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Friday, November 9, 2018
World-first pill may stop Parkinson’s
Your doctor needs to be following this very closely. You have a decent chance of developing Parkinsons post-stroke. Or is your doctor doing nothing like usual? Waiting for SOMEONE ELSE TO SOLVE THE PROBLEM?Like YOU?
A new therapy that appears to stop Parkinson’s disease “in its tracks” will begin phase-one clinical trials in humans next year.
The
therapy, developed by researchers at the University of Queensland – and
partly under-written by the Michael J Fox Foundation – is a world first
because it stops the death of brain cells in Parkinson’s sufferers
rather than managing symptoms.
If human trials echo the stunning
results in animal testing, the inflammation of the brain that causes so
much of the progressive damage in Parkinson’s disease (PD) could be
halted by taking a single pill each day.
UQ Faculty of Medicine
researcher Associate Professor Trent Woodruff said the key to the new
therapy is a small molecule, MCC950 – a compound developed and abandoned
10 years ago by a big pharma company that didn’t understand how it
actually worked.
At that stage, though, inflammation in the Parkinson’s brain was less well understood.
Parkinson’s
disease, said Dr Woodruff, is characterised by the loss of brain cells
that produce dopamine, a chemical that co-ordinates motor control – and
it’s the loss of dopamine that has been the focus of treatment. But it
is also accompanied by this chronic inflammation that occurs as an
immune response gone haywire.
It works like this: Inflammation is
activated in our cells by complex proteins called inflammasomes. About
five years ago, Dr Woodruff and his team found that the immune system
causes the NLRP3 inflammasome to light up in Parkinson’s patients, with
signals found in the brain and even in the blood.
They then found
that the tiny molecule MCC950, given orally once a day, in experiments
with mice, “blocked NLRP3 activation in the brain and prevented the loss
of brain cells, resulting in markedly improved motor function”.
UQ
Institute for Molecular Bioscience researcher Professor Matt Cooper –
who initially experimented with MCC950 in the treatment of an
auto-inflammatory disease called Muckle-Wells syndrome that can
cause deafness and kidney failure – said drug companies had
traditionally tried to treat neurodegenerative disorders by blocking
neurotoxic proteins that build up in the brain and cause disease.
“We
have taken an alternative approach by focusing on immune cells in the
brain called microglia that can clear these toxic proteins,” he said.
“With
diseases of ageing such as Parkinson’s, our immune system can become
over-activated, with microglia causing inflammation and damage to the
brain.” The NLRP3 inflammasome (green) is expressed by immune cells (red) in the brains of people with Parkinson’s disease. Photo: University of QueenslandHe
said MCC950 effectively “cooled the brains on fire”, turning down
microglial inflammatory activity, and allowing neurones to function
normally.
This was achieved with three different models of
Parkinson’s on mice. It took a further two years of tests in order to
convince the editors of the prestigious journal Science Translational Medicine of the efficacy of treatment. The researchers’ paper was published on October 31.
The
progress of MCC950 to market appears to be happening rather quickly.
Both the Michael J Fox Foundation for Parkinson’s Research and the
Ireland-based drug company Inflazome are keen for human trials to start
as soon as possible.
Dr Woodruff said much of the preclinical work was already completed.
The
biggest hurdle, apart from funding, is that MCC950 came off a patent.
This means the researchers have had to develop variations of the
original drug for intellectual property reasons. Those new drugs are
currently being tested and, according to Dr Woodruff, proving to be even
more effective.
There are 10 million people with Parkinson’s
disease worldwide. They still have a few years to wait and see if the
magic in the lab can be replicated in people.
The phase-one tests
next year will determine whether or not the drug is safe in healthy
people. All going well, volunteers with Parkinson’s will be recruited
for phase-two testing in 2020.
Whether Michael J Fox himself will be one of those volunteers is not yet known.
Chronic inflammation hasbeen implicated in so many diseases now.
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