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Does It Really Work?
These very encouraging results don't prove anything, During notes. That will
depend on a large clinical trial in which participants aren't aware of what
treatments they receive and some participants receive no active treatment
(placebo). A trial like this is in the planning stages.
Until then, it's just another promising treatment, says Parkinson's
researcher Curt R. Freed, MD, head of the division of clinical pharmacology
and toxicology at the University of Colorado Health Science Center.
"It is promising at this stage, but like everything else, the proof will be
in the pudding," Freed tells WebMD. "Everything will depend on their
clinical trial."
Freed should know. Twenty years ago, he and others started getting
intriguing results when they implanted fetal brain cells into the brains of
people with Parkinson's diseaseParkinson's disease. These transplanted cells
are intended to replace the dopamine-producing cells that die off in
Parkinson's disease.
Only about 3% of those transplanted cells survive. But those that survive,
Freed reported at the Neuroscience conference, take root and grow -- and
keep on growing. If at least 40,000 of the cells survive, it means patients
no longer have to take L-dopa, the most important Parkinson's treatment.
The new treatment won't be practical until Freed and colleagues can develop
a cell line that will produce a large quantity of fetal brain cells in the
laboratory. That, he says, is just a matter of time.
"My interest is getting beyond the use of fetal tissue and using tissues
manufactured in the lab," Freed says. "We could have this in patients in the
next two to five years."
SOURCES: 36th annual meeting of the Society for Neuroscience, Atlanta, Oct.
14-18, 2006. Matthew J. During, MD, DSc, New York-Presbyterian
Hospital/Cornell Weill Medical Center. Curt R. Freed, MD, head, division of
clinical pharmacology and toxicology, University of Colorado Health Science
Center, Denver. Nathan Klein, New York City.

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