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Eye Cell Implants Improve Motor Symptoms For Parkinson Patients
Main Category: Parkinson's Disease News
 Article Date: 14 Dec 2005 - 14:00 PST



A preliminary study suggests that implants of cells from the human retina 
improved motor symptoms in patients with Parkinson disease, and they appear 
to be safe and well tolerated, according to a report in the December issue of 
Archives of Neurology, one of the JAMA/Archives journals. 

 Parkinson disease (PD) is a neurodegenerative disorder characterized by 
tremor, rigidity, postural instability, and slowed ability to start and 
continue movements. 

Most patients with PD require therapy with the medication levodopa to control 
symptoms three to five years after a diagnosis of PD. However, disease 
progression and long-term oral treatment with levodopa may lead to the 
development of motor fluctuations and dyskinesias (difficulty or distortion 
in performing voluntary movements). 

Human retinal pigment epithelial (RPE) cells produce levodopa and can be 
isolated from post mortem human eye tissue, grown in culture, and implanted 
into the brain attached to microcarriers. These implants have ameliorated the 
motor deficits in animal models of Parkinson disease, according to background 
information in the article. (The retinal pigment epithelium is the pigment 
cell layer found in the inner layer of the retina of the eye.) 

 Natividad P. Stover, M.D., of the University of Alabama at Birmingham, and 
colleagues conducted an open-label pilot study to evaluate the effect of 
unilateral implantation of human RPE cells attached to gelatin microcarriers. 
Six patients with advanced Parkinson disease received cell implants, which 
were inserted into the brain tissue. The researchers performed efficacy 
evaluations at one and three months after surgery, and then at six, nine, 12, 
15, 18 and 24 months. Yearly follow-up visits are ongoing and will continue. 

 "The implants were well tolerated," the authors report. "We observed an 
average improvement of 48 percent at 12 months after implantation in the 
Unified Parkinson's Disease Rating Scale motor subscore with the patient in 
the off state, which was sustained through 24 months." 

 "Improvement was also observed in activities of daily living, quality of 
life, and motor fluctuations," they continue. "No off-state dyskinesias were 
observed." 

 "On the basis of the motor improvement and tolerability observed in this 
open-label study, a randomized, double-blind, placebo-controlled study has 
been initiated to more objectively test efficacy and continue to assess 
safety," the authors conclude. 

 (Arch Neurol. 2005;62:1833-1837.) 

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