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See folks this new from NY Times :


          By NICHOLAS WADE

             n a possible glimpse at the brain surgery of the
future, biologists have
             partly cured mice of a disease resembling multiple
sclerosis by
          injecting restorative cells into their brains.

          The cells migrated all over the brain and took the
correct action to repair
          the neural disease, in this case a lack of the sheath
that covers certain
          nerve cells and helps speed their conduction of
electrical signals.

                                The approach is founded on the
use of stem
                                cells, the special regenerative
cells with
                                which organs renew and repair
themselves.
                                Dr. Evan Y. Snyder and his
colleagues at
                                Harvard Medical School worked
with
                                neural stem cells, the progenitor
cells that
                                develop into all of the other
specialized cells
                                of the brain.

          Dr. Snyder said that his experiment showed, in
principle, that neural stem
          cells can migrate all over the brain and develop into
the right kinds of
          specialized cells. Hence human neural stem cells could
serve to treat
          diseases that affect the whole brain, like Alzheimer's
and multiple
          sclerosis.

          The subjects of Dr. Snyder's study, which was reported
in today's issue
          of the Proceedings of the National Academy of Science,
were "shiverer"
          mice, so called because they shiver uncontrollably
throughout their
          generally short adult life.

          The mice's problem is a mutation in the gene that makes
myelin, the
          material that sheathes the long extensions of certain
nerve cells. Because
          the gene is disrupted, the oligodendrocytes, the
special cells that do the
          cladding, are ineffective.

          In his experiment, Dr. Snyder injected neural stem
cells from a normal
          mouse into newborn shiverer mice, into the brain region
from which the
          stem cells originate. The new stem cells spread all
over the brain,
          transformed themselves into oligodendrocytes and
churned out myelin to
          wrap around the cells.

          The shivering abated in more than half the treated
mice, and some
          seemed fully normal.

          It was long thought that people die with the same set
of brain cells that
          they are born with. But recent findings have shown that
new brain cells
          are continually created from neural stem cells, at
least in certain regions of
          the brain. Dr. Snyder believes that neural stem cell
activity may be quite
          high in normal adult brains and even higher in diseased
brains.

          Even if neural stem cells do not migrate much in the
adult brain, it may be
          possible to equip them with genes that reawaken the
migratory instincts
          of their youth, Dr. Snyder believes. Stem cells are
particularly amenable
          to genetic manipulation.

          For a next step, he plans to repeat his experiment in
adult mice, then
          perhaps with monkeys, and then in an appropriate
clinical setting. Dr.
          Snyder envisions a new approach to many brain diseases,
based on the
          use of neural stem cells. "It's very conceivable that
within this decade we
          will have a genuine contribution to make to brain
repair," he said.

          Dr. Snyder's optimism is shared by other biologists who
work on stem
          cells, both in the brain and other organs, and who see
themselves as
          opening up a new field of medicine based on the body's
own repair
          system.

          The use of stem cells, together with the signals that
control the cells'
          behavior, is sometimes known as regenerative medicine.

          "We do believe this represents a paradigm shift, that
it's a whole new
          way of repairing the brain by trying to invoke
fundamental principles of
          brain development," Dr. Snyder said.

          Dr. Ron McKay, a neural stem cell expert at the
National Institutes of
          Health, said Dr. Snyder's experiment was "pretty
impressive" in showing
          how much of the shiverer mouse brains could be
re-sheathed in myelin.

          It proved the concept, he said, that if neural stem
cells are injected at the
          right stage in the brain's development, they will
develop into the
          appropriate kind of specialized cell. "I am utterly
confident in the
          correctness of the conclusion," he said.
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