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Awareness Bands

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News Archive |
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July 2005
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An Investigator in Rome, Italy
Will Examine the Role of the A-T Protein in Cellular Suicide |
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December
2004 |
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Researchers Collaborate to
Generate a Rat Model for A-T |
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August 2004
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Clinical Trial Opens at Johns
Hopkins |
Oxidative Stress in Patients with
Ataxia-Telangiectasia
Funded by the A-T Children’s Project, Howard
Lederman, MD, PhD, Director of the
A-T Clinical Center at Johns
Hopkins Hospital in Baltimore, Maryland, will study how a combination of two
dietary supplements, an antioxidant and a PARP-1 inhibitor can slow the
neurodegeneration and aid the pulmonary problems seen in patients with A-T.
For several years, a growing body of evidence
has accumulated which suggests that oxidative stress may contribute to the
pathology of ataxia-telangiectasia (A-T). Oxidative stress, which can ultimately
lead to cell death, occurs when cells cannot properly detoxify reactive oxygen
species (ROS). ROS are highly reactive chemicals which move about the interior
of cells causing damage to cellular DNA (genetic material), lipids and protein.
Regardless of whether oxidative stress is a primary or secondary result of ATM
protein deficiency, research has shown that abnormalities exist in the oxidative
state of various A-T model systems.
In addition, a recent study has also shown
that in cultured A-T cells, there is an increase in the activity of the poly
(ADP-ribose) polymerase (PARP-1) enzyme. Like ATM, this enzyme plays an
important role in the cellular response to damaged DNA. In A-T cells, the
increase in PARP-1 activity was accompanied by an observed decrease in important
cellular energy stores. Treatment of the ATM deficient cells with various PARP-1
inhibitors enhanced the growth rates of these cells in culture.
As a result of the research described above,
the A-T Clinical Center is preparing a trial protocol to test the efficacy of an
antioxidant/PARP-1 inhibitor combination in A-T patients. To date, only
anecdotal evidence exists suggesting that antioxidants have any type of positive
effect in children with A-T, i.e. this evidence has come from parents who have
been giving their children with A-T antioxidants such as vitamin C, E and alpha
lipoic acid. The advantage of the trial at Johns Hopkins is that the
combination, dosage and efficacy of the antioxidant/PARP-1 inhibitor combination
will be evaluated in a clinically objective and quantitative manner. Although
the ultimate goal of this trial is to determine if this treatment can slow
disease progression in A-T patients, the clinical trial will also test the
possibility that these compounds will have an immediate, positive effect.
The clinical study will begin with a Phase I
trial designed to assess the safety and toxicity of nicotinamide (a PARP
inhibitor) and alpha lipoic acid (an antioxidant). During the trial, it will be
important to determine if the combination of drugs used is having a biological
effect in the patients that eventually might produce an overall positive result
in terms of disease progression. Therefore, quantitative laboratory endpoints
will be evaluated to determine the drug’s biochemical efficacy. These
biochemical endpoints will include specialized blood and urine tests to detect
oxidative damage to cellular lipids and DNA. Tests will be performed to monitor
changes in neurologic and pulmonary function, and to look for any toxicity of
the combination of drugs.
The initial Phase I trial will last 8 1/2
months. Since the main objective is to determine safety and toxicity, a
relatively small number of patients (20) will be enrolled, and the focus will be
on teenagers and adults. If positive results are seen at the end of this trial,
the study will be expanded to include more patients and a younger patient
population. If, however, there are no changes in the biochemical endpoints or
toxicity becomes an issue during the trial, then drug and or dosage
modifications will be made.
It is hoped that this initial trial produces
positive results, leading to a much larger study investigating the treatment of
A-T.
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Researchers Collaborate to
Generate a Rat Model for A-T
In
an attempt to create an animal model that accurately represents the central
nervous system dysfunction seen in patients with ataxia-telangiectasia
(A-T), and which can be used to test potential treatments for the
neurological abnormalities associated with this disease, two investigators
have formed a collaboration to generate a rat model for A-T.
Although the mouse model of A-T mimics many of the characteristics of the
human disease, it does not possess the relentless cerebellar degeneration
and ataxia observed in all patients with A-T. The absence of this same type
of neurodegeneration in A-T mice limits the usefulness of this animal model
for the study of potential treatments for this aspect of the disease.
Therefore, Michael M. Weil, PhD from Colorado State University and Martin
F. Lavin, PhD of The Queensland Institute of Medical Research in Australia,
with funding from the A-T Children’s Project, are working together to make
another rodent model of A-T using the rat, which may possess neurological
abnormalities similar to those seen in patients.
For years mice have been genetically manipulated in order to gain a better
understanding of human disease. For example, researchers have added genes
to the mouse’s already existing genetic repertoire, creating so called
“transgenic” mice, which produce an over abundance of a certain disease
related protein. In order to study what happens when a protein is missing,
as is the case in A-T, scientists can alter or mutate a particular gene in
the mouse such that it no longer makes its protein product. These mice are
called “knock-out” mice. The A-T mouse is an example of a knock-out mouse
because it cannot make the protein (Atm) missing in ataxia-telangiectasia.
Unfortunately, the technology used to create knock-out mice does not work
in rats. So, although the rat is often considered a more physiologically
relevant experimental model for various human diseases, researchers have
not been able to genetically manipulate it like the mouse.
In 2003, however, a group of scientists published a paper describing the
generation of the first knock-out rats, which fail to produce important
breast cancer associated proteins. Drs Weil and Lavin will use the same
technology described in this landmark paper to generate rats lacking Atm.
The Atm deficient rats will be extensively studied. In addition to growth
and lifespan, tumor incidence, immunological and reproductive function and
radiosensitivity, neurological assessments will be made. These assessments
will include examination of the cerebellum and certain behavioral tests to
analyze motor function. The research performed by Weil and Lavin will
hopefully produce an animal model which mimics the progressive
neurodegeneration seen in humans, such that these animals can be used to
study potential treatments for this devastating aspect of A-T.
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An Investigator in Rome, Italy Will Examine the Role of the
A-T Protein in Cellular Suicide |
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From Left: Daniela Barilá, Silvia Cursi, Michele Mingardi,
Maria Giovanna di Bari (sitting) and Venturina Stagni
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A researcher in Italy will
attempt to better understand the role of the A-T protein (ATM) in
programmed cell death or suicide, a process that scientists call
“apoptosis.” Knowledge of how ATM regulates apoptosis will provide
insight into the pathology of this disease and help researchers develop
potential therapeutic interventions.
After a cell has incurred damage to its genetic material (or DNA), a series
of internal events will take place to stop cell division and growth and
allow DNA repair to take place. Alternatively, the cell may undergo
programmed cell death and be eliminated (if, for example, the amount of DNA
damage is too great to repair). If neither of these events takes place, then
the cell may retain the damaged DNA and transform into a cancer cell.
Importantly, the ATM protein coordinates a cell’s response to a certain type
of DNA damage. However, the precise mechanism by which a cell chooses
between repair and apoptosis following damage is not completely understood.
To help elucidate the role of ATM in the apoptotic process, Daniela
Barilá,
PhD, Assistant Telethon Scientist of the Delbecco Telethon Institute at the
University of Tor Vergata in Rome, Italy has been awarded a grant by the A-T
Children’s Project. Dr. Barila’s laboratory will investigate the role of ATM
in death-receptor induced apoptosis. This form of programmed cell death
results when a specific protein binds a special receptor on the cell’s
surface (a so-called “death” receptor). This interaction, in turn, signals a
cascade of events to occur within the cell, ultimately resulting in its
demise. Moreover, this pathway plays an important role in the development of
the immune system, which is severely affected in A-T.
Dr. Barilá and her team have obtained evidence that the ATM protein may be
turned on following activation of the death receptor pathway. Dr. Barila’s
laboratory will investigate this finding further and attempt to determine
which proteins are targeted by ATM during death receptor mediated apoptosis.
In addition, Dr. Barilá and her lab will observe how this type of apoptosis
occurs in cells which are deficient in ATM protein. “This project, “states
Dr. Barila, “will make a significant contribution to understanding the
molecular basis of A-T pathology.” Therefore, Dr. Barila’s A-T Children’s
Project funded research contributes to the quest for potential drug targets
for A-T.
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