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 PARKINSON'S DISEASE NEWS

26th November 2009 - New research
DOPAMINERGIC TRANSPLANTS FAIL IN PARKINSON'S DISEASE
Annals of Neurology [2009] 66 (5) : 591-596 (Olanow CW, Kordower JH, Lang 
AE, Obeso JA.) Complete abstract

For years, cell-based therapies that involve the transplantation of 
dopaminergic cells in to the brain have attracted considerable interest as 
possible treatments for Parkinson's Disease. However, all of the 
double-blind, sham-controlled, studies have failed to meet their hoped for 
efficacy. Transplantation of dopamine cells derived from the fetal 
mesencephalon is also associated with a potentially disabling form of 
dyskinesia that persists even after withdrawal of L-dopa. In addition, 
disability in advanced patients primarily results from features that are not 
primarily due to insufficient dopamine. These features are not adequately 
controlled with dopaminergic therapies and are thus unable to respond to 
dopaminergic transplants. Implanted dopaminergic neurons have also recently 
been found to contain Lewy bodies, which are signs of cell damage, 
suggesting that even after transplantation they are dysfunctional and may 
have been affected by the Parkinson's Disease process. Although stem cell 
therapies have been tried in Parkinson's Disease based on the claim that 
there is a massive loss of dopamine producing cells in Parkinson's Disease, 
not a single study has ever shown this to be true. For more current news go 
to Parkinson's Disease News.

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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