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To: Bedrock who wrote (1883)4/5/1999 6:22:00 PM
From: songw  Read Replies (2) | Respond to of 2135
 
Highly publicized cancer drug also shows promise
against heart disease
1.41 p.m. ET (1741 GMT) April 5, 1999

BOSTON — The experimental drug that caused a sensation when it was
found to wipe out cancer in mice by choking off the tumors' blood supply is
also showing promise against heart disease.

The treatment involves the Harvard-developed drug endostatin, which has been
shown to be remarkably potent against cancer but has not been tested yet on
people.

Now, the same team that discovered endostatin found that in mice, at least, the
drug may also greatly slow the development of atherosclerosis, or hardening of
the arteries. Atherosclerosis is a buildup of fatty deposits.

The research raises the possibility that a new category of drugs, the blood
vessel inhibitors, may be useful weapons against both heart disease and cancer,
the two most important diseases of the industrialized world.

A team led by Dr. Judah Folkman of Harvard Medical School and Children's
Hospital in Boston reported the development in Tuesday's issue of the
American Heart Association journal Circulation.

Folkman pioneered the study of angiogenesis, the growth of new blood vessels.
Endostatin is a natural protein that blocks blood vessel formation. Without a
blood supply, cancer in lab animals often stops growing and disappears.

Heart disease also involves unwanted tissue growth -- the accumulation of
cholesterol, blood cells and smooth muscle cells in lumps known as plaque.
Plaque growing in the heart arteries is the chief cause of heart attacks and
angina pain.

Experts have long noticed that plaque often has its own network of tiny blood
vessels called capillaries.

"By blocking them, perhaps we can alter the progression of the disease,'' said
Dr. Karen Moulton, who conducted the experiment in Folkman's lab.

In the 16-week experiment involving 73 mice, the researchers tested endostatin
on animals that were fed a high-cholesterol diet. They found that those on the
drug averaged 85 percent less plaque buildup in their hearts' aortas than did
untreated animals.

"It's a very exciting concept,'' said Dr. Stephen Epstein of Washington Hospital
Center in Washington. "If the data can be validated by other labs, it represents
a whole new paradigm for strategies to prevent atherosclerosis and its
complications.''

However, Epstein acknowledged that the discovery also presents "a very
important conundrum,'' because drugs that promote blood vessel growth,
rather than block it, are already one of the hottest areas of heart disease
research.

Epstein and others are testing the use of growth proteins that trigger the body
to sprout new blood vessels. When injected into the heart, these proteins
induce the growth of a new blood supply. This nourishes heart muscle that is
starved by clogged arteries.

Some human testing suggests this treatment can relieve the effects of
atherosclerosis. But Epstein said the latest work raises the possibility that it
could also make the underlying disease worse by promoting the growth of
plaque.
However, Dr. Jeffrey Isner of St. Elizabeth's Medical Center in Boston said his
own animal experiments show no evidence that stimulating the growth of blood
vessels will speed up atherosclerosis or do anything else bad.

Moulton speculated that both treatments could eventually find a place in
controlling heart disease. Blood vessel inhibitors like endostatin might be given
at a relatively early stage of disease, just as cholesterol-lowering statins are
now used to keep blood vessels healthy. The blood vessel stimulators would
be reserved for relieving arteries that are already badly clogged.

At EntreMed Inc. in Rockville, Md., which is developing endostatin,
spokeswoman Mary P. Sundeed said the company is concentrating on the
cancer uses of the drug and has no plans to test it against heart disease.

She said initial safety testing of endostatin in cancer patients should begin this
summer at the University of Wisconsin and M.D. Anderson Cancer Center in
Houston.
foxmarketwire.com