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Mayo Clinic study shows Parkinson's disease drug might work in cancer patients
  ROCHESTER, Minn. -- A study published in the March 13 online issue of The 
Journal of Clinical Investigation shows that dopamine, a drug currently used 
to treat Parkinson’s disease and other illnesses, also might work in cancer 
patients.
   
The study, which was done in mouse and laboratory models, shows that dopamine 
could possibly prevent new blood vessels from growing and as a result, slow 
cancer progression.

 Dopamine is a neurotransmitter in the brain that regulates movement and 
affects behavior. In its synthetic form, dopamine is used to treat heart 
attack victims, Parkinson’s disease and pituitary tumors. But it wasn’t known 
until now that dopamine worked by blocking the growth of new blood vessels (a 
process called angiogenesis).

 “Researchers now can test this concept in solid tumors where angiogenesis 
plays a critical role in the growth and progression of these cancers,” says 
Sujit Basu, M.D., Ph.D., an oncologist at Mayo Clinic who conducted this 
study with Partha Sarathi Dasgupta, Ph.D., a scientist with the Chittaranjan 
National Cancer Institute (CNCI) in Calcutta, India.; and, Debanjan 
Chakroborty, Ph.D., a postdoctoral fellow in biochemistry at Mayo Clinic and 
CNCI.

 “Sometimes new drugs may not be the answer. We looked instead at a novel use 
for an established product and have found very promising results,” Dr. Basu 
says. The study has not been replicated in humans, but the results are 
encouraging, he says.

 Dr. Basu has been studying the role of dopamine in cancer for years, and was 
credited with the initial discovery that dopamine can block new blood vessel 
growth. His current study is based on mouse and laboratory models of 
sarcoma -- a malignant tumor affecting soft tissues. The research is the 
first report that dopamine has a role in cancer’s use of endothelial 
progenitor cells to provide a supply line of nourishing blood, Dr. Basu says. 
These cells, a form of stem cells, are released by bone marrow into the blood 
system in response to the vascular endothelial growth factor-A (VEGF-A), 
which is a protein that is secreted by oxygen-deprived cancer cells. The 
endothelial progenitor cells then help form new blood vessels to feed the 
cancer.
Researchers discovered that dopamine stops the transfer of endothelial 
progenitor cells from the bone marrow into the circulatory system by binding 
to a specific receptor on the surface of the progenitor cells. This binding 
suppresses the activity of matrix metallopeptidase 9 (MMP-9), an enzyme that 
enables these cells to move out of bone marrow.

 In their experiments, they found that treatment with dopamine significantly 
decreased mobilation of the progenitor cells from the bone marrow, and it 
also decreased MMP-9 expression.

 “This is the first time it has been shown that an important neurotransmitter 
like dopamine is regulating the mobilization of these progenitor cells from 
the bone  marrow. This is very important and represents why these findings 
are so unique,” Dr. Basu says.

 Other authors include: Chandrani Sarkar, Ph.D., of both CNCI and Mayo Clinic; 
Uttio Roy Chowdhury, Ph.D., and Rathindranath Baral, Ph.D., both of CNCI.

 This research was supported by grants from the Department of Biotechnology, 
the Government of India; the National Institutes of Health; and the U.S. 
Department of Defense.

 Cost of Dopamine (Mayo Clinic Pharmacy, March 6, 2008) 

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