Please read the complete article here. Excerpts follow:
Together, the findings suggest that gene therapy to enable the brain to retain its ability to produce dopamine, a neurotransmitter that falls in critically short supply in Parkinson’s patients, could be safely attempted during earlier stages of the disease with an added likelihood of success.
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“We have worked every day for 10 years to design a construct to the gene delivery vector that enhances the safety profile of gene transfer for Parkinson’s disease,” said Ronald Mandel, a professor of neuroscience at UF’s McKnight Brain Institute and the Powell Gene Therapy Center. “With that added measure of safety, we believe we can intervene with gene transfer in patients at earlier stages of the disease. We strongly believe that trials to save dopamine-producing connections in patients with Parkinson’s disease have failed because the therapy went into patients who were in the late stages of the disease and who had too few remaining dopamine-producing connections.”
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“With this technique, you could adjust the therapy in the patient,” said Fredric P. Manfredsson, a postdoctoral associate in UF’s department of neuroscience. “That would be extremely helpful because no one is really certain yet what dosage is required for a protective effect in humans. The process is also much more sensitive than we had imagined it would be. GDNF production can be shut down completely with a dose of doxycycline that is much smaller than what is commonly prescribed.”
Driving is one of the biggest issues facing a Parkinson patient as their disease progresses. Our friends at Beth Israel Deaconess Medical Center in Boston put together a video for the National Parkinson Foundation about this struggle with advice for patients and caregivers. Watch it at the NPF website here.
At our center, Dr. Sherrilene Classen and her team can advise patients and caregivers on what to consider.
Answer: Because the UFMDC has one of the largest interdisciplinary teams
in the world dedicated to making sure your deep brain stimulation device
is placed correctly.
You will see a fellowship trained movement disorders neurologist, a
fellowship trained movement disorders neurosurgeon, and you will receive
the best possible medical optimization. Additionally, you will have access
to a complete interdisciplinary team of experts in every area (speech,
voice, walking, balance, memory, depression/anxiety disorders, rehabilitation,
driving, occupational therapy, etc.) who specialize in the care of Parkinson's
and Movement Disorder Patients.
We will ensure you are the right candidate,
and discuss with you in detail what symptoms we think you can expect
to improve with a deep brain stimulation surgical therapy. Your case
will be discussed in detail with the interdisciplinary team prior to
any surgical intervention. In addition we will provide a top-notch operating
room experience with a neurologist, microelectrode multiple pass mapping,
and careful imaging and guidance for the proper placement of your device.
After it is implanted you will have full access to a dedicated staff
for programming and followup of your medication and DBS needs. Should
you have any problems we are always available to help you.
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