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Thanks to Peter Jackson, for your post and the important work you and your
colleagues are doing at NIH.
 
The discovery of Sonic Hedgehog (SHH) is one more piece of evidence that
dopamine systems science is developing at a rapid pace and deserves more
funding than it currently receives.  Cultivating a source for immature
dopamine neurons is an important goal.
 
There are about 1 million dopamine cells in the substantia nigra out of the
roughly 10 billion neurons that make up the brain.  That's 1/10,000th of the
total number of neurons in the brain.  For such a tiny fraction of the brain,
dopamine cells certainly have wide-ranging effects on areas of cognitive and
motor function.  The bad news is that the loss of such a small quantity of
specific cells has dramatic consequences.   The good news: The projections of
these cells have a  localized impact;  They release dopamine tonically (they
do not have to be connected to other cells to release dopamine regularly);
  It is quite possible that these new cells can "rewire" and "relearn"
 function lost due to the death of the original dopamine cells.
 
PD symptoms do not occur until about 80% of dopamine cells have died.  With
PD as few as 100,000 or so dopamine cells are still working.  Eventually they
will all be lost.  Wouldn't it be nice to get a few hundred thousand back?
 Cells that could sprout new connections and release dopamine in a fashion
similar to those that have been lost?  Cells that might someday restore the
system to an approximation of normal function?
 
It is possible that successful implantation of about 200,000 cells, perhaps a
milliliter or two of material, could mean the difference between progressive
PD and a turnaround in deterioration along with an amelioration of symptoms.
 In a few short years from now we should have a pure supply of "ethically
neutral", undeveloped dopamine cells for implantation.
 
Unfortunately, we have been given a mandate to prove that the procedure will
work NOW using "ethically charged" methods and experimental techniques.  If
results prove encouraging funding for new dopamine cell lines will flow.  So
far dramatically positive results have been elusive.  Patients do not jump
off operating tables and run down hospital corridors after transplantation
surgery.  It takes time for these cells to mature and grow in the brain.   It
may take a long time for neuroscientists, cell biologists, neurologists and
neurosurgeons to refine the procedure(s) to the point where it makes sense
for more than a handful of severely debilitated patients.
 
We are in the pre-Model 'T' era of brain repair technology.  Hopefully, we
will have the patience, and dollars, to see this process through to its
ultimate conclusion.
 
Ken Aidekman
 
Fund the research.
Find the cure.