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Article #239: Cell Implants Improve Motor Control in Parkinson's Patients

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Human retina cell implants improved motor Natividad P. Stover, MD, of the
symptoms in a group of Parkinson's University of Alabama at Birmingham and
disease (PD) patients who participated in colleagues conducted an open-label pilot
a recent study, and they appeared to be study to evaluate the effect of
safe and well tolerated, according to a unilateral implantation of human RPE
report published in the Archives of cells attached to gelatin microcarriers.
Neurology. Six patients with advanced Parkinson's
Parkinson's disease is a disease received cell implants, which
neurodegenerative disorder characterized were inserted into the brain tissue. The
by tremor, rigidity, postural instability researchers performed efficacy
and slowed ability to start and continue evaluations at one and three months after
movements. Most patients with PD require surgery, and then at six, nine, 12, 15,
therapy with the medication levodopa to 18 and 24 months. Yearly follow-up visits
control symptoms three to five years are ongoing and will continue.
after a diagnosis of PD. "The implants were well tolerated," the
Motor Fluctuations authors report. "We observed an average
However, disease progression and improvement of 48 percent at 12 months
long-term oral treatment with levodopa after implantation in the Unified
may lead to the development of motor Parkinson's Disease Rating Scale motor
fluctuations and difficulty in performing subscore with the patient in the off
voluntary movements (dyskinesias). state, which was sustained through 24
Human retinal pigment epithelial (RPE) months."
cells produce levodopa and can be Quality of Life
isolated from post-mortem human eye "Improvement was also observed in
tissue, grown in culture, and implanted activities of daily living, quality of
into the brain attached to microcarriers. life and motor fluctuations. No off-state
(The retinal pigment epithelium is the dyskinesias were observed," they add.
pigment cell layer found in the inner "On the basis of the motor improvement
layer of the retina of the eye.) and tolerability observed in this
These implants have been shown to ease open-label study, a randomized,
motor problems in animal models of double-blind, placebo-controlled study
Parkinson's disease in earlier research, has been initiated to more objectively
according to the article. test efficacy and continue to assess
48 Percent Improvement safety," the authors conclude.






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