It would help our cause if we could obtain more like this May 4, 1996 Dear Jim, You have asked me to comment on whether I feel that targeting or "ear marking" additional money for research in Parkinson's disease is appropriate. I am not an objective bystander to this issue since a large portion of my research has focused on Parkinson's for the past 25 years. However, let me share my thoughts with you. In general, I think it is best not to target federal research support, and I support the great bulk of federal dollars going for research projects initiated by individual scientists or groups of scientists. However, I also believe that when the threshold to success is achieved, a judicious amount additional funding should be allocated to achieve the goal. This is the case with Parkinson's disease. There is no other neurological disease about which we have so much information. We know the location of the lesion and the neurochemistry, electrophysiology, and anatomy of the vulnerable neurons; we know about molecules that can cause these neurons to die and others that will cause them to grow; we have an enormous set of pharmacological tools with which we can manipulate the neurons; and we can measure almost anything one would want to measure about them. We operate from great strength. There have been many breakthroughs in Parkinson's disease in the past decade -- real advances in areas such as growth factors, pharmacotherapy, surgical interventions, transplantations, and gene therapy. There is no other area in neuroscience that is as fertile as this one. Significant improvements in treatment may already be available among procedures now in trials. And surely a cure is on the horizon -- it is just a matter of pressing forward. In determining how much to invest in Parkinson's disease it also is important to remember that research in this area has traditionally had a major impact on many other areas of clinical research. For example, it transformed research on schizophrenia and also introduced postmortem neurochemistry into clinical research. And the impact extends into basic science as well. For example, research on Parkinson's disease has served to focus the attention on dopamine and on the striatum. Thus, by in pressing for more funding for a diease that will affect an average of 1 out of every 100 individuals over the age of 55 (something Congress and the public should be able to relate to quite readily), one also is promoting research on a broad range of basic and clinical issues. Large numbers of people are already working in the area and others are being trained. But in a great many cases the work is being held back by an absence of dollars. I am sure I am no different from dozens of other labs, using space that has gone unrenovated, working with outmoded equipment, passing up outstanding students because there are no funds with which to support them, having fellows slow their work down to take care of minor chores because we cannot afford to hire aides, and spending more than 25% of my time raising money rather doing research. Give us more money and we can do more work. The system is very far from being saturated. In summary, I think targeting Parkinson's Disease research will significantly reduce the suffering and associated expenses of those who have the disease, and at the same time be good for a broad range of neuroscience and thus for the country. Best wishes, Michael J. Zigmond Professor of Neuroscience and Psychiatry May 4, 1996 Dear Jim, You have asked me to comment on whether I feel that targeting or "ear marking" additional money for research in Parkinson's disease is appropriate. I am not an objective bystander to this issue since a large portion of my research has focused on Parkinson's for the past 25 years. However, let me share my thoughts with you. In general, I think it is best not to target federal research support, and I support the great bulk of federal dollars going for research projects initiated by individual scientists or groups of scientists. However, I also believe that when the threshold to success is achieved, a judicious amount additional funding should be allocated to achieve the goal. This is the case with Parkinson's disease. There is no other neurological disease about which we have so much information. We know the location of the lesion and the neurochemistry, electrophysiology, and anatomy of the vulnerable neurons; we know about molecules that can cause these neurons to die and others that will cause them to grow; we have an enormous set of pharmacological tools with which we can manipulate the neurons; and we can measure almost anything one would want to measure about them. We operate from great strength. There have been many breakthroughs in Parkinson's disease in the past decade -- real advances in areas such as growth factors, pharmacotherapy, surgical interventions, transplantations, and gene therapy. There is no other area in neuroscience that is as fertile as this one. Significant improvements in treatment may already be available among procedures now in trials. And surely a cure is on the horizon -- it is just a matter of pressing forward. In determining how much to invest in Parkinson's disease it also is important to remember that research in this area has traditionally had a major impact on many other areas of clinical research. For example, it transformed research on schizophrenia and also introduced postmortem neurochemistry into clinical research. And the impact extends into basic science as well. For example, research on Parkinson's disease has served to focus the attention on dopamine and on the striatum. Thus, by in pressing for more funding for a diease that will affect an average of 1 out of every 100 individuals over the age of 55 (something Congress and the public should be able to relate to quite readily), one also is promoting research on a broad range of basic and clinical issues. Large numbers of people are already working in the area and others are being trained. But in a great many cases the work is being held back by an absence of dollars. I am sure I am no different from dozens of other labs, using space that has gone unrenovated, working with outmoded equipment, passing up outstanding students because there are no funds with which to support them, having fellows slow their work down to take care of minor chores because we cannot afford to hire aides, and spending more than 25% of my time raising money rather doing research. Give us more money and we can do more work. The system is very far from being saturated. In summary, I think targeting Parkinson's Disease research will significantly reduce the suffering and associated expenses of those who have the disease, and at the same time be good for a broad range of neuroscience and thus for the country. Best wishes, Michael J. Zigmond Professor of Neuroscience and Psychiatry University of Pittsburgh