Neural
Xenotransplantation and Parkinson's Disease
Biology
108 - Organ Replacement
Brown
University, Providence, Rhode Island, 02912
Advisor:
Micheal J. Lysaght, Ph.D
Authors:
Larry Hou, Irene Klein, Billy Lau, Vanessa Rothholtz, Yvette Wild
May
1999
Dopamine production is highlighted in red
in the brain scan of a patient with Parkinson's disease.
Scan 1 is before fetal tissue transplantation.
Scan 2 & 3 show increased dopamine production after the procedure.
Parkinson's
Disease Overview
Parkinson’s
disease is a debilitating nightmare for many Americans. The National
Institutes of Health estimate
that Parkinson's disease
alone affects between 1,000,000 and 1,500,000 individuals in the United
States, with
some 20,000 new cases
each year. The disease is caused by the degeneration of brain cells
that produce the neurotransmitter dopamine. Parkinson's patients
suffer from a loss of dopaminergic neurons in the substantia nigra, which
sends prcesses into the striatum. This results in sufficient release
of dopamine in the striatum onto neurons projecting to the globus pallidus
or the substantia nigra. The result is loss of movement control,
rigidity and telltale tremors.
Treatment of Parkinson's
Disease
The
first effective form of treatment was L-dopa, a synthetic substitute for
dopamine. As the disease progresses, the therapeutic effects of L-dopa
decrease. During the past couple of decades, researchers have been
developing different forms of treatment: new drug treatments, human fetal
tissue transplantation, electrode implantation, and xenogenic transplantation
(the focus of our web site). There has been research into the development
of xenogeneic donor tissue for neural grafting in a neurodegenerative disease
like Parkinson's Disease. Fetal pig neurons have been transplanted
into the human brain to replace dopminergic neurons lost in Parkinson's
disease. Neural xenotransplantation has shown promising results in
clinical trials but has many unresolved issues.
Objectives of This Website
The general
aim of this website is to expose various issues involved in the transplant
of xenogenic neuronal tissue in patients with Parkinson's disease.
An examination of the historical process of neural xenograft research,
a definition of xenogeneic transplant procedures, and a discussion
of immunologic barriers and optimal conditions of xenogenically derived
neuronal tissue are given. Additionally, ethical and safety
concerns will display current controversial issues involved in a possible
xenographic cure for Parkinson's disease.
history
| procedures | immunology
| ethics | safety
| FDA guidelines
Contact Information
Larry Hou
Irene Klein
Billy Lau
Vanessa
Rothholtz
Yvette Wild
Acknowledgements
The authors would like to thank Diacrin Inc.
and Genzyme Corporation for insights provided through email
References
Brown
University Biology Homepage | BI108
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