, and we know that it can be transplanted and restore function in
animal models [rats]."
Parkinson's is caused by the degeneration of neurons, or brain cells, that
control movement. That results in a shortage of the brain-signaling chemical
dopamine, which is why, Isacson said, scientists are working now to grow new
dopamine-secreting neurons from embryonic and adult stem cells.
Isacson spoke with four other neuroscientists at a symposium at the annual
meeting of the Society for Neuroscience at the Georgia World Congress
Center.
Researchers said that while stems cells have shown promise as a treatment
for diseases that involve degeneration of brain cells, such as Alzheimer's
and Lou Gehrig's disease, the most promising research has involved
Parkinson's.
Embryonic stem cells are taken from early embryos, mostly obtained from
fertilized eggs left over from in vitro fertilization clinics. They have
captivated scientists with their ability to develop into any tissue in the
human body, including all of 300 specific nerve cell types that make up the
brain.
Adult stem cells are less flexible and can't transform into as wide a range
of alternate tissue.
"If we manage to grow stem cells at will," Isacson said, "we could have a
supply that could help a large number of patients and reconstitute their
[brain] circuitry." In experiments he has done in the past, some Parkinson's
sufferers have been helped but not cured of their disease, he said.
Realistically, he said, it will be "years and maybe decades" before the
technology can be used, mainly for political reasons that get in the way of
research.
In 2001, President Bush decided that existing embryonic stem cell lines,
about 78 lines, were eligible for federal funds, but that work with newly
harvested lines was not. A "line" is all the cells that grow from one
original stem cell.
Isacson said scientists "have proof" from work done in the late 1990s and
research in Canada last year that dopamine cells from aborted fetuses "can
survive in patients' brains for 14 years. "What's important is that we know
this dopamine cell will reconnect and make for better connections in the
brain, and that's a very great leap in understanding."
Challenging researchers is how embryonic stem cells can be made to grow into
a specific cell. They said in a statement that they are trying to identify
the "biological signals" that tell stem cells to become dopamine-producing
brain cells.
Though U.S. researchers are struggling with the president's limitations on
their field, experiments are going full force in Canada and Europe. In the
United States, development of dopamine cell replacement therapy will depend
on finding and producing alternative sources of cells for transplants,
Isacson said.
Parkinson's disease is the second most common neurodegenerative disorder in
the United States, surpassed by Alzheimer's disease. It afflicts more than 1
million people in the United States, Isacson said. Symptoms include tremors
or trembling, general slowness of movement, stiffness or rigidity of muscles
and difficulty maintaining gait and balance.

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