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Nicotine may ease Parkinson's symptoms: U.S. study


By Maggie Fox, Health and Science Editor

WASHINGTON (Reuters) - Nicotine may help ease some of the debilitating and
uncontrollable tremors and twitches caused by Parkinson's disease and its
treatment, researchers said on Wednesday.

Monkeys given a nicotine-laced drink before drug treatment for Parkinson's
showed a 50 percent reduction in movements associated with the treatment.
They showed a 35 percent drop in the movements, known as dyskinesias, when
given the drink after treatments.

The finding, to be published in the Annals of Neurology, suggests it may be
possible to improve the lives of patients who have very limited options.

"It may be the only drug that is useful for reducing dyskinesias without
making Parkinson's disease worse," Maryka Quik of the Parkinson's Institute
and Clinical Center in Sunnyvale, California, who led the study, said in a
telephone interview.

Parkinson's disease, which affects more than 1 million patients in the United
States, is marked by the death of brain cells that produce dopamine.

Dopamine is a neurotransmitter, or message-carrying chemical, associated with
movement. Drugs can delay symptoms for a while but there is no good treatment
and no cure.

The main treatment, levodopa or L-dopa, itself causes the abnormal involuntary
movements after a time.

For years, researchers had noted that people who smoke and who drink coffee
seemed to have a lower risk of Parkinson's, and some research has suggested
that nicotine might protect brain cells and nerves in some way.

Quik said her team's findings appear to uncover a separate effect of nicotine.

The researchers caused Parkinson's in rats and then in monkeys by damaging the
area of the brain where dopamine is made. They gave them a soft drink with
nicotine before and after administering levodopa.

"Not only is nicotine neuroprotective, it protects against L-dopa-induced
dyskinesias. The two effects are exclusive," Quik said. Nicotine did not
appear to interfere with the beneficial effects of L-dopa.

Her team is now working with companies that make nicotine-like drugs to work
up a trial in people.

The key is probably chemical doorways into brain cells called nicotinic
receptors, Quik said. Drugs that work to affect these more precisely than
nicotine does might also work better and more safely in people.

Nicotine patches are available over-the-counter for people who want to stop
smoking but Quik did not advise that Parkinson's patients try them.

"It is very important to work out the proper conditions and the proper dose,"
she said.

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