Showing posts with label neurotransmitters. Show all posts
Showing posts with label neurotransmitters. Show all posts

Friday, October 1, 2010

Glutamate, The Caffeine Gene, and the World Parkinson's Congress

What are we learning about glutamate and Parkinson's disease?

There's good news

For years we've been asking restaurants to omit the MSG because we get funky headaches later after eating foods containing this excitotoxin. We'v been reading food labels to avoid monosodium glutamate.  We were already working on an article about glutamate and the role this protein building amino acid and neurotransmitter plays in Parkinson's disease. We learned a little about the good, the bad and the ugly in the process. 

We know that glutamate is a rapid, excitatory transmitter and that it can be associated to a vulnerability to addiction, so perhaps you could call it the smoker's nemesis.  We also know that glutamate receptors are necessary for proper central nervous system functioning, for important cognitive function including memory formation and learning.

This week everyone is talking about glutamate and GRIN2A because of the news from the World Parkinson's Congress currently being held in Glasgow, Scotland.

The coffee cups are waiting 
It has been learned that GRIN2A, is the "coffee" gene which when combined with caffeine intake appears not only to be neuroprotective for PD in a certain percentage of the population but may also affect PD clinical trial results when some study participants may have the altered GRIN2A gene.  This in turn raises the question of whether it can also influence medications used to treat Parkinson's disease symptoms.

Those people protected by the caffeine gene are carriers of a specific variation of GRIN2A according to information discussed at the World Parkinson's Congress.  At this time the focus is on a limited population.

We already know from the long Hawaii coffee study that people who had regular caffeine intake were (48%-84%) less likely to develop Parkinson's disease. It would be more than interesting to know how many members of this study also had the special GRIN2A gene version. But that was then and we didn't have the same technology or gene bank.

GRIN2A is a glutamate NMDA subunit receptor in a class of ionotropic glutamate gated ion channels, permeable to calcium. There has already been research about Bipolar disorder, ADHD and Huntington's disease as well as Parkinson's disease in connection to a hypoglutaminergic condition being involved in the pathogenesis.  And certainly the negative role of glutamate in Parkinson's development is not unknown.

Researchers have been looking at the GRINB2 subunits for many years and their connection to PD in the forms of selective antagonists which can exacerbate levodopa-induced dyskinesia in animal models. In other animal studies it was discovered that loss of striatal dopamine led to an increased stimulation of NR2B aka GRIN2B which contains NMDA receptors.

Basically glutamate becomes a link in the nitric oxide chain.  Under certain conditions glutamate can break through the outer cell membrane via the NMDA (n-methyl-d-asparatate) receptors located on the neurons.  This creates a breach through which calcium can enter the cell.  We already know that calcium is implicated in the death of dopamine neurons. If this chain can be interrupted...

To read more about the 2010 World Parkinson's Congress and to see folksy photos, check out Talk Parkinson's
Additional reading:
Gene reference: GRIN2A 

Saturday, January 24, 2009

Parkinson's Disease: Cure or Treatment?

ProSavin - Will it break our hearts or Parkinsons?

I've had PD long enough to get caught up in the hoopla for several treatments that were susposed to be The Cure. Then something or other always happened to break our hearts. Either it just didn't work, or the company ran out of money, or it worked and the company went crazy -you know which one I'm talking about.

So here's another one that may or may not be the one but it sure sounds good so far. I've read about the potential for this gene delivery vector but just hadn't gotten around to writing about ProSavin. So thanks for the nudge, Ken, it's time to talk about ProSavin.

ProSavin is a novel gene therapy for Parkinson's disease. It was developed by Oxford Bio Medica in the UK. It is currently in Phase I/II trials in France. Phase III has been targeted to begin during 2009.

ProSavin makes use of Oxford Bio Medica's LentiVector(R), a benign virus modified to transduct specific genetic material into a cell. ProSavin is carrying three enzymes needed for dopamine synthesis: tyrosine hydroxylase, GTP-cyclohydrolase 1 and aromatic amino acid dopa decarboxylase. It is being tested with humans, for safety and efficacy with low dose and high dose trials.

Previously pre-clinical testing has show an almost complete recovery of movement function as well as metabolic and behavioral functions. The treatment has lasted for over 27 months without diminishing.

ProSavin was determined to be safe during the preclinical testing and caused no side effects even at doses hundreds of times higher than will be tested on patients.

Parkinson's is caused by the death of dopamime neurons (followed by the lowered production of norepinephrine neurons and serotonin depletion) leading to movement impairments and other symptoms. ProSavin restores dopamine production in the brain. Unlike other surgical procedures for PD which necessitate destruction of some brain tissue, ProSavin is administered locally to the striatum converting the nerve cells there into a replacement dopamine factory within the brain thus replacing the patient's own deteriorating source of neurotransmitters.

Patients in the trial must be failing on L-DOPA treatments, but will not have progressed to drug-induced dyskinesias. They are usually in the middle to late stages of PD.

The surgical procedure for administration of ProSavin is stereotactic bilateral injection into the striatum under general anesthesia, using MRI imaging and mapping.

The principal investagator is Stephane Palfi, MD, PhD, a neuroscientist and neurosurgeon at Henri Mondor Hospital and the Centre National de la Recherche Scientifique in Paris, who remarked, " Current standard theraphy for Parkinson's is only partially effective in the mid to late stages of the disease and can induce debiltating side-effects after long term use. ProSavin has the potential to address this unmet medical need, offering a long-lasting benefit from a single administration."

Those of us who currently meet the testing standards are hoping that Phase III will be initiated soon. It is good to have hope.

Sources: Parkinson's Disease Society, Dec 2, 2008
Oxford Biomedica: Press Release
11/04/2008. Novel New Gene Theraphy

Additional Information:
Dr Stephane Palfi
Hôpitaux de Paris, Groupe Henri-Mondor Albert-Chenevier, Service de Neurochirurgie
Créteil, F-94010, France