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Implanting Dopamine Generators In Brain Cells Obtains Improvement In
Parkinson's In Monkeys
5/16/2007
Implanting dopamine generators (dopaminergics) in brain cells has produced
improvement in the symptoms in Parkinson's, according to the results of
tests carried out with monkeys by the Navarra University Hospital, led by Dr
María Rosario Luquin Piudo, neurologist at the Hospital and at the other
Navarra University-based medical centre, CIMA (the Research Centre for
Applied Medicine).
The results have been published in the latest issue of the British
scientific journal specialising in Neurology, Brain, and have corroborated
the conclusions of a previous study, published in 1999 by the same research
team in the specialist journal, Neuron. The first name amongst the
contributors is that of the researcher Waldy San Sebastián.
On this occasion the research was extended to a greater number of non- human
primates and for a longer period of time. The procedure involved implanting
cell fragments extracted from the carotid body in the striate area of the
brain. The carotid body is a small structure located at the bifurcation of
the carotid artery, at the level of the neck. Its function is to control the
rhythm of respiration and the cardiac frequency through releasing dopamine
in situations of low oxygen level in the blood. After the implantation of
the cellular aggregates of the carotid body into the striate area of the
brain, the improvement in movement in monkeys with Parkinson's and which had
received transplants was demonstrated to last for at least a year.
The research team concluded that the mechanism by which the implants in the
striate area of the brain of dopamine-generating cells manage to ameliorate
Parkinson's appears to be related to the capacity of these cells to release
substances (trophic factors) that induce an increase of the dopaminergic
cells (that usually exist in the normal brain but in lower quantities).
Amongst these trophic factors is the GNDF (Glial Cell-derived Neurotrophic
Factor).
Cells extracted from the carotid body have been used as a source for
dopaminergic cells in the treatment of Parkinson's disease in animal
experiments and in humans. The advantage of this cell type with respect to
others is the possibility of carrying out autoimplants, thus avoiding tissue
rejection or immunosupressor treatment.
Research
Research was undertaken with monkeys who had Parkinson's induced by the
administration of a neurotoxin (MPTP) and which were subsequently injected
into the striate area of the brain with fragments from the carotid body of
the same animal This region of the brain where the fragments from the
carotid body are implanted is the area where dopamine from the dopaminergic
neurones is released from the black substance. As is known, Parkinson's
disease is produced as a result of the loss of 50% of the cells of the black
substance (the brain stem structure) that manufactures dopamine and sends
out projections to the striate area.
In order to implant dopaminergic cells in the brain, it is necessary to
effect a trepanation through which the fragments from the carotid are
injected into the striate area of the animal's brain. This work shows that
the number of striate dopaminergic neurones that the striate area of the
brain usually contains undergoes an additional increase after the
implantation of these cell aggregates. Moreover, this increase in the number
of dopaminergic cells appears to be responsible for the improvement of the
illness in animals studied by the Navarra University Hospital and CIMA
researchers, given that, this was not observed in those individuals
receiving injections of saline serum instead of the cellular aggregates.
The fact that the injection into the striate area of neurotrophic factors
(those that favour cell growth), such as GDNF, also causes a significant
increase in dopaminergic neurones in this region of the brain "indicates
that the beneficial effect produced by the implant of cellular aggregates is
probably due to the action of the GNDF neurotrophic factor containing the
cells of the implanted carotid body. In this manner, the GDNF released to
the striate area will increase the number of intrinsic dopaminergic cells
and these, in turn, on releasing dopamine, will result in an improvement in
the condition of Parkinson's.
SOURCE: Clínica Universitaria. Universidad de Navarra

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