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Cedillo autism case has up hill battle as simple truths are forgotten
Trophos Publishes ALS Article in Journal of Pharmacology and Experimental Therapeutics
Silicon Valley’s Mike Homer Teams up with UCSF Scientists for Fight of His Life
UCLA, Italian chemists move closer to solving Lou Gehrig's disease mystery
Salk Institute receives a $2.3 million stem cell research facility grant
Israeli-developed drug could minimize brain damage after head trauma
Super-buff cattle may hold key to treating muscular diseases
Researchers create embryonic stems cells from unfertilized eggs
Irish Researcher Funded to Follow Link to Cognitive Change in ALS
Team reports genetic link between aging, neurodegenerative disorders
Successful Completion of Phase Ib Clinical Study for Myogane
Geisinger scientist seeks cure for Lou Gehrig's disease, creating device to find treatment
Stem cell fraudster accidentally created first 'virgin conception'
SYGNIS Successfully Completes Clinical Study IIa for AX200 in Stroke (AXIS)
StemCellPatents.com Applauds Stem Cell Clinic for Autism Publication
Sensor-Based System Could Help Sufferers of ALS, Cerebral Palsy
Canadian researchers identify new prion protein, adding pieces to CJD puzzle
Emory scientists use NIH grant to develop biomarkers for ALS tracking and prevention
Researcher Goes 'Through The Nose' To Delay Onset Of Alzheimer's Disease
Mutation May Make Amyotrophic Lateral Sclerosis (ALS), or Lou Gehrig's Disease, More Likely
Nanotechnology Identifies Peptide "Fingerprint" in Both Forms of ALS
A US team aims to capture motor neuron sufferers' vocal brain signals to restore speech and movement
Toronto researchers' antibody marks an important breakthrough in battle against Lou Gehrig's disease
New Study Brings What Goes Wrong in Inherited ALS into Focus
By Bill Scanlon, Rocky Mountain News
June 7, 2007
Scientists hailed a breakthrough in stem cell research that
they said Wednesday could end the ethical debate over research involving embryos
while saving thousands of lives.
The new technique turns mature cells into primitive cells, the type that are
able to be coaxed -into any kind of specialized cell to fight maladies such as
Alzheimer's and Parkinson's disease. And the technique does so without involving
the embryo, so it has a better chance of withstanding criticism from groups who
equate embryonic stem cell research to abortion.
"This is fantastic," University of Colorado researcher Chris Hogan said about
techniques that reversed development in adult mice cells, bringing them back to
the stem cell state, where they could be coaxed into being any kind of cell.
The research is reported in today's issue of the British science journal Nature.
"I would be quite surprised if this didn't work as well in human cells, because
it is really quite simple," Hogan said.
And that would be the golden apple researchers have been looking for.
It would mean that a person with a brain disease could donate some of his own
skin cells, which then would be coaxed into any type of cell to treat the
illness, Hogan said.
"Now we can pick out cells that have really been reprogrammed to be embryonic
stem cells. This has huge implications if we can get it to work in the human
system," said one the co-authors of the new study, Kathrin Plath, a biological
chemist at the University of California, Los Angeles School of Medicine.
The Bush administration has made it difficult for scientists who work with
embryonic cells to get federal funding, or to even work at centers that get
federal funds.
The prevailing position among the world's scientists is that stem cells from
embryos are more useful for fighting disease than are adult stem cells.
But those views could change, now that three different research groups have
dosed mature stem cells with four "time-machine" genes, converting them to the
embryonic state in which they could become any cell in the body.
The three teams built on work by Japanese researcher Shinya Yamanaka, who
developed a way to dose millions of cells with the four genes, and to sift
through them to find the few that had reverted to a primitive state.
When enough of the stem cells are produced, they can be put back into the
person's body to help heal a wound or restore cells that can slow diseases.
The beauty of it is that the person's body wouldn't reject the injected cells,
because they have the same DNA markers as the rest of the person's body, Hogan
said. No need for anti-rejection medicines.
"Three independent groups have done the same thing," said Hogan, who is
confident that the easy duplication of the principle means there won't be a
repeat of 2005's South Korea stem cell breakthrough that turned out to be
fraudulent.
It's not time, yet, for a standing ovation, scientists say.
For example, will the process work as well in humans as it seems to in mice? But
the overwhelming reaction was enthusiastic.
"This may replace Dolly," Jeanne Loring, a researcher at the Burnham Institute
in La Jolla, Calif., who wasn't involved in the studies, said, referring to the
famous cloned Scottish sheep. "I'm very impressed and I don't impress easily."
By Tom Avril
INQUIRER STAFF WRITER
Posted on Wed, Jun. 13, 2007
Diseases that ravage the nervous system - Alzheimer's,
Huntington's, Lou Gehrig's and so on - are marked by a toxic buildup of faulty
proteins, overwhelming our cells' natural ability to take out the trash.
Today, University of Pennsylvania researchers said they had made headway with
what might seem like an obvious idea: sending more cellular trash trucks to the
rescue.
Through sophisticated genetic manipulation, the scientists got this trick to
work for five such diseases in fruit flies, and have begun experimenting on
mice. The results are reported in tomorrow's issue of the British journal
Nature.
Medical research is littered with examples of potential treatment pathways that
looked promising in lab animals but hit a dead end when tried in more complex
human patients. Yet the new approach takes advantage of cellular machinery that
is already known to exist in people, offering hope that these killer diseases
might someday be attacked with a universal weapon.
At the very least, the paper's authors are helping to solve a longstanding
mystery about the workings of the cell.
The machinery they exploited is called autophagy, from Greek roots that mean
"self-eating." It is a process in which the cell forms bubble-like vacuoles
around some of its worn-out parts. The bubbles then fuse with a cellular
apparatus called the lysosome, which chops up the trash and spits it out for
recycling.
Scientists have known about these vacuoles since at least the 1950s, when they
were found in mice kidneys. But the process remains poorly understood. Until
recently, it had received so little study that there's still no consensus on how
to pronounce it.
The new paper's senior author, Penn neurogeneticist J. Paul Taylor, favors
"AUTO-fay-gee." Some scientists say "aw-TOFF-uh-gee."
However you say it, the word is now the title of a new academic journal, founded
in 2005 in response to a flurry of research. The discovery that autophagy might
be harnessed to fight brain diseases, for example, has emerged only in the past
few years, said journal editor Daniel J. Klionsky, a University of Michigan life
sciences professor.
"The results are just so tantalizing," Klionsky said of ongoing research by
Taylor's lab and others. "We have to continue working in this area."
In tomorrow's Nature paper, the Penn team said it had used autophagy to "rescue"
fruit flies after engineering them to develop versions of these human
neurodegenerative diseases.
One is a rare ailment called Kennedy's disease, which attacks neuron cells and
causes muscle deterioration. Like humans with the disease, the mutant insects
had difficulty getting around, said Udai Bhan Pandey, Taylor's post-doctoral
fellow and the paper's lead author. The impaired behavior is evident in a lab
video of flies trying to climb up a wall.
Using a subtle genetic trick, Pandey also created flies that expressed the
disease only in their eyes. That way, he could tell at a glance whether they
were healthy or not.
After months of carefully breeding engineered flies, the scientists identified a
key gene that seems to communicate between the cell's two systems of trash
disposal: autophagy and another called the proteasome.
The proteasome - a cylindrical trash compactor in the cell - is unable to digest
large clumps of "misfolded" and worn-out proteins that are common in
neurodegenerative disease. So the scientists boosted levels of autophagy
instead, adding extra copies of the key gene to compensate.
This strategy worked in flies with the mutation for Kennedy's, Alzheimer's and
three other diseases, Taylor said. It also worked for several more disorders
when they applied it to individual cells in a lab dish.
"We can just shovel just about anything over to the autophagy," said Taylor, who
collaborated with scientists at Duke, Stanford, the University of Maryland, the
National Institutes of Health, and Novartis Institutes for Biomedical Research.
Alan E. Moses
June 14, 2007
The one major point that is always forgotten is that
medical science is not an exact science. This is and will always be an ever
changing science. Something new is on the horizon and as of yet unforeseen. New
discoveries, ideas and thoughts are revealed on a daily basis.
The Institute of Medicine (IOM) is currently conducting a 32 million dollar
study to determine the effectiveness of chealation therapy. The question is just
how does this help past heart attack sufferers to avoid a relapse? How does
heavy metal removal avoid future attacks or damage? Some scientist and doctors
have achieved this goal and so the IOM wants to replicate the results.
Chealation therapy is the removal of heavy metals and toxins from the patient’s
body. These include mercury, lead and aluminum as well as others. This will
study the plausibility of the intravenous (IV) chealation method. Some doctors
and scientist have found that the less intrusive footpads using natural
additives may be more beneficial. This lowers stress and slows stirring of these
toxins and therefore reaction. Dr. Michael Sichel of Australia may have the
answer. He admits that this method may take longer but without as many adverse
reactions involved.
Many of those that suffer from Lou Gehrig's Disease (ALS) have been advised to
remove any dental amalgams that contain mercury. They are also instructed how to
identify and avoid other toxins. Eliminating heavy metals and toxins has proven
to be beneficial and achieved positive results.
Cancer patients that await chemotherapy or radiation treatments are advised to
build up their immune systems before hand. This is to ensure that their system
or body can handle the onslaught of these toxic substances. Vitamins, change of
eating habits and lifestyle are the most common ways to achieve this. Also
proves that our immune system when healthy is able to deny toxic adversity.
Leaded gasoline, paints and plumbing have all been banned. The government has
recognized that lead can and will cause neurological problems. Lead, mercury,
aluminum, cooper and cadmium as well as others all have similar effects upon the
human system. These are mostly neurological and central nervous system
disruptions. Verbal, social and motor skill failures are noted. However some
immunity issues are also involved.
The honeybees that are required to pollinate many of the crops we need have
begun to disappear. The question remains that it may be a mite or the fact that
our crops are so heavily juiced or modified with pesticide resistance that we in
fact are killing this natural ally. The estimate is that 1/3 of all honeybees
have been eliminated within the past five years.
Atrazine is/was the most widely used corn insecticide in the United States. Many
European countries had banned its use well before now. The U.S. response has
been to put stricter regulation upon this proven neurodevelopment causing toxin.
This chemical has proven to find its way into land water and surface water
sources. Atrazine also has the ability to travel up to 600 miles by air. This
has been a truly concerning toxin.
The specially treated wood products that are designed to resist fungus and
insect damage also have been found to be toxic to humans. Those beautiful decks
and the fashionable log homes are of major concern. Unfortunately the park
related swings and obstacles that our children enjoy also are on this list.
This list can go on and on as the amount of neurological, immune and central
nervous system toxins are growing by the hour. How can we wonder why we are
seeing so many chronic illnesses? I really must ask, what is it that you don’t
understand?
DDT, asbestos, Agent Orange, phosphates etc. were all once considered safe. It
took time to realize the effects. It took more time for these effects to be
admitted. The ever changing science that we create has to be acknowledged. There
is no junk science and no perfect science.
Exclude the financial losses or gains and just may be you can find science and
all of its mysteries again. We have an obligation to provide our children with
the hope of a good future. At the rate we are going we are offering no hope and
therefore no future. Honesty, fairness and acceptance are the only answers.
Medical science must move on despite our self imposed restrictions. As human
nature is bound to do we must explore all possibilities not by numbers but by
facts.
Thu, June 14, 2007
By GLYNNIS MAPP, SUN MEDIA
Scientists believe a breakthrough discovery could help them
better understand and eventually treat "one of the worst aging diseases."
Dr. Michael Strong, a clinical neurology professor at the University of Western
Ontario, unveiled a new protein at an annual conference.
He said yesterday the discovery will help clarify the symptoms of
nerve-destroying amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's
disease.
The protein, TDP-43, is a key player in the facilitation of riboneuclaic acid,
which carries genetic instructions to the body's motor neurons.
Lou Gehrig's disease affects the nerves in the brain, affecting the cells
controlling voluntary muscle activities such as speaking, walking and breathing.
It often causes paralysis.
Strong said the disease's progression is much like a neurological game of broken
telephone.
"Think of your cells like building a house," he said. "It's as if the suppliers
gave you 2x4 planks to build the outer walls when you asked for 2x6. They don't
fit. "
Strong said these "suppliers," or riboneuclaic acid, give instructions like
blueprints to motor neurons to build protein in the body.
"Your genes send the wrong messages and the random dysregulation of this
information to produce the wrong proteins," he said. "We've now found the
protein that may contribute to this blockage."
His new findings appear in the June issue of the scientific journal Molecular
and Cellular Neuroscience.
Of the three main age-related diseases affecting Canadians -- Parkinson's,
Alzheimer's and Lou Gehrig's disease -- Strong said the latter is the most
aggressive.
The ALS Society of Canada says about 3,000 Canadians live with the illness.
In discovering the TDP-43 protein, researchers also believe they may have found
a key to unlocking why some people experience dementia
Strong hopes a $250,000 research project will lead to gene therapy treatment.
"This means a lot to the people who are suffering with the disease and their
families," he said. "Now, we're just one step closer to understanding the
connection between ALS symptoms and and other diseases."
By Toni Clarke
June 22, 2007
BOSTON - Genzyme Corp. is expanding its research into gene
therapy, a controversial and cutting-edge approach to treating disease which
most companies avoid.
The company, which built itself into one of the world's biggest biotechnology
companies by developing drugs for rare genetic disorders, said on Thursday it
has entered a partnership with Ceregene Inc. to develop a treatment for
Parkinson's disease.
Gene therapy is a controversial method of injecting genes into cells to make
proteins that can fight disease, typically using a genetically engineered virus
to carry the gene to the cell.
So far, no gene therapy product has been approved, and research has shriveled
following the death in 1999 of Jesse Gelsinger, an 18-year-old participant in a
gene therapy clinical trial.
"Gene therapy makes everyone nervous and there are only a limited number of
players," said Dr. Harry Tracy, publisher of the monthly journal NeuroInvestment.
"This is a daring area of research, and Ceregene's program is one of the most
sophisticated out there."
Genzyme began work on gene therapy in the early 1990s as a potential treatment
for cystic fibrosis. That program didn't work, but the company continued its
research and is now in mid-stage clinical trials with a treatment which
stimulates blood vessel growth and could be valuable for patients with
conditions characterized by poor circulation, such as peripheral artery disease.
Ceregene's program, CERE-120, is composed of an adeno-associated virus vector
carrying the gene for neurturin, a protein known to protect or repair nerve
cells which secrete a brain chemical known as dopamine that is involved in
movement. Parkinson's disease is caused by a reduction in dopamine-containing
nerve cells.
Gene therapy, in theory, represents an attractive technology for treating
neurological disorders because the treatment circumvents the blood-brain
barrier, a cell structure that protects the brain from foreign substances in the
blood - including large molecules such as therapeutic proteins.
"Parkinson's is very attractive because you can deliver the gene to a localized
area, the cells will make the protein and hopefully do the job," said David
Meeker, head of Genzyme's rare genetic diseases unit.
Meeker said its Parkinson's research is the cornerstone for what the company
expects will be a growing central nervous system disorders program, including
work on treatments for ALS, also known as Lou Gehrig's disease, and Huntington's
disease, a condition in which the degeneration of brain cells causes
uncontrolled movement and loss of intellectual function.
"This is an area of high interest for us," Meeker said.
Cambridge, Massachusetts-based Genzyme said it will pay Ceregene $25 million up
front, make as much as $125 million in payments as the companies reach
development milestones, and provide 50 percent reimbursement for late-stage
development costs.
Genzyme will gain marketing rights in all markets outside the United States and
Canada.
Ceregene, which was launched in January 2001 and is a former subsidiary of Cell
Genesys Inc., is currently conducting a Phase II, or mid-stage, clinical trial
which is enrolling 51 patients.
In an early-stage trial, CERE-120 showed a 36 percent reduction in Parkinson's
symptoms at 12 months following administration.
"This is early data which is very encouraging," Meeker said, "but it is too
early to draw meaningful conclusions about the relative efficacy to other
treatments."
Trophos Describes Identification, Characterization and Broad Neuroprotective
Properties of TRO19622 in Journal of Pharmacology and Experimental Therapeutics
Neurodegenerative Disease Specialists Publish Details of a Novel Drug Candidate
for ALS That Targets Mitochondrial Proteins
MARSEILLE, June 19th, 2007 - Trophos SA, a biopharmaceutical company
specializing in the discovery and development of drugs for neurological
disorders, announced today that a publication entitled "Identification and
characterization of TRO19622 (cholest-4-en-3-one, oxime), a novel drug candidate
for amyotrophic lateral sclerosis" has been accepted and published online May
11, 2007 in the Journal of Pharmacology And Experimental Therapeutics (J
Pharmacol. Exp. Ther. 2007 May 11; [Epub ahead of print]).
Amylotrophic lateral sclerosis (ALS), more commonly known as Lou Gehrig's
disease in the USA, is a progressive and fatal neurological disease that is
estimated to affect about 100,000 people worldwide. There is no cure for ALS.
The only drug approved for ALS is riluzole (Rilutek(R), Sanofi-Aventis), which
has been demonstrated to confer some survival benefit to ALS patients.
The studies reported in the paper by Bordet et al., (see below) identify two
protein targets of TRO19622 present in the outer mitochondrial membrane
suggesting that the compound has potential in a range of additional commercially
attractive therapeutic indications involving mitochondrial dysfunction,
including painful neuropathies. The publication describes the models of motor
neuron disease employed to support the use of this compound to treat ALS, as
well as spinal muscular atrophy. TRO19622 is currently in a Phase IIa clinical
trial to establish its efficacy as a treatment for painful diabetic neuropathy.
TRO19622 is representative of novel compounds identified using the proprietary
neuronal cell screening platform developed at Trophos. In vitro, TRO19622
promotes motor neuron survival in the absence of trophic support in a
dose-dependent manner. In preclinical models in vivo, TRO19622 rescues motor
neurons from axotomy-induced cell death in neonates and promotes nerve
regeneration following sciatic nerve crush. Furthermore, in the SOD1G93A model
of familial ALS, TRO19622 treatment improves motor performance, delays the onset
of the clinical disease, and extends survival.
TRO19622 binds directly to two components of the mitochondrial permeability
transition pore: the voltage-dependent anion channel (VDAC) and the translocator
protein (or peripheral benzodiazepine receptor), suggesting a potential
mechanism for its neuroprotective activity.
TRO19622 has successfully completed Phase I/Ib studies in both healthy
volunteers and ALS patients demonstrating the product is well tolerated, has an
excellent safety profile and that once-a-day dosing achieves the predicted
exposure level required for efficacy, based on preclinical models. These data
support the further clinical evaluation of TRO19622 as a potential treatment for
ALS.
"Trophos is proud to have this body of work accepted for publication in a well
recognized journal such as JPET," said Rebecca Pruss, CSO at Trophos. "Given the
significant unmet medical need in ALS, it is tremendously encouraging that
TRO19622 promotes the survival of motor neurons in this extensive battery of
preclinical models. These studies, along with the excellent clinical safety
profile of TRO19622, provide the basis upon which Trophos plans to initiate a
pivotal Phase II/III trial to establish the clinical efficacy of TRO19622 in ALS
patients."
Pruss added: "Moreover, we are particularly excited that there is increasing
preclinical evidence that the mitochondria-mediated mechanism of action of
TRO19622, and other compounds in this class, will have huge commercial potential
in other chronic neurological disorders, such as neuropathic pain, and
non-neurological conditions, such as ischemia-reperfusion injury and hepatitis."
Author List: Thierry Bordet, Bruno Buisson, Magali Michaud, Cyrille Drouot,
Pascale Galea, Pierre Delaage, Esther-Marie Steidl, Delphine Maux, Michel
Delaage, Rebecca M. Pruss (Trophos), Natalia P. Akentieva, Alex S. Evers,
Douglas F. Covey (Washington University School of Medicine), Mariano A. Ostuni,
Jean-Jacques Lacapere (U773 Inserm), Charbel Massaad, Michael Schumacher (UMR788
Inserm), Christopher E. Henderson (Center for Motor Neuron Biology, Columbia
University)
About Trophos: <http://www.trophos.com>www.trophos.com Trophos is a
biopharmaceutical company committed to the discovery and development of novel
therapeutic compounds to treat neurological disorders and other diseases with
high unmet medical needs. Trophos has pioneered an innovative phenotypic
screening platform which has enabled it to develop a proprietary portfolio of
products, such as our lead product TRO19622, that confer a survival benefit upon
both neuronal and non-neuronal cell types (such as cardiomyocytes & hepatocytes)
through a mitochondria-based mechanism of action with a robust therapeutic
rationale, one that is predicted to exhibit a therapeutic benefit in diseases
such as neuropathic pain, ischemia-reperfusion injury and hepatotoxicity. The
company is focusing its efforts on the orphan indications, ALS, SMA &
Huntington's disease, while seeking to establish clinical proof of concept in
indications such as neuropathic pain, ischemia-reperfusion injury and
hepatotoxicity.
Trophos was founded in 1999, is based in Marseille, France and currently has 32
employees. -- -- Best regards,
Katie Ollerenshaw ANDREW LLOYD & ASSOCIATES http://www.ala.com katie@ala.com
Brighton Business Centre 95 Ditchling Road Brighton BN1 4ST ENGLAND Tel: +44
1273 675100 Fax: +44 1273 675400
55 rue Boissonade 75014 Paris FRANCE Tel: +33 1 56 54 07 00 Fax: +33 1 56 54 07
01
INTERNATIONAL TECHNOLOGY MARKETS, STRATEGY & COMMUNICATION
Thursday, 28 June '07
By Jennifer O'Brien
Mike Homer has been one of the leading forces in Silicon
Valley for more than two decades. In May, he was diagnosed with the rare
neurodegenerative disease Creutzfeldt-Jakob disease, known as CJD. Now, the
49-year-old husband and father of three young children is fighting for his life,
with the assistance of physicians at UCSF Medical Center. And he's taken the
fight beyond his own predicament.
Homer, his wife Kristina and two of his closest friends in Silicon Valley are
spearheading a fundraising campaign, "Fight for Mike," that aims to provide the
UCSF team — the world's leading cadre of scientists and physicians researching
and exploring treatments for the brain-wasting disease — with the funding they
need to expand and accelerate clinical trials for a drug strategy they are
investigating.
The UCSF team includes Stanley Prusiner, MD, who won the Nobel
Prize in Physiology or Medicine in 1997 for discovering the abnormally shaped
protein, known as a prion (PREE-on), that causes CJD and related diseases in
humans and animals, including "mad cow" disease in cattle.
In 2001, Prusiner's lab discovered that quinacrine, once used to treat malaria,
kills prions in mouse cells in the culture dish. Then the team found interesting
results in mice. In 2005, UCSF began testing the drug in a human clinical trial.
Today, the team is working to improve quinacrine's effectiveness, expand the
current clinical trial and discover and validate new treatments.
Homer and his wife have learned that what the team needs to accelerate their
progress is financial support. He is working with his friends in Silicon Valley
to raise money to fight the disease. The goal, says the former marketing
executive at Apple Computer and Netscape, is "to be around for my kids," and to
help "a whole lot of other people who come after me."
On June 14, 2007, 300 of Silicon Valley's top leaders gathered at the invitation of the Homers and their friends to hear the UCSF team discuss the disease and what needs to be done to accelerate progress in treating it. The event was hosted by Bill Campbell, chair of the board and former CEO of Intuit Inc. and a leading advisor to technology companies, and Ron Conway, founder and general partner of Angel Investors, a major investor in technology companies and vice chair of the board of the UCSF Foundation. The goal – turn out for Mike, in a fight for one of their own.
What they learned: Most cases of CJD develop sporadically,
for no apparent reason. A minority of cases are inherited. One percent of cases
develop as a result of infection, such as from eating the prion-tainted beef
diagnosed in cattle beginning in the mid 1980s in Great Britain. Homer, who most
likely has the sporadic form of the disease, definitely does not have the
infectious form.
They also learned that Prusiner's discovery that an abnormally shaped protein
can cause disease has galvanized scientists' understanding of more common
neurodegenerative diseases, such as Alzheimer’s disease and amyotrophic lateral
sclerosis, known as ALS, which are now known to be diseases of misshapen or
misprocessed proteins.
It is possible that CJD will be the first neurodegenerative disease to be
conquered, says one of Homer's physicians, Bruce Miller, MD, director of the
UCSF Memory and Aging Center, and that the cure will catalyze drug strategies
against these other diseases.
It is a fight that will require the ongoing rapid translation of discoveries
made in the lab to the patient bedside, says Homer's primary physician, Michael
Geschwind, MD, PhD, recruited from Johns Hopkins University in 2000.
It is a fight that Homer is determined to help win.
Public release date: 27-Jun-2007
Contact: Stuart Wolpert
swolpert@support.ucla.edu
310-206-0511
University of California - Los Angeles
Chemists from UCLA and the University of Florence in Italy may
have solved an important mystery about a protein that plays a key role in a
particular form of amyotrophic lateral sclerosis (ALS), also known as Lou
Gehrig’s disease, a progressive, fatal neurodegenerative disorder that strikes
without warning.
Joan Selverstone Valentine, UCLA professor of chemistry and biochemistry, has
studied the protein — copper-zinc superoxide dismutase — since the 1970s, long
before it was implicated in ALS in 1993. Since the link was discovered,
Valentine’s laboratory has made more than two dozen mutant, ALS-causing enzymes,
most of which have only one wrong amino acid out of 153, to try to understand
their properties and learn what makes them toxic.
“Some of the mutant proteins are very different from the normal protein, but
others are virtually identical to the normal protein — yet they all cause the
disease,” said Valentine, a member of UCLA’s Molecular Biology Institute. “That
was the real mystery. You wrack your brain: What is similar among all these
proteins" They seem so different. How can they all cause the same disease"”
Now Valentine and her colleagues, including Ivano Bertini, professor of
chemistry at the University of Florence and director of the European Magnetic
Resonance Center, think they know. In ALS patients, the protein’s copper and
zinc may not be there at all. They present evidence for this hypothesis in new
research published in Proceedings of the National Academy of Sciences, currently
online and available in the journal’s July 3 print edition.
“If we keep the metals entirely out of the protein, we can explain the toxicity,
since even the normal protein forms aggregate at physiological conditions when
the metals are gone,” Valentine said. “It was such a puzzle, but this hypothesis
can solve it.”
If scientists can figure out why ALS patients lack the copper and zinc, that
would be a major advance that could lead to treatment, she said.
The research team is testing the hypothesis. Valentine, who was elected to the
National Academy of Sciences in 2005 and to the American Academy of Arts and
Sciences this year, praised her colleagues. “This research is the result of a
long, successful international collaboration between UCLA and the University of
Florence,” she said. “Our colleagues in Italy are exceptional scientists.”
Co-authors on the Proceedings of the National Academy of Sciences research are
Lucia Banci, a professor of chemistry at the University of Florence who is
affiliated with the FiorGen Foundation; Armando Durazo, a UCLA graduate student
of chemistry and biochemistry; Stefania Girotto, a postdoctoral scholar at the
University of Florence; Edith Butler Gralla, a senior research chemist at UCLA;
Manuele Martinelli and Miguela Vieru, graduate students at the University of
Florence; and Julian P. Whitelegge, an adjunct professor at the Semel Institute
for Neuroscience and Human Behavior at UCLA and UCLA’s Brain Research Institute.
Copper-zinc superoxide dismutase, which was discovered in the 1960s, is an
antioxidant enzyme that protects cells from free radicals, unstable atoms or
molecules that can cause cell damage. The link with ALS came when researchers
sequenced the genes of people who have the inherited form of ALS and found that
some of them have mutations in the gene that codes for this enzyme. While the
inherited form represents only a fraction of all ALS cases, this marked the
first time there was any indication of a cause for any form of ALS, Valentine
said.
For many years, Valentine’s laboratory has studied the normal version of the
protein. While the normal protein has copper and zinc, scientists can make it
with no metals. When it is first made inside the cell, it has no metals and only
acquires them later, Valentine said.
“We studied what happens to the protein if you have the metals, if you have no
metals and if you have part of the metals,” she said.
The research of the UCLA–University of Florence team has indicated it is the
metal-free protein that is likely to be toxic. The protein misfolds when the
copper and zinc are not present, but folds properly when they are there.
“Before copper and zinc are inserted, the protein can misfold under
physiological conditions,” Valentine said.
There is evidence that ALS is associated with this misfolding of the protein,
which becomes toxic in some way that is not known and has properties similar to
misfolded proteins associated with other neurodegenerative disorders like
Alzheimer’s and Parkinson’s diseases, Valentine said.
Is there a way to slow down this process to give the cell more time to eliminate
the misfolded proteins in all of these diseases" Would a strategy to reduce or
prevent protein misfolding work against these and other diseases" These are
avenues for further investigation by researchers.
When Valentine first began working on copper-zinc superoxide dismutase, she was
not a biochemist but a biological inorganic chemist and hardly knew what ALS
was. She was interested in the enzyme, which is unique in that it has copper and
zinc so close together.
Her laboratory isolated and characterized the enzyme, but Valentine was less
interested in its biological properties than in the inorganic chemistry. She was
more interested, for example, in how the protein influenced the reactivity of
the copper or zinc, or how the copper and zinc influenced the structure of the
enzyme. She and her colleagues were among the pioneers in taking the copper and
zinc out and putting other metals in to see what would happen. Her laboratory
put more emphasis on biological factors over time.
“When I moved to UCLA in 1980, we started working on copper-zinc superoxide
dismutase in yeast, a model organism, using the then new tools of molecular
biology to redesign the protein and make new mutant forms of the protein that
would have different inorganic properties,” she said. “We were making mutant
forms of this enzyme to study, but with no connection to disease.
“I remember the day in March 1993 that the announcement came — it was on the
front page of The New York Times — that ALS has been linked to superoxide
dismutase (SOD), but the article didn’t say which superoxide dismutase; I was
hoping it was our enzyme. It took me all day to track down the scientists to
find out which SOD it actually was. It was our SOD. It was a very exciting day.”
“When we made the mutant proteins, each one seemed to be totally different,” she
said. “Some of the mutant proteins that cause the disease are identical to the
normal protein in every property we measure.”
Valentine and Bertini have known each other since she was a graduate student and
he was a research associate at Princeton University. Initially, they were both
inorganic chemists who did not intend to do biological research. They have just
published an authoritative new textbook called “Biological Inorganic Chemistry:
Structure and Reactivity,” with co-authors Harry Gray at the California
Institute of Technology and the late Edward Stiefel from Princeton University.
The textbook is designed for both undergraduate and graduate students.
“All of us who work in the field hope our research will lead to a treatment of
ALS,” Valentine said. “What we really want is to diagnose and prevent ALS before
its onset. We’re still a long way from that, but we’re making progress.”
###
Valentine’s research was federally funded by the National Institutes of Health.
UCLA is California’s largest university, with an enrollment of nearly 37,000
undergraduate and graduate students. The UCLA College of Letters and Science and
the university’s 11 professional schools feature renowned faculty and offer more
than 300 degree programs and majors. UCLA is a national and international leader
in the breadth and quality of its academic, research, health care, cultural,
continuing education and athletic programs. Four alumni and five faculty have
been awarded the Nobel Prize.
LA JOLLA, CA – Like any new kid on the block that tries to fit in, newborn brain cells need to find their place within the existing network of neurons. The newcomers jump right into the fray and preferentially reach out to mature brain cells that are already well connected within the established circuitry, report scientists at the Salk Institute for Biological Studies in the online edition of Nature Neuroscience.
Neurons make contact via specialized structures
called synapses. As a signal traveling along a
nerve branch arrives at the pre-synaptic area, it
releases a chemical signal. The signaling
molecules travel across the synapse and induce
a signal on the neighboring, receiving nerve
fiber or dendrite. A typical neuron sports about
7,000 synapses through which it stays in touch with roughly 1,000 other cells. But just how young neurons make their presence known and hook up with already well-connected elders has been unclear.
“If you have hopes that one day neuronal stem cells can replace damaged neurons in neurodegenerative diseases such as Alzheimer’s or Parkinson’s disease you have to ensure that these cells make proper connections, form functional synapses and integrate into the rest of the brain,” says postdoctoral fellow Nicolas Toni, Ph.D., who headed the current study.
To figure out how the newcomers do it, the Salk researchers injected a virus carrying the gene for green fluorescent protein into the hippocampus, a brain region harboring neural stem cells that give rise to new neurons. Newly born neurons infected with virus were marked by a fluorescent dye enabling the researchers to follow their fate over time as they tried to get accepted into the existing circuitry.
With the help of a whole arsenal of high-tech imaging technology and the electron tomography expertise of Mark. H. Ellisman, Ph.D., a professor at the National Center for Microscopy and Imaging Research at the University of California, San Diego, Toni then zoomed in at a nanometer scale and watched how the young and the old got acquainted.
He observed that between three and four weeks after injection of the virus newborn neurons sent out dendritic filopodia—tiny feelers that probe the environment. “When we analyzed them in three dimensions, the tip of the filopodia was preferentially associated with synapses already connected to other neurons,” explains Toni.
However, as the new neurons matured, the tiny tips filled out and started to monopolize the synaptic connections. “That’s what we believe is the crux of the study: the survival of new neurons may depend on the ability to compete out the older existing neurons,” says Gage. Earlier studies had shown that if young neurons fail to receive signals from other brain cells they wither and die. By connecting to functional synapses, the newborn neurons ensure that they are not reaching out to deadbeats.
The Gage lab previously identified a subunit of the NMDA receptor, a protein complex that transduces signals sent by neighboring cells, as the newborn neurons’ life-saving equipment. The NMDA receptor is activated by the neurotransmitter glutamate, a chemical released by neurons in order to transmit information to neighboring cells. Whenever the receptor picks up a glutamate signal it is stimulated and relays the signal. For young neurons that signal means survival.
As a matter of fact, only about half of all newly born neurons manage to successfully integrate into the existing network of brain cells, at least in mice living in bare standard cages. Providing the mice with a stimulating, enriched environment—large cages filled with running wheels, colored tunnels and playmates—boost the number of neurons that manage to hook up with the existing network to 80 percent, reinforcing the observation that using one’s brain cells is the best way to optimize brain function throughout one’s lifetime.
Also contributing to the study where postdoctoral researchers E. Matthew Teng, Ph.D., James B. Aimone, Ph.D., Chunmei Zhao, Ph.D., Antonella Consiglio, Ph.D., staff scientist Henriette van Praag, Ph.D., all at the Salk Institute, and postdoctoral fellows Eric A. Bushong , Maryann E. Martone, Ph.D., and Mark H. Ellisman at the National Center for Microscopy and Imaging Research at the University of California, San Diego.
The Salk Institute for Biological Studies in La Jolla, California is an independent nonprofit organization dedicated to fundamental discoveries in the life sciences, the improvement of human health, and the training of future generations of researchers. Jonas Salk, M.D., whose polio vaccine all but eradicated the crippling disease poliomyelitis in 1955, opened the Institute in 1965 with a gift of land from the City of San Diego and the financial support of the March of Dimes.
La Jolla, CA – The Salk Institute for Biological Studies was awarded a $2.3 million share of the stem cell research facilities grants approved by the governing board of the California Institute for Regenerative Medicine (CIRM) on June 5.
At the Salk, the grant will support the development of shared laboratory space to be used by multiple investigators, and provide an environment for scientific research on human embryonic stem cells (hESCs) under CIRM’s medical and ethical standards. The grant will also provide funds for equipment and operating expenses over three years.
“The availability of this shared research laboratory will allow Salk researchers to initiate research on human embryonic stem cells and to contribute to this very exciting field of biology,” says Program Project Director Inder Verma, Ph.D., a professor in the Laboratory of Genetics, who spearheads the stem cell facility project at the Salk Institute.
“The Salk faculty is also very grateful for the invaluable expertise and help during the planning stages provided by Garry Van Gerpen, senior director of Facility Services, and his staff members, who are the ones who ultimately make it happen,” Verma said.
To date, the Salk Institute has received more than $7.5 million in stem cell
research grants from CIRM. Earlier this year, Salk professor Fred H. Gage
received $2.9 million for research to develop methods of turning hESCs into
neural stem cells; and professors Senyon Choe, Beverly Emerson and Sam Pfaff
received seed funding totaling $2.28.
The latest round of CIRM grants, totaling more than $50 million, will finance construction of shared research laboratories at 17 academic and non-profit institutions for the culture of human embryonic stem cells (hESCs), particularly those that fall outside federal guidelines. (Current federal policy prohibits research involving hESCs isolated after August 2001 from being conducted in laboratories constructed with any federal funding). These facilities are scheduled to be complete and available to researchers within six months to two years of the grant awards.
The Salk Institute for Biological Studies in La Jolla, California, is an independent nonprofit organization dedicated to fundamental discoveries in the life sciences, the improvement of human health and the training of future generations of researchers. Jonas Salk, M.D., whose polio vaccine all but eradicated the crippling disease poliomyelitis in 1955, opened the Institute in 1965 with a gift of land from the City of San Diego and the financial support of the March of Dimes.
CAMBRIDGE, Mass.--(BUSINESS WIRE)--Sirtris Pharmaceuticals,
Inc. (NASDAQ: SIRT), a biopharmaceutical company focused on discovering and
developing small molecule drugs to treat diseases of aging, announced today that
activation of SIRT1, a member of the sirtuin family of enzymes, was shown to
protect against neurodegenerative diseases such as Alzheimer’s Disease and
Amyotrophic Lateral Sclerosis in animal models. These findings appear in an
article published in Volume 26, Number 13 of The European Molecular Biology
Organization Journal (EMBO), Kim et al., 2007 entitled “SIRT1 deacetylase
protects against neurodegeneration in models for Alzheimer's disease and
amyotrophic lateral sclerosis” which is also available now in the advance online
publication.
It is well established that a progressive loss of neurons with age underlies a
variety of debilitating neurological disorders including Alzheimer’s Disease and
Amyotrophic Lateral Sclerosis (ALS), neurodegenerative diseases which have been
associated with reduced mitochondrial function. Sirtuins are a recently
discovered class of enzymes that appear to affect the aging process in mammals
and increase the number and function of mitochondria.
According to the findings in this paper, resveratrol, a SIRT1 activator, reduced
the loss of neuronal function in the brain (hippocampus) and prevented learning
impairment in a well established animal model of Alzheimer’s Disease. This
response was associated with SIRT1 dependent deacetylation of PGC1a. Resveratrol
also promoted neuronal survival in cell based models of Alzheimer’s Disease and
ALS.
The three senior authors of the EMBO article include Sirtris co-founder and
co-chair of the Scientific Advisory Board (SAB), David A. Sinclair, Ph.D.,
Department of Pathology and Paul F. Glenn Laboratories for the Biological
Mechanisms of Aging, Harvard Medical School, and Sirtris SAB members Li-Huei
Tsai, Ph.D. Howard Hughes Medical Institute, Picower Institute for Learning and
Memory, Massachusetts Institute of Technology and Pere Puigserver, Ph.D., Dana
Farber Cancer Institute and Department of Cell Biology, Harvard Medical School.
“This work is significant because it shows that a SIRT1 activator can protect
against neurodegeneration, highlighting the therapeutic potential of SIRT1
activators,” said David Sinclair.
Christoph Westphal, M.D., Ph.D., Chief Executive Officer of Sirtris
Pharmaceuticals added “These new data support our belief in SIRT1 as a
therapeutic target for neurodegenerative disease, which expands the potential of
our pipeline of SIRT1 modulators designed to treat a number of diseases of aging
such as metabolic and mitochondrial disorders, and now neurological disorders.”
Online copies of the article can be obtained at: http://www.nature.com/emboj
About Sirtris Pharmaceuticals
Sirtris Pharmaceuticals is a biopharmaceutical company focused on discovering
and developing proprietary, orally available, small molecule drugs with the
potential to treat diseases associated with aging, including metabolic diseases
such as Type 2 Diabetes. Our drug candidates are designed to mimic certain
beneficial health effects of calorie restriction, without requiring a change in
eating habits, by activation of sirtuins, a recently discovered class of enzymes
that control the aging process. The company's headquarters are in Cambridge,
Massachusetts.
This press release contains forward-looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995 concerning Sirtris
Pharmaceuticals, its product candidates, and those candidates' clinical
potential. These forward-looking statements about future expectations, plans and
prospects of Sirtris Pharmaceuticals involve significant risks, uncertainties
and assumptions, including risks related to the lack of results that would
provide a basis for predicting whether any of the Company’s product candidates
will be safe or effective, or receive regulatory approval, the Company's
potential inability to initiate and complete preclinical studies and clinical
trials for its product candidates, the fact that none of the Company's product
candidates has received regulatory approvals, the potential inability of the
Company to gain market acceptance of the Company's product candidates, and those
other risks factors that can be found in the Company's filings with the
Securities and Exchange Commission. Actual results may differ materially from
those Sirtris Pharmaceuticals contemplated by these forward-looking statements.
Sirtris Pharmaceuticals does not undertake to update any of these
forward-looking statements to reflect a change in its views or events or
circumstances that occur after the date of this release.
By Tania Hershman June 24, 2007
The brain is a sensitive organ. 1.4 million people in the US
sustain a traumatic injury to the brain each year, whether in a traffic
accident, from a blow to the head or assault, and every 45 seconds, on average,
someone suffers a stroke - a blood clot in the brain. Both these conditions -
and others such as brain cancer or meningitis - can cause permanent neurological
damage.
A Weizmann Institute of Science researcher is developing a drug that, by
removing toxic amounts of a chemical produced during the trauma, could
drastically reduce damage to the brain.
"My field is neuropharmacology, the influence of drugs on the brain," explains
Professor Vivian Teichberg of the Weizmann Institute's Department of
Neurobiology, a chemist by training, who searches for drug-mediated solutions to
brain diseases. His focus is a neurotransmitter called glutamate, a chemical
that relays messages between brain cells.
Glutamate plays a vital role in the functioning of the brain, but it also has a
dark side: "When you suffer a head trauma or a stroke, the brain reacts in a
negative way," Teichberg told ISRAEL21c. "One of the consequences is the release
of glutamate: when a cell dies it releases a large amount of glutamate, which
over-excites neighboring cells and kills them."
This is a chain reaction which leads to the deaths of many more cells than just
those directly affected by the head injury or blood clot. In a stroke, for
example, the area at risk can be 10 times the size of the core area where the
blood clot originated. While the core brain cells can't be saved, those cells
that would be killed by the excess glutamate can be - if reached in time.
Many researchers world-wide have been working on this problem for several
decades, trying to develop drugs that block the glutamate from activating
receptors on the still healthy brain cells near the site of the injury which
would lead to their death. Teichberg decided to take a different approach: "We
re-thought the problem and realized that as long as one doesn't remove the
excess glutamate, we won't achieve anything," he says. "You have to remove it."
Teichberg and his team, working together with Prof. Yoram Shapira and Dr
Alexander Zlotnik of the Soroka Medical Center and Ben Gurion University of the
Negev, decided to tackle the problem much like one would water in a sinking ship
- and pump the excess glutamate out of the brain.
"Normally the brain recognizes the fact that the glutamate is extremely toxic
and has an inherent defense mechanism which pumps it back into the brain cells,"
says Teichberg. However, with trauma or disease, the brain's normal mechanisms
don't function properly. They need a helping hand. Teichberg's idea was to move
the excess glutamate from the brain into the blood, which would then carry it
safely away and prevent its destructive effects.
There is already glutamate in our blood, and so the problem was how to encourage
far greater amounts of the chemical to move from the brain into the blood
rapidly after brain injury so as to prevent as much cell death as possible.
There is an enzyme present in blood, known as GOT, which is able to break down
glutamate in the presence of a chemical called oxaloacetate (O). Teichberg
figured that by injecting large amounts of O into the bloodstream, this would
"drive" more glutamate from the brain into the bloodstream. "After a head
injury, you give one injection of O for a short, intense time of thirty minutes,
and this drains excess glutamate from the brain into the blood and protects the
brain."
The method has been very successful in rats and a start-up company, Braintact,
has been established within the Meytav life science technology incubator in
Kiryat Shmona in northern Israel in order to take the research to the next
stage: clinical trials on humans.
However, humans don't have high enough concentrations of GOT in our blood so it
is the combination of O and the enzyme GOT that will be injected into the
bloodstream in human trials to see if this drives glutamate out of the brain in
a similar way and prevents brain damage after a stroke or head injury.
Because brain injuries and conditions are so widespread and there is no current
treatment for the problem of toxic glutamate, the US Food and Drug
Administration (FDA) is allowing the trials to be "fast-tracked" through the
initial processes for the investigation of a potential new drug, says Teichberg,
who acts as a consultant to Braintact. He hopes that the first phase of clinical
trials will start in four months. If all goes well, and human trials demonstrate
the efficacy of this drug, it could be on the market within a decade.
But Professor Teichberg is not resting on his laurels: he is continuing to
investigate glutamate and what it does in the blood, which is currently a
mystery. He is turning his attention from acute situations such as head trauma
and stroke to chronic diseases such as brain cancer, meningitis and the motor
neurone disease Amyotrophic Lateral Sclerosis (ALS).
Animal experiments have shown that in rats, brain tumors release glutamate to
kill neighboring cells and help the tumor expand. And evidence has been found of
too much glutamate in the cerebral-spinal fluid of ALS sufferers, which may be
killing their motor neurones. "If we pumped out the excess glutamate this might
be able to stop further deterioration," says Teichberg.
As far as he knows, Teichberg is the only researcher investigating a method for
driving excess glutamate from the brain into the blood. But he doesn't mind
being alone in the field. "This has been met with skepticism or ignored
completely," he says. "But if I can save a life, for me that is more important
than writing 10 papers [for scientific journals]. We can work at our own pace.
That is fine with me."
Tue, 07/03/2007 - 5:03pmBy: Ben Nelms
State records indicate most people in north Fayette and
south Fulton counties who reported illnesses following last summer‘s release of
chemicals that smelled like onions were never contacted by state or federal
agencies for a follow-up health report.
A Georgia Open Records request by The Citizen to obtain the information that
formed the basis of the study’s conclusions generated more questions than
answers because the follow-up documentation directly related to residents’
ongoing concerns was missing.
Federal Agency for Toxic Substances and Disease Registry (ATSDR) in conjunction
with Georgia Division of Public Health (DPH) and other agencies recently
completed the official Health Consultation on the possible adverse effects of
emissions of the chemical odorant propyl mercaptan and the organophosphate
pesticide ethoprop, also known as MOCAP “wash water,” from the Phillips Services
Corp. waste treatment plant near Fairburn into the communities of north Fayette
and south Fulton counties last May and June.
The Health Consultation concluded that “the release of propyl mercaptan posed a
public health hazard because it likely caused temporary adverse health effects
during the time of release into some communities near PSC.”
As for short-term adverse effects of ethoprop or long-term effects of either
chemical, the Health Consultation concluded that no public health hazard exists.
Many of the issues central to residents’ concerns were not addressed in the
study, while other issues seemed to some residents to have been given less than
serious consideration.
Attempting to reconcile the disparity between the Health Consultation’s findings
and the questions from many residents over those findings, The Citizen submitted
a request to DPH Chemical Hazards Program Director Jane Perry to obtain copies
of all documentation and all data from all agencies involved in the ATSDR Health
Consultation.
Contained in the Open Records material received by The Citizen was no
documentation of communication or data, including summaries or internal memos,
from the various agencies on topics such as requests to examine or copy
residents’ medical records relating to the exposure, requests to contact
residents’ physicians or what that documentation might or might not have shown.
There was documentation on the summaries of agency(ies) follow-up with one
resident, even though the Health Consultation said seven residents were
contacted.
The Open Records material contained no documentation of contacts with
veterinarians or wildlife biologists to confirm that animals illnesses had no
link with the chemical release.
The material contained no instances of verbal/written follow-ups with pet owners
or summaries of interviews with PSC employees who claimed to have been sickened.
A number of emails that were included in the Open Records submission did address
statistically significant animal illnesses in the area of the PSC plant during
the time that residents were reporting illnesses, but were not mentioned in the
Health Consultation.
Apparently unknown by ATSDR, DPH and CDC (federal Centers for Disease Control
and Prevention) at the time, Perdue University academic veterinary
epidemiologist Dr. Larry Glickman made a presentation at a September 2006
meeting in Washington, D.C., where instances of canine illnesses in the Fairburn
area were noted.
According to a Sept. 18 email circulated to the various agencies participating
in the Health Consultation, “(Glickman) was presenting syndromic surveillance
data from Banfield Clinics (a nationwide chain of veterinary clinics located
inside PetSmart stores) looking for dog symptom data for a three-month period
beginning Memorial Day, in an area in a 20-mile radius of the PSC plant in
Fairburn.”
That email, sent by at former CDC employee now working at University of
Minnesota, triggered numerous responses and subsequent contacts with Glickman.
By his own assessment, Glickman said in an Oct. 27 email that, “Control charts
run for the GI (vomiting and diarrhea) syndrome showed unusually high and
statistically significant activity for dogs living 0-10 and 10-20 miles from
(the) PSC plant during weeks 25 and 26 (June 18-July 1) in 2006, but no unusual
activity for dogs living more than 20 miles from PSC.”
In another email sent to DPH on Nov. 13, Glickman acknowledged the occurrence of
“false positives” in surveillance systems, yet adding that “I was impressed
today at our meeting when we reviewed the Cumsum (cumulative summary) findings
for dogs near Fairburn, that there was a signal for dogs with GI syndrome
starting during the period of June 26 until about July 17, in 2006. SatScan
(software) also identified a cluster during this period of time for the area
northeast of the Phillips facility.”
In yet another email by Glickman to DPH Epidemiology Section Chief Dr. John
Horan, the Perdue researcher said the university had 10 people working on the
project part-time without pay.
“We are all participating because we are interested and think it is important,”
Glickman said. “Eventually, I think there will be sufficient findings that can
form the basis of a master’s thesis or investigation by an EIS (Epidemic
Intelligence Service) officer. For example, one could try to validate our
findings in cats and dogs as well as look for pet-human similarities in clinical
signs. This can be done by doing a survey of other veterinary hospitals in the
area assuming they have searchable medical records or by doing a door to door
survey of pet owners in the community.”
Door to door surveys of affected residents in the opening days of July was
requested by The Citizen after newspaper staff spent time in neighborhoods and
identified more than 150 people manifesting one or more of a handful of symptoms
in less than six hours, the same symptoms included in the Health Consultation.
The Citizen was told by Fulton and Fayette counties, DPH and EPD (Georgia
Environmental Protection Division) that conducting door to door surveys could
not be done.
In response, The Citizen and Connie Biemiller of the newly forming South
Fulton/Fayette Community Task Force began taking names and symptoms until
Fayette County EMA generated a community exposure form in mid-July.
Short-term exposure and adverse health effects from Propyl mercaptan reportedly
came after four shipments of a strong concentration of MOCAP “wash water”
arrived at the PSC plant on June 29, 2006.
One shipment was offloaded, then re-loaded and sent back its point of origin at
an American Vanguard (AMVAC) facility in Axis, Ala. Three other shipments
arriving June 29 were turned back without being offloaded.
Samples of a rail tank car said to contain the pesticide wash water were
subsequently taken and analyzed by state and federal authorities. The sampling
showed very high concentrations of ethoprop and propyl mercaptan. Those samples
were later made public.
The Health Consultation later concluded that the source of community adverse
effects was due to propyl mercaptan but not to ethoprop, because it does not
readily evaporate and breaks down rapidly in the environment. The Health
Consultation recommended that no further actions on the topic were indicated at
this time.
For their part, attorneys for AMVAC wanted to make sure the corporate
perspective was taken into account prior to the public release of information
relating to the MOCAP wash water samples taken at the AMVAC facility in Axis,
Alabama.
In a Sept. 15, 2006, email from EPD Assistant Director Jim Ussery and copied to
EPA and DHR supervisors, an AMVAC attorney unnamed by Ussery stated the
company’s position on the how the test results would be interpreted and
explained to the public.
“There is no basis to expect that there was any completed exposure pathway as to
ethoprop and any nearby residents, regardless of the concentrations in the
sampling results,” said a portion of the email. “We hope EPD and DHR are
unequivocal on that point. If there is any disagreement on that point or any
inclination of the agencies to communicate the results without making that point
clear, I would request the opportunity to discuss it further in detail prior to
the public release of any results.”
The genesis of the lack of a specific determination for the Fayette/Fulton
illnesses extends far beyond the geographic boundaries of those counties.
There is often found in the medical literature a lack of information of the
long-term effects of exposure to either propyl mercaptan or ethoprop, even
though these chemicals have been widely used.
But this lack of long-term empirical data is not uncommon with the approximately
80,000 chemicals in use in the United States today.
Nationwide, the burden of proof for establishing adverse health effects from
chemicals rests largely with the public, or government, rather than with
industry’s requirement to prove theme safe, according to the 1947 federal
Insecticide, Fungicide and Rodenticide Act (FIFRA).
That the U.S. chemical industry assisted in crafting FIFRA and its subsequent
amendments in the 1970s has long been established.
While acknowledging short-term adverse effects, ATSDR, DPH and others have
maintained since the incidents unfolded that long-term health effects (long-term
physiological damage to organs) for propyl mercaptan were not expected since the
exposure, based on air samples taken, was less than the recommended .5 parts per
million (ppm).
A number of central and north Fayette and south Fulton residents experienced
what they said were significant, even life-threatening, effects from exposure to
the chemical onion odor that permeated their communities. Among those were John
Abernathy, Darrell Guice, Clare and Earl Hindman and George and Kim Nicholson.
Like many others, all said they were never contacted by anyone doing a follow-up
to their reported symptoms and illnesses or asked for copies of their medical
records or requested to speak with their doctors.
“During all of this we reported to all the authorities our symptoms but no one
ever contacted us except PSC,” George Nicholson said. “PSC called to tell my
wife that the smell was not harmful and could not be causing her symptoms. That
was the only call we ever received. So how many more never got interviewed? The
(Health Consultation) has holes in it in many places. This was government
believing and protecting big business over the citizens of the area. There was a
lot of talk but never any real help or support.”
Earl Hindman was the only person identified by name in the Open Records
information received by The Citizen and one of only three residents specifically
referenced.
His was in the form of a Dec. 29, 2006 letter he had written to EPD Director
Carol Couch where Hindman referenced a physician who had apparently made a
connection between some of the symptoms being manifested in humans and exposure
to organophosphates. The letter was copied to Georgia Dept. of Community Affairs
and Dr. John Horan. Hindman never received a reply. He also spoke with DPH
Chemical Hazards Program Director Jane Perry about numerous concerns.
“I have never received any request to have anyone look at our medical records or
speak with our doctors,” said Hindman, whose wife Clare became demonstrably ill
after the chemical onion odor first filled their neighborhood near the PSC
plant. She was recently diagnosed with amyotrophic lateral sclerosis (ALS) and
had began manifesting symptoms in May during the time the onion odor began, a
time at least a month prior to when PSC and EPD said the MOCAP wash water
entered the plant.
Hindman’s Peachtree City doctor would not listen when the couple expressed
concerns that the onion odor might be linked to their symptoms, saying he did
not have time to read the newspaper or to watch television, Hindman said in
frustration last year.
Today, Hindman said he had found hundreds of medical research papers indicating
possible or apparent links between organophosphate pesticides and neurological
conditions such as ALS.
Also provided in the Open Records information was a large document on propyl
mercaptan from the Hazardous Substances Data Bank (HSDB). Listed in the section
called Human Toxicity Excerpts, signs and symptoms included muscular weakness,
convulsions, respiratory paralysis, headache, nausea, irritation of the skin,
eyes and mucous membranes of the respiratory tract.
“Acute respiratory effects were associated with propyl mercaptan exposure from
potato fields treated with the pesticide ethoprop,” the report said.
In reference to employment where exposure to mercaptans may occur, the HSBD also
states that prior to placing a worker in the job a physician should perform
medical, environmental and occupational histories.
The doctor should conduct a physical examination, physiologic and laboratory
tests appropriate for the occupation risk, concentrating on the function and
integrity of the nervous and respiratory systems.
During the exposure period last year, some of the residents visiting their
physicians were diagnosed with headache, nausea, vomiting, skin rashes, eye
irritation, pneumonia, pleurisy, muscle cramps and weakness, kidney failure and
first time diagnoses of asthma. Those with some of the more serious cases
interviewed by The Citizen said they have never been contacted by state or
federal researchers conducting the Health Consultation.
Residents and staff with the various agencies were often intrigued by how
quickly the heavy presence of the chemical onion odor could come and go,
sometimes with or without a strong breeze.
Apparently, one of those was Richard Nickle, with the ATSDR Emergency Response
team, whose forthright email comment to colleagues was noted after attending a
public meeting July 19, the first of several South Fulton/Fayette Community Task
Force public meetings. The meeting was held at Bethany United Methodist Church,
a short distance from the PSC plant on Hwy. 92.
“As I left the meeting around 10 p.m., I drove by the plant. The odor of onions
was intense in low-lying areas along the road and caused my eyes to tear in the
brief time it took me to drive through it and reach higher ground,” Nickle said.
“When I had arrived there at 5:30, there was no odor along that road at all. I
don’t know where this is going, but I am confident it is not going away.”
Hundreds of residents of Fayette and Fulton counties know exactly what he means.
Thursday, 28 Jun 2007
Scientists claim to have discovered the "missing link" between mouse and human
embryonic stem (ES) cells which could help to boost future research into how to
treat debilitating diseases and injuries.
Researchers from the universities of Oxford and Cambridge found a new type of
rodent ES cells that is more similar to human ES than current mouse
alternatives.
As human stem cells – cells which can turn into any type of cell in the body –
are in fairly short supply the researchers hope the new cells will be a useful
source for understanding more about human stem cell biology.
The Medical Research Council, which funded the research, claims it will
accelerate understanding of stem cell development.
It was thought that mouse ES cells could only be obtained from embryos before
they had implanted into the uterus wall, but the researchers isolated rodent ES
cells from embryos after they had implanted from a tissue called the epiblast.
Writing in the journal Nature, the researchers argue that unlike
pre-implantation mouse ES cells, the new cells share many important features
with human ES cells.
They grow like human ES cells, have similar patterns of gene expression and cell
surface markers.
As epiblast stem cells are so similar to human ES cells they are expected to
provide better models for human ES cells and could help drive stem cell research
forward.
Professor Roger Pedersen from the University of Cambridge said the epiblast stem
calls are "the missing link between mouse and human embryonic stem cells".
"On a molecular level, epiblast stem cells are more similar to human embryonic
stem cells than to mouse embryonic stem cells.," he added.
"The differences between mouse and human embryonic stem cells that we had
attributed to species differences may actually come down to the developmental
stages from which the cells emerge.
"Our hope is that pinpointing the developmental stage when human embryonic stem
cells originate will help scientists who are using stem cells to develop cures
for injuries and disease."
Vetoing an embryonic stem cell bill for the second time, President Bush last
month ensured that no new federal dollars will be directed to this kind of
research in the immediate future. It is unlikely, however, that this veto will
impede progress in regenerative biology and medicine. Here's why.
Although embryonic stem cells (ESCs) have the greatest potential to develop into
the most cell types for regenerative purposes, they are controversial because
embryos must be destroyed to create them. Particularly controversial is the
creation of "designer" ESCs that will not be rejected by the immune system.
These designer ESCs are created by reprogramming the nucleus of an adult cell
via transplantation into an enucleated egg. While this has been accomplished in
mice, there are enormous logistical problems that have so far prevented
transplantation in human cells.
Research on nuclear transfer will continue with private funding, as well as funding by some states. In the meantime, research to create designer ESCs has taken a new and interesting twist. Several groups have discovered recently that adult cells can be reprogrammed in culture to become ESCs by chemical factors. Thus, we now have the possibility of converting a patient's own cells to embryonic stem cells that could be used for regenerative therapy. If we can learn how to do this directly at the site of an injury, tissues could regenerate themselves.
But we have to be able to do more than reprogram adult cells to an embryonic state. We have to supply the cells with the environmental signals that direct them to differentiate in a functional organization. At the Indiana University Center for Regenerative Biology and Medicine in the School of Science at IUPUI, researchers are comparing regenerating versus non-regenerating tissues to identify molecules that will induce the body to regenerate neural and musculoskeletal tissues, as well as appendages. This is basic research that precedes drug development.
For the thousands of Americans who suffer devastating neurological, cardiovascular, musculoskeletal and endocrine diseases and injuries each year, the potential of regeneration research to improve quality of life and to restore economic independence is enormous. This research might also transform how we treat cases of severe wounds or lost limbs, such as those of soldiers in Iraq. Imagine, for instance, a "smart bandage" capable of inducing the regeneration of a lost leg.
The silver lining to the controversy over embryonic stem cell research is the development of new concepts, research models and technologies that allow a wider range of options for regenerative medicine. It's too early to tell which of these options will, in the end, prove to be the most effective. In the meantime, it is good when Americans become more informed of the potentially lifesaving research being conducted in laboratories across the country, including those at IUPUI.
Work offers a new line of therapy research to slow ALS.
Scientists trying to understand the workings of ALS haven’t thought much about
what part, if any, that muscles play. Their view on what transpires in triceps
and quads is that they’re more the disease’s victims than major players.
There’s some science behind that opinion. A recent study by Packard researcher
Don Cleveland showed that if the muscles of model mice — and only the muscles —
held active genes for inherited human ALS, the mice stayed healthy. That would
seem to nix muscles as a source of ALS.
New work by Packard scientist Jeffrey Johnson, however, suggests that we
shouldn’t be quick to dismiss muscles. It also offers a new therapeutic path
that he’s actively investigating — one that works by boosting natural efforts to
stave off ALS’s worst effects.
In his several years as a Packard grantee, Johnson’s work has dealt with one of
the body’s built-in detox systems. Cells rely on the so-called phase II
detoxification enzymes — the same system that broccoli chemicals stimulate — to
blunt the flood of damaging free radicals that occurs in many illnesses,
including ALS. More specifically, Johnson has focused on what activates that
system, what turns on the battery of genes coding for its enzymes.
A body of research, including Johnson’s, shows that the on switch for phase II
involves a specific protein and chemical cascade, dubbed the Nrf2-ARE pathway.
And the studies go one step more to show that when the ARE complex is in place
and active, whether in cultures or in live animal models exposed to toxic
situations, nerve cells get significant protection from damage. In addition,
other pathways important to cells’ general working are strengthened. “So,” says
Johnson, “this system bears investigating for ALS.”
Recently, he followed activation of the Nrf2-ARE path in two different animal
models of ALS.
A method for visually tracking the process let his team see exactly where this
took place and also let him mark the time when cells turned the Nrf2-ARE system
on. “The main point,” he says, “is that pathway activation seems to be a very
early indicator of stress, and it appears in the muscles very early in the
disease process, even before symptoms begin.”
“What we’re speculating, then, is that, in ALS, the Nrf2-ARE response in muscles
is due to something subtle going wrong at the level of the synapse between the
motor neuron and the muscle,” Johnson says.
Of special interest therapy-wise, he adds, is that the response varies within
muscles, depending on the type of muscle fiber. Skeletal muscles affected by ALS
contain a mix of “slow twitch” or type I fibers that allow sustained aerobic
activity and “fast” type II fibers that exhibit greater force but that fatigue
more quickly.
Johnson’s team found that the Nrf-2-ARE system is activated only in type I
fibers. He thinks it’s no coincidence that the usual activity between motor
nerves and the type I muscle lasts longer — resists paralysis longer — than in
type II.
And it’s extremely interesting that the pattern of activation follows a path
from type I muscle fibers to nerve cells to key parts of the spinal cord that
mimics human ALS.
“Of course it’s speculative at this stage, but if we could activate the system
in type II fibers, that might stave off the worst symptoms longer and affect ALS
progression,” he explains. Johnson’s working to that end. He’s now testing an
ALS mouse model in which those very fibers have been engineered to turn on the
dormant protection within.
The work was jointly funded by The Robert Packard Center for ALS Research at
Johns Hopkins and the ALS Association.
Jumping Frenchmen of Maine sounds like an uproarious, modern-day stage show or even a new wave rock group. But it's neither. It's the name of an unusual disorder that causes an extreme startle reaction to unexpected noises or sights. Though little is known about Jumping Frenchmen of Maine, the disorder and more than 6,000 other rare or "orphan" diseases are receiving increasing attention from the government, patient groups, and the pharmaceutical industry.
An orphan disease is defined as a condition that affects
fewer than 200,000 people nationwide. This includes diseases as familiar as
cystic fibrosis, Lou Gehrig's disease, and Tourette's syndrome, and as
unfamiliar as Hamburger disease, Job syndrome, and acromegaly, or "gigantism."
Some diseases have patient populations of fewer than a hundred. Collectively,
however, they affect as many as 25 million Americans, according to the National
Institutes of Health (NIH), and that makes the diseases--and finding treatments
for them--a serious public health concern.
Most Inherit Orphan Diseases
New rare diseases are discovered every year. Most are inherited and
caused by alterations or defects in genes (mutations). Others can be acquired as
a result of environmental and toxic conditions. Genes are pieces of DNA, part of
the code that determines the traits and individual characteristics of all living
things. Each human cell contains around 30,000 genes. Besides influencing
features such as eye and hair color, genes also can play a role in the
development of diseases and in their transmission from parent to child.
As disparate as rare diseases are, patients share many common frustrations. For
example, for one-third of people with a rare disease, getting an accurate
diagnosis can take one to five years. And people often are so isolated that they
may never know anyone else with the same disease. Patients often must travel
long distances to visit the few doctors knowledgeable about their illnesses, and
the costs involved with diagnosis, treatment, and other related expenses can be
exorbitant.
Managing Rare Diseases
Many rare diseases or conditions can be difficult to diagnose and manage
because in their early stages, symptoms may be absent or masked, misunderstood,
or confused with other diseases.
For example, adrenomyeloneuropathy (AMN), one of a group of genetically
determined progressive disorders known as leukodystrophies that affect the
brain, spinal cord, and peripheral nerves, is often misdiagnosed as multiple
sclerosis (MS), according to the United Leukodystrophy Foundation. Since
diagnosis of neurological conditions relies on subtle and circumstantial
evidence, even the most experienced clinicians may have difficulty
distinguishing between the two.
For rare disease patients, there may be no cures, but treatments of the symptoms
can help. Participating in a clinical trial may be a way to receive the most
advanced care for some diseases.
People who experience unexplained symptoms, recurrent infections, and pain that
have gone undiagnosed for a long period of time might want to visit a referral
center that is experienced in diagnosing patients with rare diseases.
Some rare diseases do not have clearly defined treatment guidelines and require
the specific skills of an expert physician. Be sure to go to a hospital that is
familiar with treating people with multiple problems.
Adopting the 'Orphans'
Before the passage of rare disease laws in the United States, patients
diagnosed with a rare disease were denied access to effective medicines because
prescription drug manufacturers rarely could make a profit from marketing drugs
to such small groups. Consequently, the prescription drug industry did not
adequately fund research for orphan product development. Other potential
sources, such as research hospitals and universities, also lacked the capital
and business expertise to develop treatments for small patient groups. Despite
the urgent health need for these medicines, they came to be known as orphans
because companies were not interested in adopting them.
This changed in 1983 when Congress passed the Orphan Drug Act (ODA). The ODA
created financial incentives for drug and biologics manufacturers, including tax
credits for costs of clinical research, government grant funding, assistance for
clinical research, and a seven-year period of exclusive marketing given to the
first sponsor of an orphan-designated product who obtains market approval from
the Food and Drug Administration for the same indication. At the same time,
federal programs at the FDA and the NIH began encouraging product development,
as well as clinical research for products targeting rare diseases.
Since 1983, the ODA has resulted in the development of more than 250 orphan
drugs, which now are available to treat a potential patient population of more
than 13 million Americans. In contrast, the decade before 1983 saw fewer than 10
such products developed without government assistance. As a result of the ODA,
treatments are available to people with rare diseases who once had no hope for
survival.
"A lot of people are affected," says Marlene E. Haffner, M.D., M.P.H., director
of the FDA's Office of Orphan Products Development (OOPD). "That makes it a
major public health impact, and in time, we're going to see even more rare
diseases requiring treatment."
Despite the success of the ODA, however, rare disease advocacy groups argue that
the plight of people with orphan diseases deserves even more attention.
Patient Support Groups
Rare diseases affect so few people that information about them may be
difficult to find, making the situation more traumatic and stressful. Before
Congress enacted the ODA, families coping with a rare disease usually struggled
alone. Support could only be found through telephone calls to other families
suffering with similar diseases, and only if the names were provided by doctors.
Support groups such as the National Organization for Rare Disorders (NORD) have
worked aggressively in the last 20 years to draw attention to people with rare
diseases, and especially to the lack of treatment options. Paramount in NORD's
ongoing cause are efforts to promote legislation, such as the ODA, that
encourages further research and continuing development of products that are
necessary--and often life-saving--and to provide easier access to such
treatments.
The role of the support group is evolving. Recent trends at the FDA and the NIH
in encouraging scientists to become involved with patient support groups has
brought research even further.
New Web-based support groups continue to proliferate. Not only are people
receiving comfort from others with the same conditions, but they are learning
from each other's experiences as well. By the late 1990s, most nonprofit
organizations had Web sites where people could ask questions and get immediate
responses.
Nevertheless, people diagnosed with a rare disease often are vulnerable to
misguided assistance. While Stephen C. Groft, Pharm.D., director of the NIH's
Office of Rare Diseases, encourages people to use the Internet to find
information, he also warns that it is dangerous to rely solely on the computer
for medical advice.
"Be cautious about unproven remedies and miracle cures being touted over the
Internet," he says. Too often misleading or inaccurate information is given out
that can do more harm than good. In addition, one person's experience may vary
greatly from another's. The Internet, he adds, should complement the
communication between patients and their doctors, not replace it.
July 17, 2007
PALO ALTO, Calif., July 17 /PRNewswire-FirstCall/ -- Avicena
Group, Inc. , a late stage biotechnology company that develops central nervous
system therapeutics for neurodegenerative diseases, announced today that it met
with the Food and Drug Administration (FDA) and will proceed with a confirmatory
Phase III trial of its lead drug candidate, AL-02, for the treatment of
amyotrophic lateral sclerosis (ALS, or Lou Gehrig's disease).
Two completed Phase III studies led by Dr. Jeffrey Rosenfeld of the Carolinas
ALS Center and North East ALS Consortium (NEALS) demonstrated a positive trend
towards increased survival at 9 months. The results of the studies are pending
publication. Further, Avicena will be analyzing the data at the 18-month time
point to confirm a longer term survival benefit. These data will be used to
support a new Phase III study which is planned to commence in 2008. The new
Phase III study will be designed to evaluate AL-02's potential to increase
survival.
"We are very pleased with the FDA's feedback and we eagerly anticipate moving
AL-02 forward into a confirmatory Phase III trial during the first quarter of
next year," stated Belinda Tsao-Nivaggioli, Chief Executive Officer of Avicena.
"Given the severity of this unmet medical need, the advancement of our lead ALS
drug candidate represents significant progress for Avicena and our
collaborators, NEALS and the Carolinas ALS Center. We hope to duplicate the
pooled results of two prior studies which demonstrated AL-02's potential to
increase survival of patients afflicted with ALS."
Super-buff cattle may hold key to treating muscular diseases
Cambridge biotech trying to mimic breed's genetics
Last Updated: Friday, July 13, 2007
CBC News
American and Russian doctors have created embryonic stem
cells from unfertilized eggs, sidestepping the need to use viable embryos,
according to a report published in Thursday's edition of the journal Nature.
Lead researchers Elena Revazova and Jeffrey Janus, of Maryland biotech company
Lifeline Cell Technology, created embryos by using chemicals to activate
unfertilized eggs donated by five Russian women undergoing in vitro
fertilization. The technique avoids the need for sperm.
Some creatures do not need a male to reproduce, a process known as
parthenogenesis. A limited number of lizards, bird and insects can have babies
without males. But among mammals, embryos created without the benefit of sperm
do not develop past the stage where they could produce stem cells.
While the method described by the Russian and American team is not ready for
clinical applications, the doctors did manage to get the embryos to mature
enough to create stem cells.
"This is one of the papers we've been waiting for," George Daley, a stem-cell
expert at the Children's Hospital in Boston, Mass., told the journal. Daley was
not part of the team that announced the technique last month.
Stem cells are important in medicine because they have yet to become
specialized. Embryonic stem cells can become any type of cell and can be used to
replace skin, bone or organ cells, while adult stem cells are more limited.
The researchers said the stem cells from the chemically
created embryos appear to be the same as those derived from regular embryos.
They hope the technique will avoid problems that might arise if a patient's
immune system were to reject stem cells derived from normal embryos. Stem cells
made from parthenogenetic embryos should be compatible with a donor's immune
system.
The stem cells would be a match only for donor women, but the researchers hope
close male relatives might also benefit.
The researchers say their eventual goal is to create cells that could treat
liver disease, diabetes and macular degeneration of the eye.
They plan to start animal trials next year, using retinal cells produced from
the parthenogenetic embryos.
[Quick Summary: Irish ALS experts are funded to take advantage of a unique registry of patients to find and follow links with cognitive changes in the disease that could point the way to effective therapy.]
The ALS Association is funding an effort to understand in detail the evolution of cognitive changes that can accompany amyotrophic lateral sclerosis (ALS, also known as Lou Gehrig's disease), using a unique registry of Irish patients and following patients in person during their disease course to find out possible genetic factors that could give insight into the biology of the disease.
A better understanding of how the disease involves changes in brain and behavior could lead to therapeutic progress.
Orla Hardiman, M.D., of Beaumont Hospital in Dublin, will lead the investigation. A registry of Irish ALS patients has been maintained for a decade in that country and highlights why the U.S. needs a similar resource. Efforts to establish a U.S. ALS registry are underway.
A recent conference in London, Ontario, Canada, focused on the type of cognitive and behavioral change that can occur in some ALS patients. Researchers need to learn more about who will develop these changes and how to best accommodate them during the disease. A common process may underlie ALS and the disorder called frontotemporal dementia.
The project now funded and underway will follow all Irish ALS patients over time so that the investigators can determine how often cognitive changes, especially the early changes in behavior, occur within the population. This study of an entire population of people with ALS seeks to identify and characterize early signs of frontotemporal dementia and to monitor progression over time. Collection of DNA from affected patients and their families will then permit detailed genetic studies that will help to identify possible causes of ALS and FTD.
“To date, there have been no population-based clinical studies of cognitive decline in ALS, and it is likely that the current estimates suggesting that more than half of ALS patients have cognitive impairment reflect selection bias,” Hardiman noted in her proposal, as the existing reports include patients that choose to come to tertiary medical centers with special ALS clinics.
The true incidence of cognitive impairment among the ALS population may be very different from existing reported incidence, she noted. Furthermore, there have been few longitudinal studies aimed at characterizing the evolution of cognitive decline in ALS patients. Hardiman added, “This project will allow the investigators to define distinct subgroups of ALS patients with different profiles of cognitive impairment and to later correlate these subgroups with a corresponding genetic risk.”
A feature of this project is that a research Fellow and assistant (where appropriate) will travel to the homes of all living Irish ALS patients around the country to conduct a standardized evaluation including neuropsychological examination. This effort should provide a more reliable picture of the cognitive aspects of the disease compared to existing reports that have depended on patients maintaining visits to clinics.
This study will dovetail with ongoing investigations also funded by The Association that are seeking information about coincidence of ALS and other neurodegenerative diseases in families.
Please see The ALS Association’s web site under the research tab for further information about cognitive changes in ALS.
Jul 11, 2007
Joseph Hall
Staff Reporter
A landmark discovery by researchers at McMaster University
could radically alter the way scientists can use embryonic stem cells to grow
replacement tissues and treat cancer.
In a surprise revelation, a McMaster study found that
human embryonic stem cells – “the great grandmothers” of all the other cells in
our bodies – build themselves a nurturing cocoon that feeds them and directs
their ability to transform into other types of tissues.
And by manipulating the products of this tiny, cellular placenta, it may be
possible for scientists to prompt the stem cells to grow into desired tissues
and organs, or to switch off tumour growth in cancers, says Mickie Bhatia, the
lead study author.
The study will appear in an upcoming issue of the leading scientific journal
Nature.
“We think we’ve introduced now a mechanism or a new approach to control stem
cell fate,” says Bhatia, scientific director of the McMaster Stem Cell and
Cancer Research Institute.
“I think-it opens up a completely new arena to now think about controlling the
growth and differentiation of the human embryonic stem cells that we didn’t know
existed until now,” he says.
The study shows that making replacement tissues to treat disease requires more
than just the manipulation of the stem cell itself.
“You have to control the surrounding cells that govern this (transformation)
process,” Bhatia says.
Bhatia says the major reason scientists study embryonic stem cells is for their
potential to generate new types of tissues for transplant into damaged organs.
It is hoped, for example, that such stem cells might one day be used to grow new
nerve cells in the damaged spinal cords of paraplegics, or to introduce
insulin-producing cells into a diabetic pancreas.
Currently, however, researchers in regenerative medicine have been attempting to
prompt this tissue transformation by targeting the stem cells themselves with
various chemicals or technologies, Bhatia says.
Now, he says, scientists can turn their attention to the nurturing cells
surrounding the embryonic stem cells, which appear to have a direct control over
their ability to change into different things.
Bhatia say scientists have long thought that stem cells were coaxed to transform
into other types of tissues by the environment or “niche” they found themselves
in. Cardiac stem cells, for example develop heart tissue because that’s what
they’re surrounded by.
It makes sense, then, that as the original cells present soon after conception,
embryonic stem cells would need to create their own niche, Bhatia says.
“With this paper-we’re saying that controlling the stem cell happens not only in
the stem cell itself, but also with (this newly discovered) niche,” he says.
This niche, Bhatia says, is made up of cells generated by the embryonic stem
cells. These surrounding cells in turn feed and direct the parent stem cell via
the production of special protein “growth factors”.
And some of the growth factors created by the niche cells direct the embryonic
stem cell to do nothing but make copies of itself, Bhatia says.
To coax the stem cell to make other types of tissues, you have to stop this
self-replication process, Bhatia says.
“The one thing we have to do first is we’ve got to draw their attention from
making copies of themselves,” he says.
“Once we’ve done that,