Gene Therapists Aim for Parkinson's Disease

At first blush, gene therapy seems ill-suited to treating Parkinson's disease (PD). Scientists have linked few cases to missing or mutated genes and are generally clueless about the disease's cause. But the need for some relief from its debilitating symptoms is so great that gene therapy researchers have labored over the past decade to develop counter-strategies. These studies have had promising results. When the brains of rat and monkey PD models express certain transgenes, the animals show les

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Armed with these findings, laboratory scientists and clinicians are now preparing to test gene therapy on humans with PD. Last spring, the National Institutes of Health Recombinant DNA Advisory Committee (RAC) reviewed a PD gene therapy protocol for the first time, endorsing various recommendations by a 12-0 vote. The protocol's investigators, at Jefferson Medical College in Philadelphia and Cornell University's Weill Medical College in New York, recently submitted it to the Food and Drug Administration. Other groups also intend to treat PD patients with gene therapy, but they say they won't seek official approval for months, if not years.

Collectively, these groups have injected at least six candidate transgenes into three brain structures using two types of viruses. But until various clinical trials reveal which gene, if any, works and under what conditions, the researchers' buzzwords are safety and caution. Michael G. Kaplitt, who directs stereotactic and functional neurosurgery at ...

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