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Wednesday January 21 2:07 PM EST
Pig Cell Implant Used To Treat Epilepsy

NEW YORK (Reuters) -- In an experimental first, physicians have implanted
fetal pig cells into the brain of an epilepsy patient in an effort to
control intractable seizures, announced officials at Boston,
Massachusetts-based Beth Israel Deaconess Medical Center this week.

The fetal pig brain cells produce gamma-aminobutyric acid (GABA), an amino
acid that acts as a neurotransmitter. The researchers believe that higher
levels of GABA in the brain will inhibit the firing of nerve cells that can
trigger seizures. The clinical trial of the experimental treatment is
approved by the Food and Drug Administration (FDA), and the patient will be
closely monitored for possible pig-derived infections or immune reactions to
the foreign tissue.

"This is a very closely watched study by the FDA and we have approval to do
between four and eight (patients) and we anticipate probably six (will
undergo the procedure)," said Dr. Donald Schomer, director of the
Comprehensive Epilepsy
Program at Beth Israel. The main concern is that the pig cells may possibly
carry a retrovirus, Schomer said. However, the same type of cells have been
transplanted into more than 20 patients with neurodegenerative diseases,
such as Parkinson's disease or Huntington's chorea without evidence of
infection.

In the treatment of epilepsy, Schomer and colleagues are using implanted
electrodes, known as depth-electrode investigation, to find the area of the
brain in which seizures originate. Once the area is located, fetal pig cells
are injected through the electrode. The trial is a collaborative effort with
Diacrin, Inc., of Charlestown, Massachusetts.

The new technique will only be used on patients who do not respond to
conventional epilepsy medication, and who are candidates for surgical
removal of a portion of the brain to control seizures. Several months after
the transplant procedure, that area of the brain will be removed surgically,
and studied to
determine if the pig cells have survived and if they have caused inflammation.

"We are going to look at cell survival, host reaction, clinical side
effects, as well as identifiable reactions in the pathological specimen, and
also a little bit on the efficacy to see if this is working as we
anticipated," Schomer said.

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