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Mary  Ann

Great you have  such close family!!  Medical clinic sounds interesting.

I haven't down such a good job of posting since my research buddy, Diane, 
died over two years ago.   also  my  computer does some strange things when 
I move the  mouse and "click".  Its harder to cut and paste now, but I hope 
I won't  miss real news.

-----Original Message----- 
From: Mary Ann Ryan
Sent: Friday, January 24, 2014 7:46 AM
To: [log in to unmask]
Subject: Re: ProSavin gene therapy

Ray, life is good here.  Jamie continues to be a part of our lives - my
grandkids sit in his recliner more than in any other furniture in the house
so I think they feel his sweet presence.  I volunteer once a week at a
homeless shelter  - I run a medical clinic there.  We still have the farm
and continue to plant a huge garden every year.  My daughter and her husband
plus their two kids live with me so I never feel alone.  My son and
daughter-in-law visit frequently.

It's good to see that you still are active in informing PWP about studies
and the need for advocacy.  Thanks for all that you do.
--------
Mary Ann
----- Original Message ----- 
From: "Rayilyn Brown" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, January 23, 2014 2:20 PM
Subject: Re: ProSavin gene therapy


> you're welcome, Mary Ann.   How are you doing?
>
> -----Original Message----- 
> From: Mary Ann Ryan
> Sent: Wednesday, January 22, 2014 7:31 AM
> To: [log in to unmask]
> Subject: Re: ProSavin gene therapy
>
> Thanks, Ray.  This is great information and I plan on saving it for future
> use.  It is frustrating that a miracle therapy is not on the horizon but 
> at
> least you got the attention of this doctor so that the PD community can be
> better informed.  Thank you so much for your effort.
> -------
> Mary Ann (CG Jamie 68/28 with PD, died 11/20/07)
>
>
>
>> Dear Rayilyn,
>>
>> I perfectly understand your current situation. Although I have been 
>> trained as MD, I have never treated patients since I am engaged 100% in 
>> PD research. I am in close contact with the Spanish association of 
>> Parkinson's disease, and I strongly feel that one of my obligations is to 
>> explain the patients what's going on in PD research. I know that it is 
>> fustrating to see that anything new has arrived in the past few years, 
>> besides some minor improvements in dopamine-replacement therapies (if I 
>> am right, a phase 2 trial testing an inhaled preparation of levodopa is 
>> going to start soon in US). When attending scientific meetings, the 
>> overall feeling is that everybody is always moving around the same 
>> topics, without any real new improvement or any real new ideas to follow. 
>> In this regard, gene-based therapies such as ProSavin at least represent 
>> something different. I cannot anticipate how long will it take to see 
>> these new arrivals fully available in the market as a therapeutic tool. 
>> Nevertheless, I still thinking that approaches this kind at least 
>> represent something different, and I am sure that this is a right step in 
>> the right direction. In the past two years my group has received some EU 
>> funding to start testing different approaches of gene therapy for 
>> manipulating basal ganglia circuits. We are using MPTP-treated monkeys 
>> since these represent the best animal model available so far, and working 
>> with monkeys speeds up the time required to start testing new tools in 
>> humans suffering from PD. I can give you my word that we are working very 
>> hard trying to generate the expected results asap. We have just started 
>> several experiments, all very risky approaches, and therefore I cannot 
>> anticipate any final result. Nevertheless, you can be sure that the 
>> situation of PD patients always is very well represented in my mind at 
>> all times.
>>
>> I know that it is not easy to be optimistic in the current scenario. 
>> However, my personal feeling is that testing some new research avenues 
>> has just been started. There is too much pressure to go traslational, and 
>> to start testing new approaches in patients asap. This pressure implies 
>> that some promising things enter clinical trials too early, and therefore 
>> it is fustrating to see that most of these new therapies failed in 
>> clinical trials. Just simply remember the failures of GDNF and nurturin. 
>> These are very good examples of promising things that failed because by 
>> the time these get tested in humans, we knew very little about their 
>> function. For instance, by the time in which GDNF entered phases 1-2 (the 
>> "Kentucky" and "Bristol" trials), we didn't knew too much about the 
>> neurobiology of GDNF. Researches we have to deal with this pressure, 
>> that's life. However, my feeling is that we cannot generate any solid 
>> expectances for PD patients without a clear proof-of-principle. As I have 
>> mentioned before, some failures we have seen in the past easily rank 
>> within this category of things being tested too early.
>>
>> According to the published results from ProSavin, this might not be seen 
>> as the way to go. My opinion is just the opposite. Although I will have 
>> been delighted to see a better clinical outcome, the important argument 
>> of ProSavin is that approaches this kind at least opens new vistas in PD 
>> research. I can perfectly understand that you are tired of getting worse 
>> and waiting. I just can tell you that everything that me -and many 
>> others- we are currently doing is done bearing in mind at all times the 
>> clinical situation of thousands of PD patients. You are our main 
>> motivation, and this is how things should be. Of course I cannot promise 
>> any miracle, just a tireless effort in PD research, every day.
>>
>> All the best and have a nice day, Jose L. Lanciego
>>
>> Rayilyn Brown escribió:
>>> Jose
>>>
>>> I've had PD 18 years, have gotten worse, am 78 years old and fear at the 
>>> present pace of research will not live long enough to benefit from any 
>>> of the 'promising" treatments on the horizon.  I'm tired of getting 
>>> worse and waiting.  But then I'm anemic, maybe that’s it.
>>>
>>> -----Original Message----- From: José Luis Lanciego
>>> Sent: Tuesday, January 21, 2014 3:06 AM
>>> To: [log in to unmask]
>>> Subject: Re: ProSavin gene therapy
>>>
>>> Dear Rayilyn,
>>>
>>> I guess this is not discouraging at all. Although this is a preliminary
>>> study, my feeling is that ProSavin represents a right step in the right
>>> direction. A number of gene therapy experiments are currently undergoing
>>> and we will see what's coming out in the next few years. Indeed, this
>>> approach -and few more under experimental implementation- is something
>>> different, e.g., it is not based on dopamine-replacement strategies. My
>>> laboratory -as many others- strongly feels that many new arrivals can be
>>> expected from gene therapy experiments, with the ultimate goal of using
>>> gene therapy tools to manipulate basal ganglia circuits. Compared to
>>> cell therapies, gene therapy seems to be a much more feasible and
>>> realistic strategy.
>>>
>>> All the best and have a nice day, Jose L. Lanciego
>>>
>>> Rayilyn Brown escribió:
>>>> discouraging isn't it?
>>>>
>>>> -----Original Message----- From: Nic Marais
>>>> Sent: Saturday, January 18, 2014 12:29 AM
>>>> To: [log in to unmask]
>>>> Subject: Re: ProSavin gene therapy
>>>>
>>>> When you read the Viartis notification, it does not look as positive as
>>>> this article...
>>>>
>>>> http://www.viartis.net/parkinsons.disease/news/140113.htm
>>>>
>>>> Nic 61/19
>>>>
>>>>
>>>> On 17 January 2014 21:18, Rayilyn Brown <[log in to unmask]> wrote:
>>>>
>>>>> http://www.domain-b.com/technology/Health_Medicine/20140115_patients.html
>>>>>
>>>>> Ray
>>>>> Rayilyn
>>>>> Past Director AZNPF
>>>>> Arizona Chapter National Parkinson Foundation
>>>>>
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