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Parkinson's: the breakthrough

By Steve Connor, Science Editor
*Monday, 24 March 2008*

A potential cure for Parkinson's disease has come a significant step closer
today with a study showing that it is possible to treat the degenerative
brain disorder with cells derived from cloned embryos – a development
condemned by the Roman Catholic Church.

The research was carried out on laboratory mice but scientists believe the
findings are proof that the techniques could be applied to humans suffering
not just from Parkinson's, but a range of other incurable diseases.

Researchers have demonstrated the possibility of treating Parkinson's
disease by transplanting laboratory-matured brain cells back into the
individual who supplied the skin cells that were turned into cloned embryos
– a process known as therapeutic cloning.

"This is an exciting development, as for the first time it may be possible
to create a person's own embryonic stem cells to potentially treat
Parkinson's disease," said Kieran Breen, director of research at the
Parkinson's Disease Society – a charity representing the 120,000 people in
Britain affected by the illness.

Dr Breen said: "Stem cell therapy offers great hope for repairing the brain.
It may ultimately offer a cure, allowing people to lead a life that is free
from the symptoms of Parkinson's disease."

Proof that therapeutic cloning is more than a pipedream will be used by
British scientists as justification for their push to expand the boundaries
of their research to include the use of animal-human "hybrid" embryos for
medical experiments, a process that is bitterly opposed by the Catholic
Church.

Scientists say that, because of the shortage of human eggs for research
purposes, they need to use cow or rabbit eggs for cloning experiments, and
have lobbied hard for it to be allowed under the Human Fertilisation and
Embryology Bill currently going through Parliament. Even though the stem
cells derived from cloned hybrid embryos will never be used on patients, the
practice is condemned by the Church, which wants all MPs to be given a free
vote in the Commons.

The latest development, published in the journal Nature Medicine, is further
proof-of-principle that therapeutic cloning can effectively treat – and
possibly cure – a degenerative brain disorder.

For the first time scientists have been able to create healthy, working
brain cells from immature stem cells, derived from embryos cloned from skin
cells, and transplant them back into the diseased brain.

The laboratory mice in the study suffered from a type of Parkinson's
disease, which is marked by the death of certain nerve cells or neurons in
the brain that produce the neurotransmitter dopamine. Skin cells were
scraped from the tails of the animals and cloned using mouse eggs, which had
their own cell nuclei removed. Stem cells taken from the resulting cloned
embryos were grown in the laboratory into mature dopamine-producing brain
cells. After transplanting the cells back into the brain, the mice showed
significant improvements in a range of experiments designed to test skills
that become notably worse in those with Parkinson's disease.

The team of American and Japanese scientists, led by Lorenz Studer of the
Sloan-Kettering Institute in New York, were able to produce 187 different
strains of embryonic stem cells from 24 Parkinsonian mice. A key finding of
the experiment was that there were no signs of tissue rejection because the
transplanted brain cells were derived from the same mouse that supplied the
skin cell for the cloned embryo.

Professor Robin Lovell-Badge of the Medical Research Council said the study
provided further proof-of-principle that therapeutic cloning was a potential
treatment for severe disorders of the brain. He said: "The authors were also
able to test several independent embryonic stem cell lines corresponding to
individual mice, and could show that most seemed to work well. This is very
encouraging as it indicates that the cloning process is a sufficiently
robust method of reprogramming cells back to an early embryonic state, at
least when the early embryos are used to derive embryonic stem cell lines.

"Ideally one of the next steps will be to repeat the whole procedure with a
monkey model. This will allow much better tests of functional recovery and
safety."

*Life with the disease*

"I wish one of these pontificators could get inside my body and see what it
feels like. Parkinson's is like being locked in your own body when your mind
is still there. I can become as rigid as a plank and my legs won't bend.
It's as though there is a ton of cement on my chest and an army of ants
crawling up and down my body with spears. It's like being buried alive.

"By the age of 70, three-quarters of those in this country will have
Parkinson's disease to some degree as it is a degenerative illness. Once you
have it, it never goes into remission. But no one tells you how difficult it
is to live with.

"It makes me so angry when I hear academics, theologians or medics arguing
about cloning. For me, it is like hearing any hopes we may have of returning
to normality being taken away. By mixing ethics with religion and politics,
which is a lethal concoction, they are not thinking about the people who
have the disease. I feel like saying, 'Get off your high horse.'

"I would not want to stop any process unless it I knew it was categorically
not going to work for those who are suffering. I don't believe cloning
embryos is like taking life. Parkinson's is such a desperately painful
disease. You would have thought that everyone would support anything
reasonable to find a cure, and I believe what is being suggested is
reasonable."

*Geraldine Peacock CBE is a former chair of the Charity Commission. She has
had Parkinson's for 18 years.*

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