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Antibiotic May Treat Parkinson's Disease
TB Drug Rifampicin Untangles Protein Particles Seen in Parkinson's Brain By
Daniel DeNoon
WebMD Medical News Reviewed By Brunilda Nazario, MD
on Monday, November 29, 2004

Nov. 29, 2004 -- A common tuberculosis drug may help patients with
Parkinson's disease -- and, perhaps, Alzheimer's and Huntington's diseases
as well.
The drug is rifampicin. Although better known as a tuberculosis drug,
rifampicin is also an effective treatment for leprosy. More than a decade
ago, researchers discovered that leprosy patients on long-term rifampicin
therapy had less dementia and senile plaques in their brains than untreated
patients.
That finding led to intense research on how the drug might affect brain
diseases. Now researchers led by Anthony Fink, PhD, at the University of
California, Santa Cruz, have at least part of the answer.
During Parkinson's disease, a common brain protein called alpha-synuclein
gathers into fiber-like particles -- fibrils -- that clog the brain. Fink's
team shows that rifampicin stops these fibrils from forming. More
importantly, the researchers find that the drug causes already-formed
fibrils to unravel.
The implication: Rifampicin may work as a treatment for Parkinson's disease.
"Clearly, more work is needed to determine if this would work
therapeutically," Fink says, in a news release. "But if it does, it would
probably be most useful as a [preventive] therapy used in the early stages
of the disease before there is general neurological damage."
Fink and colleagues report their findings in the November issue of Chemistry
& Biology. In an accompanying editorial, Aphrodite Kapurniotu of the
Institute of Biochemistry, RWTH Aachen, Germany, notes that the findings may
lead to new treatments for Parkinson's disease.
The gathering -- biochemists prefer the term "aggregation" -- of normal
proteins into disease-causing fibers isn't unique to Parkinson's disease,
Kapurniotu notes. Other diseases come from similar processes: Alzheimer's
disease, Huntington's disease, mad cow disease, and even type 2 diabetes.
"Recent evidence suggests that common molecular events may underlie the
pathogenesis of [these] different 'protein aggregation' diseases," she
writes.

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