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Biotech / Medical : STEM -- StemCells, Inc. -- Ignore unavailable to you. Want to Upgrade?


To: WWS who wrote (199)1/26/1999 10:42:00 AM
From: Biomaven  Read Replies (1) | Respond to of 805
 
bill,

Just to complicate the picture further (just what we need, right?) seems like neural regeneration and autoimmunity may be linked:

From Inflammation And Autoimmunity To Nerve Regeneration And Protection

ANAHEIM, CA, January 24, 1999 -- New concepts, revealing a unique and
surprising relationship between the central nervous and the immune systems,
were presented today by Prof. Michal Schwartz of Israel's Weizmann Institute
of Science at the annual meeting of the American Association for the
Advancement of Science.

Prof. Schwartz' findings, which have the potential for being further
developed into clinical therapy, have also been published in the January
1999 issue of Nature Medicine.

When tissue damage occurs, the tissue normally calls upon the immune system
to repair the injured site and promote healing. However, in the case of the
central nervous system of human beings and other mammals, a built-in
mechanism prevents the immune system from providing effective assistance and
healing.

Prof. Schwartz believes that this preventive mechanism probably developed
during the course of evolution to protect the mammalian brain from the
effects of the immune system: the access of immune cells to the brain would
disrupt the complex and dynamic neuronal networks that build up during an
individual's lifetime.

"There seems to have been an evolutionary trade-off," says Prof. Schwartz.
"Higher animals protected their central nervous system from invasion by the
immune system, but paid the price of forfeiting their ability to regenerate
injured nerves. Thus, an evolutionary advantage that protects the healthy
brain turns into a disadvantage in the case of injury."

Experiments conducted in Prof. Schwartz' laboratory; however, have revealed
differences in the damage healing processes between the central nervous
system and peripheral nerves. In cases involving damage to the central
nervous system, inflammation-causing immune cells called macrophages are
'recruited' to the injured site at a low rate and are not optimally
'activated' and effective. By contrast, macrophages recruited to help heal
peripheral nerve damage are activated and are more effective in the healing
process.

Armed with this understanding, researchers have managed to overcome
partially the limited ability of the central nervous system to recruit and
activate macrophages to help heal damage. This was accomplished by
incubating macrophages in a test tube along with damaged peripheral nerve
tissue and then returning the activated macrophages to a damaged site in the
central nervous system of paralyzed rats. As a result of this treatment,
described in the July 1998 issue of Nature Medicine, the transplanted
macrophages created a growth-inducing environment around the damaged tissue
and the rats were able to regain partial motor activity in their previously
paralyzed legs.

In her latest study, documented in the January 1999 Nature Medicine article,
Prof. Schwartz and her team, in collaboration with a research group headed
by Prof. Irun Cohen of the Weizmann Insitute's Immunology Department
discovered that the same cells that cause autoimmune diseases such as
multiple sclerosis-- a condition in which the immune system attacks the
body's own tissues--can actually be useful in repairing damage to the
central nervous system.

In the past, researcheres believed that autoimmune disease was the result of
the immune system's failure to correctly distinguish between healthy 'self'
and enemy 'non-self' tissue. In the course of their studies, however, Prof.
Schwartz and her team have shown that autoimmunity may not always be
detrimental. Autoimmunity may, in fact, have originated as an immune
mechanism for dealing effectively with damage to the central nervous system.

Schwartz and her colleagues studied immune cells called T lymphocytes that
attack Myelin, the protective sheath of nerves that is destroyed by the
autoimmune disease multiple sclerosis. They found that, in certain
circumstances, when these T lymphocytes cells were injected into rats with
damaged optic nerves, these T cells reduced the optic nerve's secondary
degeneration, the gradual, but often-catastrophic, loss of neurons next to
the site of the initial injury.

This finding may explain why autoimmune T lymphocyte cells are so common and
present even in the immune systems of healthy people: their original
function may have been to maintain the integrity of the central nervous
system. Only when this function for some reason goes awry, does autoimmune
disease occur.

"By selectively augmenting the activity of autoimmune T cells, it may be
possible to protect injured nerves without the threat of causing autoimmune
disease," says Prof. Schwartz.

"Thus, both our studies--the one involving macrophages and the one on T
cells--have the potential for being further developed into clinical therapy
using the patient's own blood-derived cells," Prof. Schwartz adds.

Yeda Research & Development Co. Ltd., the Weizmann Institute's technology
transfer arm, has approved and submitted patents for Prof.Schwartz's
findings. In order to promote this research and develop it further for
possible clinical use, Yeda has entered into a licensing agreement with
Proneuron Biotechnology Ltd., a start-up company located in the Kiryat
Weizmann Industrial Park, adjacent to the Institute.