Carta del Profesor Pierre RUSTIN, investigador en el INSERM (03/06/2008)
REVAMOTO: ¡Es verdaderamente el momento justo! A comienzos de este siglo, vivimos un momento muy particular en la lucha contra la Ataxia de Friedreich. En efecto, después del descubrimiento del gen responsable de esta enfermedad en 1997 (gen que contiene la información necesaria para la producción de un pequeño constituyente de las células, llamadofrataxina), luego el descubrimiento de las consecuenciascausadas porlas anomalías en este gen (generalmente una expansión anormal que causa una clase de plegamiento del gen y perturba su lectura), el mundo de la investigación está ante un reto aún mayor: ¡encontrar una solución para luchar contra la enfermedad!
De hecho, numerosos equipos de investigadores en todo el mundo concentran sus actividades sobre este objetivo. Hasta ahora, se hanpropuesto cinco enfoques que contemplan etapas diferentes en lo que pensamos saber de la enfermedad:
permitir una mejor lectura del gen usando moléculas susceptibles de desenrollar el gen (en los EE.UU);
aumentar la producción de frataxinautilizando el gen tal como es (en Austria);
atrapar el hierro queprobablemente se acumula en exceso en algunos compartimentos de las células (las mitocondrias, compartimentos donde la etapa final de la combustión de los alimentos produce la energía para toda la célula y todo el organismo) (en Francia);
atrapar con un medicamento (la idébénone o Mnesis) los compuestos peligrosos del oxígeno (los famosos radicales libres) que son seguramente responsables de una parte de la enfermedad (en Francia);
aumentar las defensas del organismo contra los radicales libres (prueba de la Pioglitazona) (en Francia).
Sí, han leído bien: ¡nuestros equipos de investigación desarrollan tres de los cinco enfoques en Francia! Estos datos echan por tierrala pretendida falta de competitividad de nuestros equipos en Francia. Y sin embargo no es sencillo investigar en nuestro país ya que los medios faltan: la investigación día tras día cuesta cara, los aparatos alcanzana menudo precios exorbitantes, los estudiantes formados en nuestros laboratorios se refugian en el extranjero para huir de la precariedad y esta tendencia es todavía más acusada cuanto más brillantes son … Frente a eso, solamente discursos,promesas, comités de peritaje, reorganizaciones sin fin para evitar tratar el problema: el meollo de la cuestión, el dinero!
En este contexto, la idea de REVAMOTO toma todo su sentido: una iniciativa fuerte para desarrollar la investigación. Para nosotros investigadores, una iniciativa que nos sirve para perseverar y ampliar aún más nuestros esfuerzos; para los que deciden desde los altos cargos, una señal para que escuchen por fin el sencillo mensaje de los enfermos, de sus familias y de todos los que son solidarios con los investigadores: el futuro del país, la lucha contra las plagas y las enfermedades, pasan por el desarrollo de la investigación, desde la investigación básica a la clínica. En este combate contra la enfermedad, todo céntimo, cualquier euro recogido,es útil teniendo en cuenta lo que representa. Va íntegramente a la investigación científica llevada a cabo en el Hospital Robert Debré para luchar contra la ataxia de Friedreich.
¡Os estamos muyagradecidos!
El equipo de Investigación del Hospital Robert Debré que trabaja enAtaxia de Friedreich.
Paule Bénit, Emmanuel Dassa, Sergio Goncalves, Isabelle Husson, Sandrine Loublier, Vincent Paupe y Pierre Rustin
mi concedo una breve comparsa per darvi qualche informazione sull’associazione REVAMOTO, Ricercare, Sperare e Vincere l’Atassia in motocicletta.
Dopo 6 mesi di attività, e in sinergia con l’incomparabile lavoro svolto dall’AFAF, i motociclisti continuano a mobilitarsi contro l’AF. Tra qualche giorno verseremo un secondo assegno di 5000 euro a Pierre Rustin dell’INSERM.
Per coloro che già conoscono o vorrebbero scoprire questo mondo del motociclismo, ricordo che il prossimo BOL D’OR (13 e 14 settembre 2008) indosserà i colori della lotta contro questa malattia...
Infatti le 2 moto campioni mondiali di resistenza porteranno sulle loro carene, per le 24 ore di durata della corsa, gli adesivi “Ricercare, Sperare e Vincere l’Atassia”.
Prova mitica e sorella gemella della 24 ore di Le Mans, il BOL D’OR si svolge a Magny Cours, vicino a Nevers, e renderà pubblico il suo sostegno a tutti i malati di AF attraverso i colori della SUZUKI, squadra campione del mondo.
La squadra, che si chiama S.E.R.T., è il team più noto e più titolato del campionato mondiale di resistenza. Quindi tutti i malati di AF e coloro che lottano contro l’AF avranno delle buone ragioni di essere fieri…
Sono molto emozionato all’idea altamente simbolica di vedere che la lotta contro l’AF unisce campioni di questo calibro, e vi invito a sostenere la squadra del SERT colmo di speranza per tutti i nostri cari o bambini con AF. Mi auguro che una delle nostre due moto del SERT sia ancora una volta incoronata vincitrice al termine di quest’ultima prova del campionato mondiale 2008 di resistenza.
Sosteniamo le due moto GSXR del SERT, perchè correranno per noi affrontando ogni rischio per arrivare vincitrici ancora una volta quest’anno!!!!
P.S. Grazie anche a Sylvie Bonnot, la mamma di Colin e Ninon (entrambi AF), che organizza un weekend motociclistico il 7 settembre in Franche Comté per sostenere la lotta contro l’AF. Non meno di sette side car, una trike, un quad e una ventina di moto verranno ad illuminare questo weekend…
ST.Xavier's Church adopts Ataxia awareness meet by SAMAG
By Chandu George
SEEK A MIRACLE ATAXIA GROUP (India)
A very warm welcome and greetings to all,
STXavier's Church in India under the Parish Priest, Reverend Vedharatnam Invited SAMAG to share awareness on Ataxia among the community on August 31, 2008, SEEK A MIRACLE ATAXIA GROUP (India) which is a support group working for the cause Ataxia in India, with its objectives as raising awareness to provide information on Ataxia and to work for the welfare of Ataxia victims in India.
The Ataxia awareness Programme started with Priest. Reverend, Vedharatnam inviting Chandu George of SAMAG to share words on Ataxia. First introduction was given by George (Senior) Parent of Chandu George (FAer). Later the Ataxia awareness meeting progressed with Chandu George explaining to members what Ataxia is, such as its symptoms, causes and types of Ataxia etc and asking community members to come forward and support the Ataxia cause and endorse the views of SAMAG to share help for Ataxia members in India.
The meeting ended on a Pleasant note with the Priest, Vedharatnam asking community members to contact and support SAMAG in its Ataxia cause and also other disability related issues, all the community members pledged to support awareness on Ataxia and support SAMAG in pursuing its future objectives.
Neurological effects of recombinant human erythropoietin in Friedreich's ataxia: a clinical pilot trial
Sylvia Boesch, MD 1 *, Brigitte Sturm, PhD 2, Sascha Hering, MD 1, Barbara Scheiber-Mojdehkar, PhD 2, Hannes Steinkellner, Mag 2, Hans Goldenberg, PhD 2, Werner Poewe, MD 1
1Department of Neurology, InnsbruckMedicalUniversity, Innsbruck, Austria 2Department of Medical Chemistry, Medical University of Vienna, Vienna, Austria
*Correspondence to Sylvia Boesch, Department of Neurology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria
The first two authors contributed equally to this work.
Funded by: RoFAR-Foundation, Switzerland
Received: 21 April 2008; Revised: 24 July 2008; Accepted: 2 August 2008
Abstract
In a “proof-of-concept” study, we demonstrated that recombinant human erythropoietin (rhuEPO) increases frataxin levels in Friedreich's ataxia (FRDA) patients. We now report a 6-month open-label clinical pilot study of safety and efficacy of rhuEPO treatment in FRDA. Eight adult FRDA patients received 2.000 IU rhuEPO thrice a week subcutaneously. Clinical outcome measures included Ataxia Rating Scales. Frataxin levels and indicators for oxidative stress were assessed. Hematological parameters were monitored biweekly. Scores in Ataxia Rating Scales such as FARS (P = 0.0063) and SARA (P = 0.0045) improved significantly. Frataxin levels increased (P = 0.017) while indicators of oxidative stress such as urine 8-OHdG (P = 0.012) and peroxide levels decreased (P = 0.028). Increases in hematocrit requiring phlebotomies occurred in 4 of 8 patients. In this explorative open-label clinical pilot study, we found an evidence for clinical improvement together with a persistent increase of frataxin levels and a reduction of oxidative stress parameters in patients with FRDA receiving chronic treatment with rhuEPO. Safety monitoring with regular blood cell counts and parameters of iron metabolism is a potential limitation of this approach.
Lettera del Prof. Pierre Rustin ricercatore presso l’INSERM (03/06/2008)
REVAMOTO: E’ veramente giunta l’ora! In questo inizio secolo stiamo vivendo un momento molto particolare nella lotta contro l’Atassia di Friedreich. In effetti, dopo la scoperta nel 1997 del gene responsabile di questa malattia (gene che contiene l’informazione necessaria alla produzione di un piccolo costituente delle cellule detto fratassina) e, in seguito, delle conseguenze delle anomalie di questo gene (più frequentemente un’espansione anomala che provoca una sorta di avvolgimento del gene disturbandone la lettura), il mondo della ricerca si trova di fronte ad una sfida ancora più grande: trovare una soluzione per lottare contro questa malattia!
In realtà ci sono numerosi gruppi di ricerca che attraverso il mondo focalizzano la loro attività su questo obiettivo. A tutt’oggi sono stati proposti cinque approcci terapeutici che mirano a vari aspetti di ciò che riteniamo di sapere su questa malattia;
-permettere una migliore lettura del gene tramite molecole in grado di intervenire sulla sua espressione (negli USA);
-aumentare la produzione della fratassina utilizzando il gene così com’è (in Austria);
-catturare il ferro che è probabilmente in eccesso in alcuni compartimenti cellulari - i mitocondri, in cui la tappa finale della combustione degli alimenti produce l’energia per tutta la cellula e per tutto l’organismo (in Francia);
-catturare mediante un farmaco (l’idebenone o Mnesis) i composti dannosi dell’ossigeno (i famosi radicali liberi) che sono senza dubbio in parte responsabili della malattia (in Francia);
-aumentare le difese dell’organismo contro i radicali liberi (sperimentazione col Pioglitazone) (in Francia).
Sì, avete letto bene: tre di questi cinque approcci sono messi a punto in Francia dai nostri gruppi di ricerca! Quanto basta per smentire i discorsi sulla cosiddetta non competitività dei nostri gruppi in Francia. Tuttavia, per la ricerca non è tutto così semplice nel nostro paese, perchè mancano i mezzi; i costi della ricerca aumentano di giorno in giorno, il prezzo dei macchinari spesso ammonta a cifre esorbitanti, gli studenti che vengono formati nei nostri laboratori si rifugiano all’estero per sfuggire al precariato, soprattutto quando si tratta di quelli migliori.Di fronte a ciò soltanto dei discorsi, delle promesse, comitati di esperti, riorganizzazioni a non più finire per non affrontare il problema: il motivo della guerra, il denaro!
E’ in questo contesto che l’idea di REVAMOTO assume significato: un segnale forte per dare sviluppo alla ricerca. Per i nostri ricercatori un segnale per perseverare e amplificare ancora i nostri sforzi. Per coloro che prendono decisioni in alto loco, un segnale affinché finalmente capiscano il semplice messaggio dei malati, dei loro famigliari e di tutti coloro che sono solidali coi ricercatori: il futuro del paese, la lotta contro i flagelli e le malattie, passano attraverso lo sviluppo della ricerca, da quella più basica a quella più applicata.
In questa lotta contro la malattia è utile ogni centesimo, ogni euro raccolto, per ciò che rappresenta. Questo denaro sarà devoluto interamente alla ricerca scientifica condotta dall’Ospedale Robert Debré per la lotta contro l’Atassia di Friedreich.
Come non ringraziarvi!
Il gruppo di ricerca dell’Ospedale Robert Debrè che si occupa di Atassia di Friedreich.
Paul Benit, Emmanuel Dassa, Sergio Goncalves, Isabelle Husson, Sandrine Loublier, Vincent Paupe e Pierre Rustin
Predictors of progression in patients with Friedreich ataxia
Alison La Pean, MS, CGC 1 *, Neal Jeffries, PhD 2, Chelsea Grow, DO 3, Bernard Ravina, MD, MSCE 4,
Nicholas A. Di Prospero, MD, PhD 1
1Neurogenetics Branch, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA 2Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA 3Memorial Neurosciences, Gulfport, Mississippi, USA 4Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA
Friedreich ataxia is an inherited, progressive, neurodegenerative disorder that is clinically heterogeneous. It is caused by a trinucleotide (GAA) repeat expansion resulting in frataxin loss and oxidative stress. We assessed clinical features including the development of cardiomyopathy and scoliosis and disease progression including loss of ambulation and interference with activities of daily living relative to the length of the GAA repeat, age of onset, and age of diagnosis in a retrospective cohort study of 61 genetically confirmed patients. The use of antioxidants such as vitamins, dietary supplements, and idebenone was also examined. Linear regression and Cox proportional hazard models assessed predictors to disease milestones. The shorter GAA allele accounted for part of the variability in the age of diagnosis (46%) and less in the age of onset (27%). Multivariate analysis demonstrated that age at diagnosis, which may incorporate other genetic and environmental factors, is more important than GAA length in predicting cardiomyopathy, scoliosis, and disease progression.
IGBMC (Institut de Génétique et de Biologie Moléculaire et Cellulaire), 1 rue Laurent Fries BP 10142, Illkirch, F-67400 France.
Deficiency in the nuclear encoded mitochondrial protein frataxin causes Friedreich ataxia, a progressive neurodegenerative disorder associating spinocerebellar ataxia and cardiomyopathy. Although the exact function of frataxin is still a matter of debate, it is widely accepted that frataxin is a mitochondrial iron chaperone involved in iron-sulfur cluster and heme biosynthesis. Frataxin is synthesized as a precursor polypeptide, directed to the mitochondrial matrix where it is proteolytically cleaved by the mitochondrial processing peptidase (MPP) to the mature form via a processing intermediate. The mature form was initially reported to be encoded by amino acids 56-210 (m(56)-FXN). However, two independent reports have challenged these studies describing two different forms encoded by amino acids 78-210 (m(78)-FXN) and 81-210 (m(81)-FXN), respectively. Here, we provide evidence that mature human frataxin corresponds to m(81)-FXN, and can rescue the lethal phenotype of fibroblasts completely deleted for frataxin. Furthermore, our data demonstrate that the migration profile of frataxin depends on the experimental conditions, a behaviour which most likely contributed to the confusion concerning the endogenous mature frataxin. Interestingly, we show that m(56)-FXN and m(78)-FXN can be generated when the normal maturation process of frataxin is impaired, although the physiological relevance is not clear. Furthermore, we determine that the d-FXN form, previously reported to be a degradation product corresponds to m(78)-FXN. Finally, we demonstrate that all frataxin isoforms are generated and localized within the mitochondria. The clear identification of the N-terminus of mature FXN is an important step for designing therapeutic approaches for Friedreich ataxia based on frataxin replacement.
PMID: 18725397 [PubMed - as supplied by publisher]
Je me permets une brève apparition pour vous donner quelques infos sur l'association REVAMOTO, Rechercher, Espérer, & Vaincre l'Ataxie à moto.
Après 6 mois d'existence, et en complément du travail incomparable de l'AFAF, les motards continuent de se mobiliser contre l'AF. Nous verserons un second chèque de 5.000 euro à Mr Pierre RUSTIN de l'Inserm dans quelques jours.
Pour ceux qui connaissent, ou voudraient découvrir ce monde de la moto, je rappelle que le prochain BOL D'OR (13 &14 septembre 2008) portera les couleurs du combat contre cette maladie... En effet, les 2 motos championnes du monde en endurance moto porteront les autocollants "Rechercher, Espérer & Vaincre l'Ataxie" sur leur carénages pendant les 24h que dure la course.
Epreuve mythique et soeur jumelle des 24h du mans, le BOL D'OR se déroule à Magny Cours prés de Nevers, et affichera son soutien à tous les malades AF au travers de l'équipe championne du monde aux couleurs SUZUKI. Le team s'appelle le S.E.R.T, c'est le Team me plus connu et le plus titré du championnat du MONDE d'endurance...autant dire que tous les malades de l'AF et ceux qui se battent auront de bonnes raisons d'être fiers...
Je suis très ému à l'idée hautement symbolique de voir que le combat contre l'AF fédère de tels champions, et c'est rempli d'espoir pour tous nos proches ou enfants AF que je vous invite à soutenir l'équipe du SERT. Je fais le voeu qu'une de nos 2 motos du SERT sera une fois de plus sacrée championne du monde à l'issue de cette ultime épreuve 2008 du championnat du monde d'endurance.
Soutenons les 2 motos GSXR du SERT, parce qu'ils rouleront pour nous et prendront tous les risques pour vaincre cette année encore!!!!
Merci de votre attention. Bien amicalement et motardement vôtre. Stéphane TOTH Revamoto. http://www.revamoto.com/
PS: merci également à Sylvie, la maman de Colin et Ninon (AF tous les 2) qui organise un week end moto le 7 septembre en franche comté pour soutenir le combat contre l'AF. Pas moins de 7 side car, 1 trike, 1 quad et une bonne vingtaine de motards viendront ensoleiller ce week end...
Lettre du Professeur Pierre RUSTIN, chercheur à l'INSERM(03/06/2008)
REVAMOTO: C’est vraiment l’heure! En ce début de siècle, nous vivons un moment très particulier dans la lutte contre l’Ataxie de Friedreich. En effet, après la découverte du gène responsable de cette maladie en 1997 (gène qui contient l’information nécessaire à la production d’un petit constituant des cellules, appelé la frataxine), puis celle des conséquences des anomalies dans ce gène (le plus souvent une expansion anormale qui provoque une sorte d’enroulement du gène et en perturbe la lecture), le monde de la recherche est en face d’un défi encore plus grand: trouver une solution pour lutter contre la maladie ! De fait, ce sont de nombreuses équipes de recherches qui à travers le monde focalisent leurs activités sur cet objectif. A ce jour, cinq approches ont été proposées qui visent des étapes différentes dans ce que nous pensons savoir de la maladie: permettre une meilleure lecture du gène par des molécules susceptibles de dérouler le gène (aux USA); augmenter la fabrication de la frataxine en utilisant le gène tel qu’il est (en Autriche); piéger le fer qui est peut être en excès dans certains compartiments des cellules (les mitochondries, compartiments où l’étape finale de la combustion des aliments produit l’énergie pour toute la cellule et tout l’organisme) (en France) ; piéger avec un médicament (l’idébénone ou Mnesis) les composés dangereux de l’oxygène (les fameux radicaux libres) qui sont sans doute responsables d’une partie de la maladie (en France); augmenter les défenses de l’organisme contre les radicaux libres (essai de la Pioglitazone) (en France). Oui vous avez bien lu: trois des cinq approches sont développées en France par nos équipes de recherche! De quoi démentir les discours sur la prétendue non compétitivité de nos équipes en France. Et pourtant tout n’est pas simple pour la recherche dans notre pays car les moyens manquent: la recherche coûte cher au jour le jour, les machines coûtent souvent des prix exorbitants, les étudiants formés dans nos laboratoires se réfugient à l’étranger pour fuir la précarité et ce d’autant plus facilement qu’ils sont excellents… Face à cela, seulement des discours, des promesses, des comités d’expertise, des réorganisations à n’en plus finir pour ne pas traiter le problème: le nerf dela guerre, l’argent ! C’est dans ce contexte que l’idée de REVAMOTO prend tout son sens : un signal fort pour développer la recherche. Pour nous chercheurs, un signal pour persévérer et amplifier encore nos efforts; Pour ceux qui décident en haut lieu, un signal pour qu’ils entendent enfin le message simple des malades, de leur familles et de tous ceux qui sont solidaires des chercheurs: L’avenir du pays, la lutte contre les fléaux et les maladies, passent par le développement de la recherche, de la plus fondamentale à la plus appliquée. Dans ce combat contre la maladie, tout centime, tout euro collecté, de par ce qu’il représente est utile. Il va intégralement à la recherche scientifique menée à l’Hôpital Robert Debré pour lutter contre l’ataxie de Friedreich. Comment ne pas vous remercier ! L’équipe de Recherche de l’Hôpital Robert Debré travaillant sur l’Ataxie de Friedreich. Paule Bénit, Emmanuel Dassa, Sergio Goncalves, Isabelle Husson, Sandrine Loublier, Vincent Paupe et Pierre Rustin
ST.John's church Joins hands in Ataxia awareness programme by SAMAG
By Chandu George
SEEK A MIRACLE ATAXIA GROUP (India)
A very warm welcome and greetings to all,
ST.John's Church in India under the Parish Priest, Pious Thomas Invited SAMAG to share awareness on Ataxia among the community on august 24, 2008, SEEK A MIRACLE ATAXIA GROUP (India) which is an support group working for the cause Ataxia in India, with its objectives as raising awareness to provide information on Ataxia and to work for the welfare of Ataxia victims in India.
The Ataxia awareness Programme started with an Introduction from parish priest Pious Thomas who first questioned all the members "Has anyone heard about ATAXIA". He asked thrice and the silence itself explained that no one was aware about it, and then Priest Pious Thomas invited Chandu George of SAMAG to share words on Ataxia.
Later the Ataxia awareness meeting progressed with Chandu George explaining to members what Ataxia is, such as its symptoms, causes and types of Ataxia etc and asking community members to come forward and support the Ataxia cause and endorse the views of SAMAG to share help for Ataxia members in India.
The meeting ended on an emphatic note by the community members and parish priest enthusiastically and eagerly accepting the awareness on Ataxia and joined hands to support SAMAG.
Gary Horton Posted: Aug. 26, 2008 3:33 p.m. Updated: Aug. 27, 2008 4:30 a.m. My sister, Cathy Horton Bagnall, recently passed away after a long, stoic battle with Machado-Joseph Disease. Cathy, once active and vibrant, had been reduced by this inherited illness to a life defined by paralysis, wheelchairs and hospital beds.
The weeks before and after her passing have been deeply reflective for us. One night at dinner with Carrie before Cathy died, the thought crossed my mind, "The things present on our respective tables express the disparity our contrasting genetic fortunes have wrought." At our home, our table was graced with the good things of life. Green salads with bright tasty vegetables. Grilled savory chicken. Two pleasant glasses of wine. Hard work and good health have brought us - fortunate lives.
At sister Cathy's home, her scene, while once like ours years ago, had decayed to something starkly different. Her table had become a bed stand, and her life's fortune reduced to a hospital bed. The things on her table were Morphine drops, Adavan, Pedialyte and small cups with straws and spoons. Cathy couldn't eat solids anymore. Fluids were fed to her with a thickening agent so she could take them without choking. Hers was a life where hard work had built a once rewarding life, but an illness completely outside her control had stripped it all away.
Cathy was in the final stages of Joseph's Disease. It's a progressive genetic neurological ataxia, passed from parent to child. Each offspring faces a 50-50 chance of inheriting the mutant gene and disease. Symptoms appear in the late 20s, leading to profound disability, and then to death by mid-life. Cathy lost on the spin of this awful genetic lottery through no fault of her own. Sister Adria and I both got a lucky pass. We don't have it, and we can't pass it on.
Cathy had lived productively and vibrantly - all the way until about 10 years ago. After high school she took up a job at the LAPD Department of Records. She'd do records research for police officers who called in, giving them the facts they needed on duty in the field. She dated, married a policeman for a brief time, and enjoyed her career at work and her family and friends at home. She had constructed what was, in fact, a fortunate and well-earned life.
But despite hard work and healthy living, by her late 30s, the ataxia caught up with her and began its relentless assault. Cathy developed an awkward gait. Jagged hand motions. Slurred speech. First came a cane, and then came the walker. By 51, Cathy's motor functions had deteriorated such that she suffered two auto accidents and the DMV revoked her license. Determined to be self-sufficient, she worked for another year at the LAPD, with coworkers driving her to the office. But soon her speech became so compromised she could no longer fulfill her duties. She was dismissed with reduced retirement benefits and left to face a terminal disease, medical bills, and a $2,800 a month home mortgage payment.
We bought her an electric cart and refitted her home, and for a couple of years, independent-minded Cathy cared for herself, riding around Valencia's convenient paseos - shopping, visiting, and carving out a newly motorized life. But as the disease progressed, Cathy lost her ability to walk or stand at all.
Determined not to burden others, Cathy kept secret that at home she crawled from room to room to get around. After a dangerous fall, Cathy tearfully confided with Carrie she could no longer get by alone. By God's grace and good fortune, we found "Pinkie" - a wonderful caregiver who moved in with Cathy at her home, providing 24-hour care.
Few sufferers of disabling disease have the otherwise good fortune of living in their own homes with constant care, and surrounded with loving family members. In this much, Cathy was indeed fortunate, as her family supported her completely.
Cathy's decline accelerated quickly over the past month. Last week she became fully paralyzed, unable to even swallow. Cathy passed away in her sleep on Aug. 15 at 1:50 a.m. Our family got the call from Pinkie at 2 a.m., and we met and huddled at Cathy's home. The hospice nurse arrived at 3:30 a.m. to declare her passing. The morticians followed at 6:00 a.m. Two dark-suited men respectfully carried Cathy's withered body from her bed to a gurney, and from the gurney to a white van. And then they drove Cathy away and we were left alone in Cathy's empty house. Ataxia claimed another body, but it never claimed Cathy's spirit. Just four short weeks prior, Cathy, by then mostly paralyzed, went with Pinkie by wheelchair to the Town Center Mall to see "Sex and the City." She couldn't move, but she could still see, hear - and moan out a laugh.
Our hearts are forever changed, having traveled that hard road with Cathy. We feel such empathy for the hundreds of thousands of Americans stricken by profound disease and disability - through no fault of their own. Cathy kept her dignity and meaning with the help of a loving family that had sufficient resources. But many either don't have the family or don't have the money. What becomes of these, when their bodies give out - and finances can't keep up? In my younger years, when my father suffered and died of the same disease, I saw first-hand how these people can be warehoused for death, isolated from any meaningful sense of life.
And I wonder, as our national health care debate draws front and center in the coming years, if America, for all her greatness, can't find a way to care less for war and more for its ailing citizens. Cathy served the citizens of Los Angeles for nearly 30 years and was left to fend for herself with a reduced pension.
What about all the others? Can fortunate American share maybe just a little more with our less fortunate? Isn't proper care for our sick and suffering at least as patriotic as this or that foreign adventure? Those suffering fates like Cathy give testimony to our need to rethink national priorities and sensibilities.
Gary Horton lives in Valencia. His column reflects his own views, not necessarily those of The Signal.
Subject:[FA_babelFAmily] ITA:Therapy with pulsed magnetic fields
Therapy with pulsed magnetic fields.
For about a month, I have had a device in my home called the Medithera Home to provide therapy with pulsed magnetic fields—I’m satisfied with it and wanted to let you all know what I’ve been able to experience personally.
I became aware of this type of therapy thanks to the information shared through BabelFAmily about the Viofor, a product distributed in France, which had been discussed on the French mailing list of AFAF [French Association for Friedreich’s Ataxia].
Sandrine, a patient with FA, informed us of the progress she had made thanks to using that device.
So I invited Daniel Cau, a French distributor, to do a presentation on this product during a meeting organized in Genoa, Italy, on May 10, 2008, by AISA-Liguria [a regional chapter of the Italian Association for Ataxic Syndromes].
The Viofor was the object of a great deal of interest, and I was planning on getting one.
In the meanwhile, I discovered that there was a product similar to the Viofor, the Medithera Home, which has a sales representative in Italy.At that time, Medithera Home was being tested at the AISM center in Genoa [one of the Italian Multiple Sclerosis Society’s rehabilitation centers] with a double-blinded study on fatigue in patients with multiple sclerosis.
The Medithera Home consists of a control console that produces a pulsed magnetic field in the applicator, which is a mat to lie down on with a small cushion to position on the part of the body to be treated.The treatment can be carried out in various modalities, based on the needs.
My son Stefano (FA, age 30) is using this therapy in the morning and in the evening.
Right away he noticed an improvement in the quality of his sleep.Now he sleeps calmly, and the contractions he had in his legs, as well as the cramps, have diminished significantly.Before, I had often needed to stretch his legs during the night.Sometimes the contractions affected his entire body, including his hands and chest, and they could even block his diaphragm and obstruct his breathing.Every night he took one and a half 0.25-mg tablets of Lioresal (Baclofen) along with Valium in order to sleep and to relax.
But since a month ago, he no longer takes Valium, and he even sleeps 7-8 hours in a row.This is just the first benefit, clear and measurable.
There are other positive effects, such as the fluidity of the blood and visual flashes--Stefano no longer sees much at all—however, I still need to verify this effect in order to know if the flashes persist and if they are really a result of the pulsed magnetic fields.
I’m also using the Medithera Home myself, and starting with my first session, the headache I’d had for a full week disappeared.
Periodically I suffer with migraines and vasomotor headaches, but with this treatment, my episodes are less frequent.
In addition, I have dislocated wrists, and I have tendonitis in the left wrist.Now the tendonitis is gone and I can use my hands to bear weight and to help my son and daughter [who also has FA] to transfer without any problems.
We also have a friend with FA, Eva Aronelius, who suffers from diabetes.She has used the Medithera Home for over a month.She too is now able to sleep deeply and without contractions.In addition, she has noticed a reduction in her glycemic peaks, and she is using less insulin.
Magnetotherapy will not cure ataxia, but I have reason to believe that it contributes to a much better quality of life for ataxic persons.
Biorm e pazienti con Sclerosi Multipla e fatica primaria
Associazione Italiana Sclerosi Multipla-Servizio di Riabilitazione
Consform
La fatica primaria è un sintomo frequente nella SM che colpisce il 75-95 % dei pazienti con SM.
La fisiopatologia della fatica primaria nella SM è sconosciuta. Alcuni studi affermano che il meccanismo della fatica primaria può essere in relazione con livelli multipli nell’organizzazione neuronale, essendo in connessione, allo stadio iniziale, con il funzionamento dell’attività della corteccia cerebrale e, quindi, con la contrazione muscolare. (Enoka and Stewart 1992.; Kent-Brown at al 1994.; Sandroni et al 1992.; Roelcke et al 1997).
L’obiettivo dello studio è quello di verificare l’efficacia clinica dei campi elettromagnetici pulsanti a bassa intensità nella fatica primaria nei pazienti SM.
Verranno selezionati 50 pazienti che progressivamente accedono al servizio di Riabilitazione AISM di Genova affetti da SM che lamentano il sintomo fatica, deambulanti con EDSS < 7, in fase stabile(non ricadute da almeno 6 mesi ) di cui vengano escluse cause secondarie di fatica attraverso una valutazione anamnestica e clinica.
Verranno esclusi pazienti con patologie concomitanti che possono interferire con la partecipazione o con la sintomatologia stessa (gravi disturbi cognitivi, disturbi psichiatrici, patologie cardiovascolari, patologie respiratorie, ecc).
Lo studio è in doppio cieco e prevede che un gruppo venga trattato con BIORM (25 pazienti) e un gruppo con placebo (25 pazienti) tramite assegnazione randomizzata. Segue un periodo di wash out di 4 mesi e successivamente i pazienti che erano stati sottoposti a trattamento attivo saranno sottoposti al placebo e viceversa.
Entrambi i gruppi saranno trattati per 24 minuti per sessione, per 24 sessioni, almeno tre volte alla settimana.
I pazienti sono sottoposti prima e dopo il ciclo a: Time Walking Test, Visual Analogue Test (VAS), Modified Fatigue Impact Scale (MFIS) e Fatigue Severity Scale (FSS).
Attualmente sono stati reclutati 39 pazienti che sono in trattamento, 15 hanno terminato le sessioni e 4 sono stati i drop out.
14 pazienti riferiscono un beneficio dopo il trattamento, solo un paziente dichiara nessun effetto. I dati statistici verranno analizzati alla fine dello studio. Le motivazioni del drop out sono state: in un paziente si è evidenziato un incrementato della spasticità degli arti inferiori (Ashworth da 2 a 3); un paziente ha interrotto le sedute per motivi personali; un paziente ha interrotto per una ricaduta clinica di malattia; il quarto paziente ha riferito il manifestarsi di dolori agli arti immediatamente dopo le sedute che perduravano il giorno seguente il trattamento, inoltre, descriveva un peggioramento della ritenzione urinaria con relativa necessità di eseguire autocateterismo intermittente immediatamente dopo la seduta.
Desarrollan una píldora minúsculacapaz de liberar antioxidantes dentro del organismo.
Tamara McLean
26 agosto 2008
Investigadores australianos desarrollan una píldora de nanodimensiones, capaz de liberar, como un caballo de Troya, potentes antioxidantes dentro del organismo.
Esta partícula en miniatura, del grosor de una milésima de un cabello humano, ofrece nuevas esperanzas para que el organismo puedaasimilar de forma más eficaz algunas sustancias terapéuticas presentes en alimentos como el té verde o el chocolate.
Los científicos esperan que esta píldora llegue a ser un instrumento eficaz para combatirpatologías degenerativas.
Se ha demostrado en reiteradas ocasiones que los antioxidantes , además de las vitaminas, carotenoides y flavonoides, mejoran el estado de salud, al neutralizar los efectos nocivos provocados por los radicales libres.
Pero los antioxidantes se destruyen fácilmente por los ácidos y enzimas presentes en el intestino, queabsorbe sólo un pequeño porcentaje de lo que consume.
Mientras esto es suficiente en individuos sanos, para las personas con un alto riesgo de padecer diabetes, patologías cardíacas o Alzheimer, es necesario poder acceder a una reserva continua de antioxidantes que el organismo no puede proporcionar.
El Dr. Ken Ng yel Dr. Ian Larson, de la Facultad de Farmacia de la UniversidadMonash de Melbourne, creen haber encontrado la solución a este problema gracias a una minúscula partícula de aspecto esponjoso, capaz de fijarse por completo al antioxidante, y que está compuesta por una sustancia extraída del caparazón del cangrejo.
“Los antioxidantes se colocan en el interior de este minúsculo caballo de Troya, donde permanecen protegidos de los ataques de los jugos gástricos” afirma el Dr. Larson.
“Estas partículas en miniatura, una vez que llegan al intestino delgado, se vuelven viscosas y se adhieren a la pared intestinal. Liberan su contenido directamente a las células del intestino para ser absorbido inmediatamente por el flujo sanguíneo.”
Perfeccionando esta técnica, los científicos esperan aumentar la eficacia de los fármacos y suplementos vulnerables durante el proceso digestivo.
Esta técnica se experimentará en ratas, con la esperanza de que en el futuro estas partículas se puedan cargar deantioxidantes y añadirlas a los productos alimentarios.
“Las personas con alto riesgo de patologías degenerativas, tales como la enfermedad de AlzheimeryParkinson, o que hayan sufrido un ictus con riesgo de recaída, necesitan proteger los tejidos con antioxidantes para ralentizar el curso de la enfermedad” afirmó el Dr. Ng.
“Estamos sólo al principio, pero creemos haber descubierto un sistema nuevo para reforzar nuestroorganismo.”
Cuban Eastern Province Advances Research on Hereditary Ataxias
By Hilda Pupo / Tuesday, 26 August 2008 / hildita@...
The Centre for Research and Rehabilitation for Hereditary Ataxias (CIRAH) in the eastern province of Holguin, will in a month conclude the second clinical trial to complete another decisive step for the future of this medical Institution.
Its main challenge now is to achieve a biochemistry multi-therapy combined with neuro-rehabilitation, to modify the significant changes in patients with alterations caused by the disease.
Dr. Luis Velasquez, director of CIRAH, said that there are many years of experience with day to day monitoring hundreds of patients, which enables the search for drug alternatives that could improve the quality of life of patients, because up to now, the way forward was not the cure, but mitigate the limiting effects caused by the disease.
The test involves administering a Cuban oral antioxidant for six months (April-September), together with neuro-rehabilitation. The test has been carried out on 20 patients from six health care districts in the city of Holguin, including the CIRAH department.
Previous to this experiment, scientists carried out a test for one year consisting of the supplementation of zinc sulphate to 33 patients suffering from Ataxia SCA2 (as in previous studies the levels were much lower in the blood serum and in the cerebrospinal fluid).
According to Dr. Velasquez, the research showed an increasing presence of zinc in the blood serum up to 22.87 millimoles per litre, and in the cerebrospinal fluid from 0.03 milligrams per litre to 0.018.
Patients treated achieved better coordination, motion, balance and cognitive functions (attention, concentration, memory) and executive actions.
The test also showed progress on the immune system, and the electrophysiological studies related to degeneration of the peripheral nervous system, showed a tendency towards stability.
It was thought that Zinc, being the most abundant trace element in the nerve tissue after iron, and whose decline could have an impact on the progressive development of this disease, with molecular basis associated with neuro-toxicity processes.
It is known that Hereditary Ataxias makes up a group of neurodegenerative disorders, which are characterized by progressive ataxia in motion, among other characteristics, due to the degeneration of the cerebellum.
The most common ataxia in Cuba is the spinocerebellar ataxia type 2 (SCA2). In our country there are 101 families affected by the disease and it has been diagnosed in more than 1,600 patients both dead and alive.
Numerous institutions in Holguin have joined CIRAH in achieving these therapeutic targets, such as the Centre of Research and Development of Medicines (CIDEM), the Hospital of Natural and Traditional Medicine as well as the Institute of Pharmacy and Food (IFAL) and now involves the Center of Pharmaceutical Chemistry, the Health Care Districts of the city and the Lucia Iñiguez Clinical Surgical Hospital, among others.
The CIRAH, where more than 90 percent of patients in Cuba have been treated, provides the opening of a department of neuropathology, which makes it one of the largest centres of this type in Latin America.
At the 3rd International Congress on Hereditary Ataxias, scheduled for October in Holguin, world scientists who attend the event can have the opportunity of seeing what has been achieved here in the research on the modifier genes and molecular biology from the geonome level, aimed at improving the quality of life for patients suffering from Ataxia in Cuba and people with risks of contracting the disease.
Asunto: [FA_babelFAmily] : Terapia con campos magnéticos pulsantes
Terapia con campos magnéticos pulsantes
Desde hace aproximadamente un mes tengo en casa un aparato de terapia con campos magnéticos pulsantes, el Medithera Home, del cual estoy satisfecha y por eso deseo informaros a todos de lo que he experimentado personalmente.
Me enteré de la existencia de este tipo de terapia a través de la información difundida por babelFAmily sobre el Viofor, un aparato distribuido en Francia y del que se hablaba en la lista de correo de la Asociación Francesa de Ataxia de Friedreich (AFAF).
Sandrine, una paciente con Ataxia de Friedreich, informaba sobre sus progresos gracias a la utilización de este aparato.
Entonces invité a Daniel Cau, su distribuidor francés, a presentar el producto en Génova, durante un meeting organizado por AISA Liguria, el pasado 10 de mayo.
El Viofor suscitaba un interés notable y yo tenía la intención de adquirirlo.
Posteriormente descubrí que había un producto similar al Viofor, y que tenía representante en Italia, el Medithera Home, con el que se estaba llevando a cabo un estudio a doble ciego sobre la fatiga en pacientes con Esclerosis Múltipleen el Centro AISM de Génova.
El Medithera Home consta de un instrumento de control que emite un campo magnético pulsante en el aplicador, una colchoneta sobre la que se tumba el paciente y un cojín que se coloca sobre las zonas a tratar.
El aparato se puede activar de diferentes modos, según las distintas necesidades.
Mi hijo Stefano (de 30 años con Ataxia de Friedreich) hace dos sesiones con esta terapia por la mañana y por la tarde.
Pronto se manifestó una mejoría en la calidad del sueño. Ahora duerme sereno y las contraccionesy calambres en piernashan disminuido notablemente. A menudo durante la noche, necesitaba hacer estiramientos de piernas. A veces, las contracciones le afectaban a todo el cuerpo, incluidos las manos y el pecho, llegando incluso a bloquear el diafragma y obstaculizar la respiración. Cada noche tomaba una pastilla y media de Lioresal de 0,250 mg (Baclofen) además del Valium para poder relajarse y dormir.
Desde hace un mes no toma ya Valium y duerme hasta 7-8 horas de un tirón.
Este es el primer beneficio, mensurable y evidente.
Hay otros efectos como la fluidez de la sangre y flash visuales, que sin embargo debo todavía verificar para comprobar si sonestables y si realmente se deben a la terapia magnética.
También yo estoy usando el Medithera Home y desde la primera aplicación se me quitó el dolor de cabeza que tenía desde hacía una semana.
Hace tiempo que sufro migrañas, cefaleas vasomotoras, pero con esta terapia los episodios han remitido.
Además tengo luxación de muñecas y una tendinitis en la muñeca izquierda. Ahora la tendinitis se me ha curado, y consigo incluso levantar peso y ayudar a mis hijos a desplazarse sin problemas.
También una amiga nuestra, Eva Aronelius, que padece diabetes y tiene Ataxia de Friedreich, lleva más de un mes usando el Medithera Home. También ella consigue reposar profundamente, sin tener contracciones. Además, al conseguir reducir los picos glucémicos, necesita menos insulina.
La terapia con campos magnéticos pulsantes no cura la ataxia, pero tengo fundados motivos para creer que mejora netamente la calidad de vida de los pacientes con ataxia.
Objet: [FA_babelFAmily] ITA: Thérapie avec champs magnétiques pulsés
Thérapie avec champs magnétiques pulsés
Depuis environ 1 mois, j’ai à la maison un appareil pour la thérapie avec champs magnétiques pulsés, le «Medithera Home», j’en suis satisfaite et j’ai souhaité vous informer tous de ce que j’ai pu expérimenter personnellement.
J’ai eu connaissance de ce type de thérapie grâce aux informations diffusées à travers BabelFAmily sur le Viofor, un produit distribué en France et dont on parlait sur la liste de diffusion Française de l’AFAF.
Sandrine, une patiente atteinte de l’AF, nous informait des progrès obtenus grâce à l’utilisation de cet appareil.
J’ai alors invité Daniel Cau, distributeur français, à présenter ce produit à Gênes à l’occasion d’une réunion organisée par l’AISA Ligurie, le 10 Mai dernier.
Le VIOFOR a suscité beaucoup d’intérêt et j’avais l’intention de l’acquérir.
Entre temps, j’ai découvert qu’il yavait un produit similaire au VIOFOR, qui avait un représentant en Italie, le «MEDITHERA HOME» et qu’il était expérimenté en ce moment à Gênes (Italie) au centre AISM avec une étude en double aveugle sur la fatigue chez les patients atteints de scléroses multiples.
Le MEDITHERAHOME est constitué d’un instrument de contrôle qui produit un champ magnétique pulsé, d’un matelas pour s’allonger et d’ un petit coussin à positionner sur les parties à traiter.
Le traitement peut être réalisé de diverses manières, en fonction des besoins.
Matins et soirs mon fils Stefano (AF, 30 ans) utilise cette thérapie.
Il a tout de suite remarqué une amélioration de la qualité de son sommeil. Maintenant, il dort calmement et les contractions qu’il avait dans les jambes ainsi que les crampes ont diminué de manière importante. Souvent, la nuit il fallait luiétirer les jambes. Parfois, les contractions se transmettaient à tout le corps, y compris aux mains et au thorax, et arrivaient même à bloquer le diaphragme et à gêner sa respiration. Chaque soir il prenait un cachet et demi de Lioresal (0.250mg de Baclofen) et du Valium pour dormir et se détendre.
Depuis un mois, il ne prend plus de valium et dort même 7 à 8 heures de suite. Ceci est le premier bénéfice mesurable et évident.
Il y a d’autres effets positifs comme la fluidité du sang et des flashes visuels (Stefano ne voit presque plus) que cependant je dois encore vérifier pour savoir s’ils persistent et sont vraiment produits par la thérapie magnétique.
Moi aussi j’utilise le Medithera Home et dès la première séance le mal de tête dont je souffrais en permanence depuis une semaine a disparu.
Par périodes je souffre de migraines, de céphalées vasomotrices, mais avec ce traitement les épisodes ont diminué.
De plus, j’ai les pouces luxés et j’ai une tendinite au poignet gauche. Maintenant la tendinite est passée et j’arrive à soulever du poids et à aider mon fils et ma fille à faire leurs transferts sans problème.
Nous avons aussi une amie, Eva Aronellus, AF, qui souffre de diabète. Elle utilise le Medithera Home depuis plus d’un mois. Elle aussi maintenant arrive à dormir profondément et sans contractions. De plus, elle a remarqué une réduction des pics glycémiques et elle utilise moins d’insuline.
La thérapie par champs magnétiques ne guérit pas l’Ataxie, mais j’ai beaucoup de raisons de croirequ’elle contribue à une qualité de vie nettement meilleure pour les malades ataxiques.
Messa a punto una minuscola pillola in grado di liberare antiossidanti nell’organismo
Tamara McLean
26 agosto 2008
Ricercatori australiani hanno messo a punto una pillola di nanodimensioni che, come un cavallo di Troia, libera potenti antiossidanti.
Questa particella miniaturizzata, spessa un millesimo di un capello umano, offre nuove speranze per rendere più efficacemente assimilabili alcune sostanze terapeutiche presenti in alimenti quali il thé verde o il cioccolato.
Gli scienziati sperano che questa pillola si riveli un importante strumento per combattere le patologie degenerative.
E’ stato più volte dimostrato che gli antiossidanti, inclusi vitamine, carotenoidi e flavonoidi, favoriscono una migliore salute in quanto neutralizzano gli effetti nocivi dei radicali liberi.
Gli antiossidandi vengono però distrutti facilmente da acidi ed enzimi presenti nell’intestino, in cui viene assorbita solamente una piccola percentuale di ciò che si è consumato.
Mentre ciò è normale per gli individui sani, per le persone ad alto rischio di sviluppare il diabete, patologie cardiache o morbo di Alzheimer è necessario poter accedere a una riserva continua di antiossidanti che l’organismo non è in grado di offire.
Il Dr Ken Ng e il Dr Ian Larson, della facoltà di farmacia dell’Università Monash di Melbourne, pensano di aver trovato la soluzione a questo problema grazie a una particella miniaturizzata di tipo spugnoso che avvolge interamente l’antiossidante, composta da una sostanza ricavata dall’esoscheletro del granchio.
Gli antiossidanti vengono collocati all’interno di questo minuscolo cavallo di Troia, dove rimangono protetti dagli attacchi dei succhi gastrici” ha affermato il Dr Larson.
“Queste particelle miniaturizzate, una volta giunte nel piccolo intestino, diventano viscose e si attaccano alla parete intestinale. Qui il loro contenuto viene versato direttamente nelle cellule dell’intestino per poi essere assorbito interamente dal flusso sanguigno”.
Attraverso il perfezionamento di questa tecnica, gli scienziati sperano di rendere maggiormente assimilabili dall’organismo i farmaci e i complementi alimentari normalmente attaccati durante la digestione.
Questa tecnica verrà sperimentata sui topi, con la speranza che un giorno queste particelle possano essere colmate di antiossidanti e aggiunte ai prodotti alimentari.
“I soggetti ad alto rischio di patologie neurodegenerative, quali il morbo di Alzheimer o il morbo di Parkinson, o che hanno avuto un ictus e ne rischiano un altro, necessitano di proteggere i propri tessuti con gli antiossidanti per rallentare il decorso della malattia” ha affermato il Dr Ng.
“Siamo solo all’inizio ma crediamo di aver trovato un nuovo sistema per rafforzare l’organismo”.
Scientists develop tiny pill to deliver antioxidants to the body
Tamara McLean
August 26, 2008 02:20pm
A NANO-sized pill that delivers enriching antioxidants into the body like a Trojan Horse has been developed by Australian scientists.
The miniature particle, one thousandth the thickness of a human hair, holds new hope as a vehicle to get healing substances found in foods like green tea and chocolate absorbed into the system more effectively.
Scientists hope the pill will help fortify the body against degenerative disease.
Studies have repeatedly shown that antioxidants, including vitamins, carotenoids and flavonoids, promote better health by neutralising the harmful effects of free radicals in the body.
But they are easily destroyed by acids and enzymes in the gut, leaving only a small percentage of what is consumed to be absorbed.
While this is sufficient for healthy people, those at high risk of developing diabetes, heart disease and Alzheimer's disease need a regular surge of protective antioxidants the body cannot currently get.
Dr Ken Ng and Dr Ian Larson, from the faculty of pharmacy at the Monash University in Melbourne, think they may have developed the answer with a tiny sponge-like nanoparticle made from a substance found in crab shells, that it wraps around the antioxidant.
"Antioxidants sit within this tiny Trojan Horse, protecting it from attack from digestive juices in the stomach,'' Dr Larson said.
"Once in the small intestine the nanoparticle gets sticky and bonds to the intestinal wall, and it then leaks its contents directly into the intestinal cells, which allows them to be absorbed directly into the blood stream.''
By mastering this technique, the scientists hope drugs and supplements also vulnerable to the digestive process can be better absorbed by the human body.
The technology will be tested on rats, with the hope that one day the particles could be loaded with antioxidants and added to food items.
"People who are at high risk of degenerative diseases like Alzheimer's and Parkinson's, or who have had a stroke and are at risk of another, need antioxidants in their tissues to protect them and slow the process,'' Dr Ng said.
"It's early days but we think we've got a new way to fortify the body in this way.''
Background: La cardiopatia clinica è stata riconosciuta nelle prime descrizioni dell’Atassia di Friedreich (AF). Le manifestazioni cardiache riportate per questa patologia neurologica progressivaincludonocardiomiopatia ipertrofica, cardiomopatia dilatata e disturbi elettrofisiologici. I dati longitudinali per i casi infantili sono limitati. Questo studio ha avuto lo scopo di definire il decorso longitudinale delle anomalie cardiache con la diagnosi di AF durante l’infanzia e di correlare la presenza della cardiomiopatia con fattori clinici e genetici.
Metodi: E’ stato messo a punto un grafico retrospettivo con interpretazione prospettiva a (doppio) cieco degli ecocardiogrammi e degli elettrocardiogrammi. Sono stati inclusi tutti i pazienti con una diagnosi di AF che hanno fatto riferimento al dipartimento di cardiologia di un unico istituto dal 1974 al 2004.
Risultati: Questo studio ha esaminato un totale di 113 ecocardiogrammi per 28 pazienti. In generale, il gruppo ha evidenziato un’ipertrofia a livello del ventricolo sinistro e una normale funzione sistolica con un valore medio z-score di 2.48 (range da -3.8 a 35.6) e una frazione di eiezione media (EF)* del 61% (range 23-81%). Su 28 pazienti 23 (82%) disponevano di due o più ecocardiogrammi. Il tempo medio trascorso dal più recente ecocardiogramma era di 5.1 anni (range 0.4 -16.5 anni). Molti pazienti (il 57%) hanno rivelato, nel corso di un follow-up longitudinali di coorte, cardiomiopatia ipertrofica in almeno un ecocardiogramma con una stima della disfunzione sistolica all’ultimo follow-up per il 38% dei pazienti. Col trascorrere del tempo vi è stata una lenta diminuzione non lineare nella funzione sistolica con una EF media che decresceva più rapidamente con l’aumentare dell’età (p=0.02) e si manteneva nel range normale fino all’età di 22 anni. Su 12 pazienti con disfunzione sistolica ed ecocardiogrammi di follow up, 10 hanno mostrato miglioramento a livello del range EF in almeno un ecocardiogramma e 5 sono rimasti normali all’ultimo esame. Nessuna variazione della funzione e della morfologia cardiaca era correlata alla lunghezza delle triplette GAA (il principale difetto genetico nella AF) o allo stato ambulatoriale. Un paziente ha richiesto un defribillatore fisso. Non ci sono stati decessi o trapianti di cuore.
Conclusioni: In generale, i pazienti con AF hanno una funzione cardiaca preservata con aumento della massa durante l’infanzia. Poiché molti pazienti con funzionalità sistolica ridotta mostrano miglioramenti nei controlli successivi, dovrebbe essere effettuata una valutazione delle potenziali cause di reversione dell’insufficienza cardiaca. La relativa stabilità clinica durante l’infanzia e il mantenimento della normale funzione sistolica nella seconda decade potrebbero essere utili per l’educazione dei pazienti e dei loro genitori.
PMID: 18716706 [PubMed - as supplied by publisher]
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Nota del traduttore:
* Frazione di eiezione (FE o EF): Il cuore è una pompa muscolare, ed è quindi in grado di produrre una forza e realizzare un lavoro. Questa forza ( e quindi la capacità di lavoro del cuore) può essere misurata con il seguente criterio:
Una pompa muscolare cardiaca che funziona normalmente,se a riposo riceve 100 cc. di sangue, deve essere in condizioni di pomparne via 70 cc. (frazione di ciò che viene eiettato, frazione di eiezione). Infatti il cuore non si svuota mai completamente, proprio per avere una riserva immediatamente utilizzabile in casi di emergenza.
Quindi laFE normale è 0,70 o 70%. Se la pompa muscolare cardiaca è danneggiata in una sua parte (infarto miocardico), oppure ha, in toto, una diminuzione del suo rendimento (cuore dilatato), la FE sarà ridotta. Si consideracritico un valore della FE inferiore al 30%.
Più basso è il valore della FE, maggiore è il rischio generale del paziente, in particolare in caso di intervento chirurgico, che per valori di FE molto bassi, può anche essere controindicato.
Neurologix Initiates Recruitment for Phase 2 Parkinson's Disease Trial
From the PharmaLive.com News Archive - Aug. 19, 2008
FORT LEE, N.J.--(BUSINESS WIRE)--Aug. 19, 2008 - Neurologix, Inc. (OTCBB:NRGX), a biotechnology company engaged in the development of innovative gene therapies for the brain and central nervous system, announced today that it has received Institutional Review Board approvals to begin recruiting and enrolling participants for its Phase 2 clinical trial of the company's gene transfer approach to the treatment of advanced Parkinson's disease. The study is designed to evaluate the safety and efficacy of a novel non-dopaminergic approach for reestablishing motor function in Parkinson's patients who are sub-optimally responsive to drug therapies.
The randomized, double-blind, sham-procedure controlled trial will involve up to 10 leading academic research centers across the United States, with the first sites being Massachusetts GeneralHospital and Wake Forest University Health Sciences. Neurologix expects to enroll a total of 40 study participants in the trial. Twenty participants will receive an infusion of the gene-based treatment bilaterally via a catheter temporarily placed in each subthalamic nucleus (STN) (a deep brain structure that is the main target of surgery to treat Parkinson's disease) by stereotactic surgery. The other 20 participants will receive sterile saline solution into a partial thickness burr hole made into the skull, with no brain infusion.
Study participants will be assessed for treatment effects by standardized Parkinson's disease ratings at multiple time points post-procedure. The primary endpoint for the study will be a clinical assessment of motor function at 6 months using the Unified Parkinson's Disease Rating Scale (UPDRS). All participants in the study will also be monitored for safety for 12 months following the gene transfer procedure. If the primary endpoint is met following the analysis of 6 month data, then the sham-control participants will be offered the opportunity to crossover into an open label study of the Neurologix gene transfer therapy if they continue to meet all entry, medical and surgical criteria.
"Parkinson's disease is a devastating illness for those patients whose symptoms are no longer well controlled by medication alone," said John Mordock, President and Chief Executive Officer of Neurologix. "We are very pleased to initiate this study, which may offer a new therapeutic option that is potentially disease modifying and more consistent with the brain's normal metabolic activity."
About the Neurologix Gene Transfer Approach to Parkinson's Disease
In Parkinson's disease, patients lose dopamine-producing brain cells, which results in substantial reductions in the activity and amount of GABA (gamma-aminobutyric acid), a major inhibitory neurotransmitter in the brain that helps 'quiet' excessive neuronal firing. This reduction in GABA causes a dysfunction in brain circuitry responsible for coordinating movement. GABA is made by a gene called glutamic acid decarboxylase, or GAD.
Neurologix's gene transfer approach to Parkinson's disease seeks to restore GABA -- and thus improve the patient's motor control -- by inserting the GAD gene back into an area of the brain called the subthalamic nucleus, a key regulatory center for movement.
About Neurologix
Neurologix, Inc. (NRGX.OB) is a clinical-stage biotechnology company dedicated to the discovery, development, and commercialization of life-altering gene transfer therapies for serious disorders of the brain and central nervous system (CNS). Neurologix's therapeutic approach is built upon the groundbreaking research of its scientific founders and advisors, whose accomplishments have formed the foundation of gene therapy for neurological illnesses. Current company programs address such conditions as Parkinson's disease, epilepsy and Huntington's chorea, all of which are large markets not adequately served by current therapeutic options. For more information, please visit the Neurologix website at http://www.neurologix.net.
This news release includes certain statements of the Company that may constitute "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and which are made pursuant to the Private Securities Litigation Reform Act of 1995. These forward-looking statements and other information relating to the Company are based upon the beliefs of management and assumptions made by and information currently available to the Company. Forward-looking statements include statements concerning plans, objectives, goals, strategies, future events, or performance, as well as underlying assumptions and statements that are other than statements of historical fact. When used in this document, the words "expects," "promises," "anticipates," "estimates," "plans," "intends," "projects," "predicts," "believes," "may" or "should," and similar expressions, are intended to identify forward-looking statements. These statements reflect the current view of the Company's management with respect to future events. Many factors could cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements that may be expressed or implied by such forward-looking statements, including, but not limited to, the following:
-- The Company is still in the development stage and has not generated any revenues. From inception through June 30, 2008, it incurred net losses and negative cash flows from operating activities of approximately $31.3 million and $25.0 million, respectively. Management believes that the Company will continue to incur net losses and cash flow deficiencies from operating activities for the foreseeable future. Because it may take years to develop, test and obtain regulatory approval for a gene-based therapy product before it can be sold, the Company likely will continue to incur significant losses for the foreseeable future. Accordingly, it may never be profitable and, if it does become profitable, it may be unable to sustain profitability.
-- At June 30, 2008, the Company had cash and cash equivalents of approximately $21.6 million, which management believes will be sufficient to fund the Company's operations through at least December 31, 2009. The Company does not know whether additional financing will be available when needed, or if available, will be on acceptable or favorable terms to it or its stockholders.
-- The Company will need to conduct future clinical trials for treatment of Parkinson's disease using the Company's NLX technology. If the trials prove unsuccessful, future operations and the potential for profitability will be materially adversely affected and the business may not succeed.
-- There is no assurance as to when, or if, the Company will be able to successfully receive approval from the FDA on its Investigational New Drug Application to commence a Phase 1 clinical trial for the treatment of epilepsy.
Other factors and assumptions not identified above could also cause the actual results to differ materially from those set forth in the forward-looking statements. Additional information regarding factors that could cause results to differ materially from management's expectations is found in the section entitled "Risk Factors" in the Company's 2007 Annual Report on Form 10-KSB. Although the Company believes these assumptions are reasonable, no assurance can be given that they will prove correct. Accordingly, you should not rely upon forward-looking statements as a prediction of actual results. Further, the Company undertakes no obligation to update forward-looking statements after the date they are made or to conform the statements to actual results or changes in the Company's expectations.
Contact
Neurologix, Inc. Marc Panoff, 201-592-6451 Chief Financial Officer, Treasurer and Secretary marcpanoff@... or Kureczka/Martin Associates Joan Kureczka, 415-821-2413 (Media) Jkureczka@...
1Department of Molecular Therapy, Institute of Ophthalmology, University College London, Bath Street, London EC1V 9EL, UK
Correspondence: Professor RR Ali, E-mail: r.ali@...
The most severe forms of inherited blindness are collectively known as Leber congenital amaurosis (LCA) and are the first type of inherited blindness to be treated by gene therapy. Initial results from two separate clinical trials have been reported recently and are very encouraging for the field of ocular gene therapy.
LCA, originally described by Theodore Leber in 1869, is a group of recessively inherited severe infantile-onset rod-cone dystrophies that is now known to be caused by defects in a variety of genes that encode proteins involved either in phototransduction, vitamin A cycling, photoreceptor development, ciliary transport function or phagocytosis. Defects in the gene, RPE65, which encodes a retinal isomerase responsible for regenerating visual pigment after exposure to light, cause impaired vision from birth and a progressive degeneration that leads to complete blindness in early adulthood. Currently there is no treatment. Although the retinal dystrophy caused by defects in RPE65 is severe, features of the disorder suggest that it may respond to gene-replacement therapy. A relatively well-preserved retinal structure, despite poor function, offers the possibility of detecting an improvement in vision within a few months of gene transfer. Proof of concept that gene therapy can result in a sustained improvement in retinal function was previously demonstrated in the Briard dog, a naturally occurring animal model of LCA caused by defects in RPE65.
In February 2007, the first clinical trial of gene therapy for LCA began in London at UCL Institute of Ophthalmology and Moorfields Eye Hospital. By the end of the year, two additional trials had started in the United States—one at Scheie's Center for Hereditary Retinal Degenerations, University of Pennsylvania and the University of Florida College of Medicine in Gainesville and another at the Children's Hospital of Philadelphia and the University of Pennsylvania. In April 2008 the initial results of two of these trials were published in the New England Journal of Medicine.1, 2 Both groups report the first phase of their respective trials, which had a strong emphasis on safety and included only adult participants with advanced disease. The results demonstrate that the technique is feasible, appears to be safe in the short term and can lead to improvement in visual function within a period of months, even at a relatively late stage of the disease.
In both studies, a recombinant AAV-2 vector was used to deliver a human RPE65 cDNA to the target retinal pigment epithelium cells. Although Maguire et al.2 used an AAV-2 vector with a constitutive promoter to drive transgene expression, Bainbridge et al.1 used elements of the endogenous RPE65 promoter. Subretinal vector injection, which causes a temporary retinal detachment, was achieved in all participants in the two trials without intraoperative complications and the detachments resolved spontaneously as anticipated. The subsequent development of a macular hole in one case was not clinically significant because the patient had very poor pre-existing vision; however, this complication would be relevant in a patient with better baseline function and illustrates the risks of surgery involving atrophic retina. There were no significant intraocular inflammatory responses to vector injection and no sustained reduction in visual function despite temporary retinal detachment. The long-term ocular and systemic safety of the procedure will be known only after further follow up.
Maguire et al.2 reported objective evidence of improved retinal function in all three patients in their study. Their study used the highly sensitive technique of pupillometry, which can detect responses to light of small numbers of functioning retinal cells by measuring the pupillary light reflex. Following subretinal vector injection, the pupillary response to light by the injected eyes was in each case stronger than that of the contralateral uninjected eye. Although neither group has detected an improvement in retinal function on electroretinography in any of their participants, this technique is relatively insensitive. In the context of retinal degeneration, an undetectable response on electroretinography is by no means inconsistent with useful visual function. The demonstration of improved retinal responses in these adult participants by pupillometry but not by electroretinography suggests the extent of the effect of gene therapy at this level of degeneration is relatively modest.
Both groups reported improvements in subjective measures of vision. Visual acuity measurements improved in the injected eyes of four out of the six participants who took part in the two trials. However, the measurement of acuity at very low levels of vision can be unreliable, and improvements were also observed in the uninjected eyes of two participants, so the significance of these findings is uncertain at present.
Bainbridge et al.1 detected a progressive improvement in retinal sensitivity in one patient using both microperimetry and dark-adapted perimetry. This effect was statistically significant and associated with a substantial improvement in visually guided mobility in dim light. This was demonstrated by an ability to negotiate a specially constructed simulation of a night-time street scene. It is believed that this particular patient benefited significantly because his disease was less far advanced at baseline than that of the other patients in the study. The possibility that the observed improvement in visual function is a consequence of a non-specific trophic effect of surgery cannot be completely discounted because subretinal delivery of an appropriate control vector would be ethically unacceptable; however, such a mechanism is considered highly unlikely given the extensive supporting data. The questions relating to the duration for which visual improvement is maintained in the human participants, and whether further retinal degeneration is slowed, can be addressed only after several years.
It is hugely encouraging to see that gene-replacement therapy for RPE65 can be effective, even in adults who have severely advanced disease. Preclinical work suggests that it is likely to be most effective in affected individuals at an early age because younger individuals have less advanced retinal degeneration. Now that the first phase of the clinical trials have demonstrated the feasibility and safety of subretinal vector delivery in adults, the inclusion of younger individuals with better baseline visual function is justified. This next phase of the trials will determine whether younger individuals respond with consistent improvements in visual function and may help define a window of opportunity for the most favourable timing of intervention. The effect of gene replacement therapy on visual acuity might also be influenced by pre-existing ambylopia resulting from stimulus deprivation during early childhood in affected individuals and it seems likely that the optimal timing of intervention will be during this critically sensitive period of visual development.
Although the protocols of the two trials share common features including the use of recombinant AAV vectors, important differences will yield complementary data that are expected to inform on the optimal vector design and delivery. The comparison between the effect of a constitutive promoter versus a tissue-specific promoter on safety and efficacy will be of particular interest. Already, these trials have established proof of principle of gene therapy for inherited retinal disease and they will pave the way for the development of gene therapy approaches for a broad range of eye disorders.
1.Bainbridge JW, Smith AJ, Barker SS, Robbie S, Henderson R, Balaggan K et al. Effect of gene therapy on visual function in leber's congenital amaurosis. N Engl J Med 2008; 358: 2231–2239. | Article | PubMed | ChemPort |
2.Maguire AM, Simonelli F, Pierce EA, Pugh Jr EN, Mingozzi F, Bennicelli J et al. Safety and efficacy of gene transfer for leber's congenital amaurosis. N Engl J Med 2008; 358: 2240–2248. | Article | PubMed | ChemPort |
The authors are supported by the National Institute of Health Research Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital and UCL Institute of Ophthalmology.
Da circa un mese ho in casa un apparecchio per la terapia con campi magnetici pulsanti, il Medithera Home,ne sono soddisfatta ed è mio desiderio informare tutti voi di quanto ho potuto personalmente sperimentare.
Ero venuta a conoscenza di questo tipo di terapia dalle informazioni diffuse attraverso babelFAmily sul Viofor, un prodotto distribuito in Francia e del quale si parlava nella mailing-list francese dell’AFAF.
Sandrine, una paziente affetta da Atassia di Friedreich, informava dei progressi ottenuti grazie all’utilizzo di questo apparecchio.
Ho invitato allora Daniel Cau, distributore francese, a presentare il prodotto a Genova durante un meeting organizzato da AISA Liguria, il 10 Maggio scorso.
Il Viofor ha suscitato notevole interesse ed ero intenzionata ad acquistarlo.
Ho scoperto nel frattempo che c’era un prodotto simile al Viofor, che aveva un referente in Italia, il Medithera Home e che veniva sperimentato a Genova al Centro AISM con uno studio in doppio cieco sulla fatica per pazienti affetti da Sclerosi multipla.
Il Medithera Homeè costituito da uno strumento di controllo che produce un campo magnetico pulsante nell’applicatore, che è una stuoia su cui coricarsi e un cuscinetto da posizionare sulle parti da trattare.
Il trattamento può essere azionato con modalità diverse, a seconda delle necessità.
Mattina e sera mio figlio Stefano (di 30 anni, con AF) fa questa terapia.
Si è evidenziato subito un miglioramento nella qualità del sonno. Ora dorme serenoe le contrazioni alle gambe ed i crampi sono diminuiti notevolmente. Spesso di notte aveva bisogno di fare stretching alle gambe. Le contrazioni a volte passavano a tutto il corpo, comprese mani e torace, arrivando anche a bloccare il diaframma ed ostacolando la respirazione. Ogni sera assumeva una pastiglia e mezza di Lioresalda 0,250 mg (Baclofene) e in aggiunta il Valium per dormire e rilassarsi.
Da un mese non prende più Valium e dorme anche 7- 8 ore di seguito.
Questo è il primo beneficio, misurabile ed evidente.
Ci sono altri effetti come fluidità del sangue e flash visivi, che però devo ancora verificare per capire se sono stabili e realmente prodotti dalla terapia magnetica.
Sto usando anche io il Medithera Home e dalla prima applicazione mi è passato il mal di testa che avevo costantemente da una settimana.
Io soffro da tempo di emicranie, cefalee vasomotorie, ma con questa terapia gli episodi si sono ridotti.
Inoltre ho i polsi lussati ed una tendinite al polso sinistro. Ora la tendinite è passata, riesco anche a sollevare pesi e ad aiutare i miei figli negli spostamenti, senza problemi.
Anche una nostra amica, Eva Aronelius, che soffre di diabete in AF, sta usando da più di un mese il Medithera Home. Anche lei ora riesce a riposare profondamente e senza contrazioni. Inoltre, avendo riscontrato una riduzione dei picchi glicemici, sta assumendo meno insulina.
La terapia con i campi magnetici non risolve l’atassia, ma ho motivo di credere che contribuisca a una qualità di vita nettamente migliore per i pazienti atassici.
Background: Clinical heart disease was recognized in the first descriptions of Friedreich's ataxia (FA). Cardiac manifestations reported for this progressive neurologic disease include hypertrophic cardiomyopathy, dilated cardiomyopathy, and electrophysiologic disturbances. Longitudinal data for childhood cases are limited. This study aimed to define the longitudinal course of the cardiac abnormalities with FA diagnosed during childhood and to correlate the presence of cardiomyopathy with clinical and genetic factors.
Methods: A retrospective chart review was conducted, with prospective, blinded interpretation of echocardiograms and electrocardiograms. All the patients with a diagnosis of FA referred to the cardiology department of a single institution from 1974 to 2004 were included in the study.
Results: This study investigated a total of 113 echocardiograms for 28 patients. Overall, the group had left ventricular hypertrophy and normal systolic function, with a median mass z-score of 2.48 (range, -3.8 to 35.6) and a median ejection fraction (EF) of 61% (range, 23-81%). Of the 28 patients, 23 (82%) had two or more echocardiograms. The median follow-up time to the most recent echocardiogram was 5.1 years (range, 0.4-16.5 years). Many in this longitudinal follow-up cohort (57%) showed hypertrophic cardiomyopathy on at least one echocardiogram, with the last follow-up assessment showing systolic dysfunction for 38% of these patients. There was a slow nonlinear decline in systolic function over time, with the mean EF decreasing more rapidly as age increased (p = 0.02) and maintenance of EF in the normal range until the age of 22 years. Of the 12 patients with systolic dysfunction and follow-up echocardiograms, 10 showed improvement to the normal EF range on at least one echocardiogram, and 5 remained normal through the last study. None of the trends in cardiac function and morphology correlated with frataxin GAA repeat length (the primary genetic defect in FA) or ambulatory status. One patient required an implantable defibrillator. There were no deaths or heart transplantations.
Conclusions: Overall, patients with FA have preserved cardiac function with increased mass throughout childhood. Because many patients who experience depressed systolic function show improvement in subsequent studies, evaluation for potentially reversible causes of heart failure should be conducted. Relative clinical stability during childhood and maintenance of normal systolic function into the second decade may be helpful for parent and patient education.
PMID: 18716706 [PubMed - as supplied by publisher]
Investigadores de la Universidad libre de Bruselas (ULB) han logrado reconstruir tejido del cortex cerebral (1) a partir de células madre existentes.
El neologismo empleado por los Autores del descubrimento es la palabra compuesta corticogenèse, traducible por la española: corticogénesis (2).
Este descubrimiento biomédico permite esperar aplicaciones inmediatas en la investigación sobre las patologías neurológicas y más adelante en la clínica biomédica.
Los investigadores belgas Pierre Vanderhaeghen y Nicolas Gaspard, miembros de la ULB, acaban de conseguir "in vitro" la reconstrucción de tejidos celulares funcionales de la corteza cerebral, a partir de células existentes de embrión. La reconstrucción "in vitro" ha tenido lugar, como su denominación latina lo indica, en recipientes de cultura, donde es posible programar, hacia su desarrollo como neuronas, la diferenciación de células totipotentes, cual son las células madre ('con todo tipo de posibilidades celulares'), convenientemente alimentadas.
Estos tejidos, una vez implantados en el cerebro de ratones de laboratorio, han funcionado correctamente, estableciendo relaciones sinápticas con el cerebro receptor. Lo cual prueba que pueden servir como piezas de recambio, en los casos de pérdida de tejido neuronal.
El Cortex cerebral es uno de los tejidos más complejos de nuestro cerebro y de todo nuestro organismo. Hasta ahora ningún investigador se había imaginado poder reconstruir unos tejidos tan complicados en recipientes de cultura. A pesar de ello, este equipo de colegas universitarios de la ULB, partiendo de células existentes, ha conseguido superar el reto, franqueando la barrera impuesta por una tradición epistemológica que convertía esta meta en un sueño cietíficamente irrealizable.
Esta investigación, publicada ayer en la revista científica Natureabre nuevas perspectivas tanto en el conocimiento científico como en el tratamiento clínico de enfermedades neurológicas como son, entre las más importantes en la familia humana actual, por su longevidad y por los riesgos de accidentes traumáticos, la enfermedad de Alzheimer, la epilepsia y los accidentes vasculares cerebrales.
(1) La corteza o cortex cerebral es el manto de tejido nervioso que cubre la superficie de los hemisferios cerebrales, alcanzando su máximo desarrollo en los primates. A simple vista este manto de tejido nervioso, compuesto de redes neuronales, se observa como materia gris.
IRIBHM (Institute for Interdisciplinary Research).
The cerebral cortex develops through the coordinated generation of dozens of neuronal subtypes, but the mechanisms involved remain unclear. Here we show that mouse embryonic stem cells, cultured without any morphogen but in the presence of a sonic hedgehog inhibitor, recapitulate in vitro the major milestones of cortical development, leading to the sequential generation of a diverse repertoire of neurons that display most salient features of genuine cortical pyramidal neurons. When grafted into the cerebral cortex, these neurons develop patterns of axonal projections corresponding to a wide range of cortical layers, but also to highly specific cortical areas, in particular visual and limbic areas, thereby demonstrating that the identity of a cortical area can be specified without any influence from the brain. The discovery of intrinsic corticogenesis sheds new light on the mechanisms of neuronal specification, and opens new avenues for the modelling and treatment of brain diseases.
PMID: 18716623 [PubMed - as supplied by publisher]
Du cortex cérébral a été fabriqué in vitro à partir de cellules souches
LE MONDE | 18.08.08 | 15h22 • Mis à jour le 18.08.08 | 19h07
Les investissements effectués dans la recherche sur les cellules souches se traduisent en résultats de plus en plus spectaculaires, à un rythme toujours plus rapide. Quelques jours après la création in vitro de neurones moteurs issus de cellules de peau de personnes souffrant d'une maladie neurodégénérative et la constitution de lignées de cellules souches porteuses des stigmates d'une dizaine d'affections de diverses origines (Le Monde des 2 et 10 août), une nouvelle étape vient d'être franchie: des chercheurs sont parvenus à fabriquer in vitro du cortex cérébral, à partir de cellules souches embryonnaires de souris.
L'équipe de biologistes dirigée par Pierre Vanderhaeghen et Nicolas Gaspard (Université libre de Bruxelles), travaillant en collaboration avec le docteur Afsaneh Gaillard (université de Poitiers, CNRS), présente ces résultats, dimanche 17 août, sur le site de la revue Nature. Mieux encore, les cellules nerveuses corticales ainsi créées ont ensuite été greffées chez des souriceaux et se sont connectées de façon appropriée avec le système nerveux central du receveur. Les auteurs de cette première estiment qu'elle ouvre de nouvelles perspectives dans la recherche sur les affections neurologiques qui trouvent leur origine dans différents dysfonctionnements du cortex cérébral humain.
Le cortex est la structure la plus complexe du cerveau des mammifères. Chez l'homme, les cellules qui constituent ce tissu cérébral sont impliquées dans les plus fréquentes des maladies neurologiques, neurodégénératives, neurovasculaires et psychiatriques. Les auteurs de la publication de Nature ont mis au point une technique novatrice. Ils ont, dans un premier temps, démontré que des cellules souches multipotentes prélevées à un stade précoce du développement embryonnaire pouvaient être aisément transformées in vitro dans les différentes catégories de cellules qui constituent le cortex cérébral. "Nous sommes parvenus à ce résultat au moyen d'un procédé ridiculement simple en n'agissant pratiquement pas, et ce de manière quelque peu paradoxale, sur le milieu de culture des cellules embryonnaires", explique Pierre Vanderhaeghen.
Bien que créées en dehors du cerveau, ces cellules apparaissent alors fonctionnelles et ressembler en tout point aux neurones du cortex. Cette observation a été expérimentalement confirmée : la greffe de ces neurones dans des cerveaux de jeunes souris a bien pris. "Une telle "corticogenèse" in vitro constitue un outil novateur pour la recherche pharmaceutique et médicale, souligne Pierre Vanderhaeghen. Pour la première fois, nous avons accès à une source illimitée et hautement fiable de neurones spécifiques du cortex, qui peuvent être utilisés pour modéliser les maladies neurologiques et tester de nouveaux médicaments."
Les auteurs de cette publication ajoutent que leur méthode pourra par ailleurs constituer une alternative à certaines expérimentations animales ou humaines. A plus long terme, ce travail ouvre la perspective de greffes intracérébrales visant à lutter contre les différentes affections ayant pour siège le cortex.
"Cette publication est très intéressanteà bien des égards, estime le docteur Hervé Chneiweiss, directeur du laboratoire plasticité gliale du Centre Paul-Broca (Paris). Il importe toutefois de préciser que le milieu de culture qui a été utilisé n'a rien de "ridiculement simple". C'est un milieu désormais considéré comme classique et dénommé N2, mis au point par Gordon Sato en 1979. Il visait déjà à faire pousser des neurones foetaux de souris."
Pour le docteur Chneiweiss, ce milieu de culture diffère des milieux de prolifération de cellules souches in vitro, qui contiennent généralement du sérum de veau foetal ou des facteurs moléculaires de croissance. A ce titre, il pourrait à terme faciliter le passage à des essais cliniques expérimentaux chez l'homme. "Ce qui me surprend en fait le plus dans ce travail, confie le docteur Chneiweiss, ce sont les expériences de greffe. Voir, comme le montre cette publication, des axones pousser sur de telles distances et sur une période de quatre semaines seulement ne peut pas ne pas étonner." "Mais attention, prévient-il, l'expérience porte sur la souris et, pour diverses raisons techniques, ces résultats ne peuvent être immédiatement transposables à l'homme."
Nutrition & Metabolism Center, Children's Hospital Oakland Research Institute, 5700 Martin Luther King Jr. Way, Oakland, CA 94609-1673, USA.hatamna@...
Methylene blue (MB) has been used clinically for about a century to treat numerous ailments. We show that MB and other diaminophenothiazines extend the life span of human IMR90 fibroblasts in tissue culture by >20 population doubling (PDLs). MB delays senescence at nM levels in IMR90 by enhancing mitochondrial function. MB increases mitochondrial complex IV by 30%, enhances cellular oxygen consumption by 37-70%, increases heme synthesis, and reverses premature senescence caused by H2O2 or cadmium. MB also induces phase-2 antioxidant enzymes in hepG2 cells. Flavin-dependent enzymes are known to use NAD(P)H to reduce MB to leucomethylene blue (MBH2), whereas cytochrome c reoxidizes MBH2 to MB. Experiments on lysates from rat liver mitochondria suggest the ratio MB/cytochrome c is important for the protective actions of MB. We propose that the cellular senescence delay caused by MB is due to cycling between MB and MBH2 in mitochondria, which may partly explain the increase in specific mitochondrial activities. Cycling of MB between oxidized and reduced forms may block oxidant production by mitochondria. Mitochondrial dysfunction and oxidative stress are thought to be key aberrations that lead to cellular senescence and aging. MB may be useful to delay mitochondrial dysfunction with aging and the decrease in complex IV in Alzheimer disease.