22 November 2010

Updates in Treg Mediation in Parkinson's?

The article I reviewed, Neuroprotective activities of CD4+CD25+ regulatory T cells inan animal model of Parkinson’s disease, identified Tregs as a potent modulator of microglial activity in MPTP mice, the animal model for Parkinson’s disease. In the conclusion, the author states that the “importance of the observations in the present study rests with the idea that they can be readily translated to the clinic,” noting the recently discovered mechanisms of Tregs in the disease as potential areas for clinical manipulation. However, as noted in class, we are not able to simply inject Tcells into Parkinson’s patients. I have looked for information regarding the use of Tregs in neurodegenerative diseases, primarily Parkinson’s disease, since the study was published in 2007. Cell death of dopamine secreting cells is the primary problem in Parkinson’s, and as such, the primary treatment is still dopamine supplementation rather than inhibition of cellular death. Sources like Google Health, Web MD and Mayo Clinic, which provide information to the general public, do not even mention the inflammatory regulation of the disease, indicating that influencing concentrations of T regulatory cells has yet to become a viable option for treatment, despite the articles assertions that the study could be “readily translated to the clinic.” Furthermore, I have had difficulty locating follow up studies regarding the induction of T regulatory immune responses in neurodegenerative diseases. I would be interested to know if anyone has heard of further developments in these studies, or if the article was simply overenthusiastic in its belief that studies could translate to human trials.

5 comments:

  1. Parkinson's should be treated through medicines powerful and specialized. One of these drugs is vicodin to relieve the great pain of Parkinson's. You can buy online without a prescription, but care must be consumed as it may become addicted, as indicated Findrxonline.

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  2. I don't know about Tregs, but I've seen immunotherapy using autologous adoptive transfer of CD8 CTL to cancer patients in papers. Dr. Cohen talked about some work that has been done in this area as well in class. Patients with autoimmunity and cancer may have defects in their lymphocyts themselves (cell intrinsic) or it may be something off balance in the cells' environments. Yee C et al show in their 2002 paper entitled "Adoptive T cell therapy using antigen-specific CD8+ T cell clones for the treatment of patients with metastatic melanoma: in vivo persistence, migration, and antitumor effect of transferred T cells." that it is possible to remove Tcells that are specific for tumors from patients with clinical cancer, grow them in vitro away from the inhibitory conditions, and reinject them into the patient, with a positive outcome. It seems like you could do this in certain cases, with Tregs as well. I don't think that this is ever going to become a widely practiced therapy though, it sounds much too time, labor, and cost intensive.

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  3. Looks like one of the side effects of a public blog is that it will get spammed by an online narcotics website.

    I'd recommend carbidopa/levodopa QID instead of Vicodin, but what do I know?

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  4. Probably a bit more than the fellow who recommended the online pharmacy site that promises narcotics prescribed by "real US doctors." I can't believe that you'd actually get the authentic drugs if you went that route; but what you would get might harm you. Or the FBI might.

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  5. Hello,

    Thank you for the good writeup. Regulatory T cells develop in the thymus. These are defined by expression of the forkhead family transcription factor FOXP3, which help to design effective ways for controlling immune responses by targeting treg suppressive functions...

    CD4 Antibody

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