In ControlTransplanted Brain Cells Hold Promise for Parkinson’s DiseaseTransplanted neural stem cells hold promise for Parkinson’s disease, scientists say. Research published in the Nov. 29, 2006 issue of The Journal of Neuroscience shows a human neural stem cell transplant enables an animal with Parkinson’s to continue functioning normally rather than displaying the progressive loss of movement control that characterizes the disease. “We are very cautious, but to us, it’s an indication that stem cells have promise for Parkinson’s disease,” said Dr. Cesario V. Borlongan, an MCG neuroscientist and corresponding author of the study. The rats in the study received the transplanted cells shortly after Parkinson’s was induced by destroying neurons that make dopamine, a neurotransmitter key to movement control. This would be equivalent to a patient getting treatment very soon in the disease process, which rarely happens since there is no screening test to catch it early. “If you are able to identify Parkinson’s in the early stage, we think this therapy will work,” said Dr. Borlongan. “An important question that remains is, ‘Can we rescue neurons that are dying from Parkinson’s?’ This would more accurately mimic what patients need.” The researchers already have begun studies that delay the transplants until weeks after injury. For this study, researchers compared animals that received placebo treatment with those that received only protective neurotrophic factors secreted by stem cells and those that had a transplant. Animals that received transplants regained movement control, placebotreated animals did not recover and those that received neurotrophic factors, called stem cell factors, recovered partially. When researchers examined the brains one month after transplant—a long time in the twoyear life of a rat—researchers found endogenous dopaminergic cells and transplanted neural stem cells had both survived. Also, transplanted neural cells had formed synapses to communicate with each other and ultimately the striatum, the portion of the brain dopaminergic cells act on to control movement. “The transplanted stem cells survived, differentiated into neurons and showed some connection with the host tissue,” said Dr. Borlongan. They did additional studies in test tubes, taking commercially available rat and human dopaminergic cells, exposing them to neurotoxins and then to stem cell factors. “The more stem cell factor, the better the protection,” Dr. Borlongan said. When the cells were cocultured with stem cells, protection was further increased. When they used an antibody to block the stem cell factor, neuroprotection was significantly reduced. “This again shows a combination of factors at work,” said Dr. Borlongan. “It’s a synergistic effect.” The standard treatment for Parkinson’s disease, which affects about half a million Americans, is Ldopa, a synthetic dopamine that typically minimizes symptoms for three to five years. As the disease progresses and the drug becomes less effective, doses are increased and can produce more dyskinesia, or loss of controlled movement. Centers such as MCG’s are exploring new ways to slow disease progression, diagnose it earlier and more accurately monitor its progression. Toni Baker
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