Parkinson's Disease Clinical Trials For posting and discussion of clinical trials related to Parkinson's Disease, and for the Parkinson Pipeline Project. All are welcome.


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Old 07-04-2007, 08:12 PM #1
Tom819 Tom819 is offline
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Default Is Treating Parkinson's Possible With New Neurotrophic Factor?

Web address: http://www.sciencedaily.com/releases...0704144646.htm


Source: University of Helsinki
Date: July 4, 2007

Is Treating Parkinson's Possible With New Neurotrophic Factor?
Science Daily — Parkinson's disease is a degenerative brain disease characterized by the loss of dopamine neurons in the midbrain-area called Substantia Nigra. The research group led by professor Mart Saarma, Director of the Institute of Biotechnology, University of Helsinki, has discovered a novel neurotrophic factor CDNF (Conserved Dopamine Neurotrophic Factor). CDNF was shown to protect and even rescue damaged dopamine neurons in an experimental model of Parkinson's disease in studies performed by the research group of professor Raimo K. Tuominen, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland. More importantly, the function of the neurons was recovered after an experimental lesion of the dopamine neurons in Substantia Nigra.

The findings of this research may be of great importance for the development of new treatment strategies for Parkinson's disease. The results of this study will be published in Nature on July 5th, 2007.

Approximately one percent of people aged over 60 get Parkinson's disease all over the World. The demographic change with increasing number of elderly people will lead in doubling of the number of Parkinsonian patients also in Finland during 2005 -- 2030. Typical symptoms in Parkinson's disease are those of muscle rigidity, tremor, and slowness of movement. They are a consequence of the degeneration of dopamine nerves projecting from Substantia Nigra to Caudate Putamen (also called Striatum). The clinical symptoms manifest when approximately 70 % of the dopamine nerves have been destroyed. Degeneration of the dopamine nerves progresses slowly, and in time the difficulties in movement becomes a major factor reducing the quality of life of these patients.

Current drug treatment of Parkinson's disease aims at increasing dopamine concentration and / or activation of dopamine receptors in the brain. Due to the progression of the nerve degeneration the drug therapy gradually becomes less effective. Neurotrophic factors which could slow down or even halt the progression of the degeneration of dopamine nerves have been in the focus as a possible new treatment for Parkinson's disease. Glial cell- line derived neurotrophic fctor (GDNF) is one example of such a promising growth factor. Indeed, it was shown to have beneficial effects in a clinical trial in Parkinsonian patients suffering from severe symptoms. However, due to adverse effects the clinical trials have been stopped, even though some of the patients would have continued the therapy. Even so, the clinical trials on GDNF gave the proof of concept for the use of neurotrophic factorstreatment of neurodegenerative diseases. Therefore it is very important to search for new growth factors with similar efficacy as GDNF, but with better tolerability.

Conserved dopamine neurotrophic (CDNF) factor discovered and characterized in this study is well conserved in the evolution. It belongs to a CDNF/MANF family of proteins, which is the first evolutionarily conserved family of neurotrophic factors having a representative also in invertebrate animals (MANF = mesencephalic astrocyte derived neurotrophic factor).

In an experimental model of Parkinson's disease, a neurotoxin 6-OHDA was injected on one side of the brain into the striatum of rats. This toxin causes a progressive degeneration of dopamine nerves similar to that observed in Parkinsons disease. Upon activation of dopamine nerves of the brain by drugs, these animals show a movement disorder, a circling behaviour, which reflects an imbalance of dopamine activity of the brain hemispheres.

A single injection of CDNF six hours before the toxin delivery into the striatum significantly prevented the degeneration of dopamine nerves in the brain and also the turning behavior was normalized. When administered four weeks after the toxin, situation mimicking a progression of the nerve degeneration in patients, injection of CDNF into Striatum was able to prevent the degeneration of dopaminergic neurons and cure the behavioral imbalance.

The results of the present study show that CDNF is a very promising new neurotrophic factor with a significant neuroprotective and neurorestorative effects on dopamine nerves in the brain. It may have significant potential in the treatment of Parkinson's disease in the future as a neuro protective or even neurorestorative therapy.

Note: This story has been adapted from a news release issued by University of Helsinki.
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Old 07-06-2007, 11:51 PM #2
paula_w paula_w is offline
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Default Cdnf

Thanks for catalogue*ing? it here - it sure draws the attention like a shot heard round the pd world.

One letter different from GDNF....which already has shown dramatic improvements in some types of PD. and can be turned off. Now new evidence has naturally occurred, as these participants who have been off of GDNF for I think 3 years, can still be observed, evaluated. The results are dramatic, so this CDNF better be good, see ya in ten years. In the meantime, people have to fund it.

In a way the BIO conference reminded me of a chemical swap meet. That is about as poetic as I get...lol....


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Old 07-08-2007, 08:02 AM #3
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Neuron-loving protein could treat Parkinson's

By Mike Nagle



Amgen
neurotrophic
Parkinson's
CDNF
Third time lucky for Parkinson's drugs?


Product News related to :--
05/07/2007 - The discovery of a new protein that can protect, and even rescue, damaged dopamine neurons could significantly impact future Parkinson's therapies.

As revealed in today's issue of Nature, scientists at the University of Helsinki, Finland, have discovered a new protein called conserved dopamine neurotrophic factor (CDNF), which could form the basis for a new drug to tackle the debilitating effects of Parkinsons.

Around one per cent of people over 60 get the disease and the aging global population means this figure is set to rise. It causes dopamine-producing nerve cells in the brain to die, leading to muscle rigidity and slowness of movement.

The current gold-standard of therapy is levodopa (L-dopa), which replaces the lost dopamine. However, this drug becomes less effective over time and the increasing doses cause side effects such as uncontrollable movement.

Therefore, drugs that could slow or halt the progression of the disease are badly needed. In fact, this is not the first time that neurotrophic proteins have been investigated as a possible answer. Amgen was looking at glial cell-line derived neurotrophic factor (GDNF), which did indeed show positive effects in clinical trials. However, development was halted in 2005 with Amgen citing adverse effects as the reason.

At the time, the Amgen CEO, Kevin Sharer, said: "We've looked at this decision from every perspective -- scientific, medical and ethical. Our hearts truly go out to trial patients and their families, but we simply cannot allow trials to continue given the potential safety risks and the absence of proven benefit."

Since then, others have been searching for similar proteins to GDNF but ones that will be better tolerated.

When the CDNF was tested by Professor Raimo Tuominen in an experimental model of the disease, the researchers found that dopamine neurons were protected and even recovered - even after an experimental lesion of neurons in the area of the brain that causes Parkinson's (the Substantia Nigra).

The scientists injected one side of a rat's brain with 6-OHDA to cause the dopamine nerves to progressively degenerate. A single injection of CDNF six hours before delivery of the toxin "significantly prevented the degeneration of dopamine nerves in the brain" and the rat's movement returned to normal.

If the CDNF was given four weeks after the toxin instead, it still prevented nerve degeneration and cured the behavioural imbalance.

CDNF belongs to a family of molecules that is the first evolutionarily conserved family of neurotrophic factors having a representative also in invertebrate animals.

Ceregene is actively investigating this family of proteins also. Its Cere-120 gene therapy is based upon the gene for neurturin, a member of the GDNF family. Just over a week ago, Genzyme committed well over $150m (€112m) to its development.

http://www.biopharma-reporter.com/news/ng.asp?n=77964-university-of-helsinki-amgen-neurotrophic-parkinson-s-cdnf-gdnf


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