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I HAVE PARKINSON'S DISEASES AND THOUGHT IT WOULD BE NICE TO HAVE A PLACE WHERE THE CONTENTS OF UPDATED NEWS IS FOUND IN ONE PLACE. THAT IS WHY I BEGAN THIS BLOG.

I COPY NEWS ARTICLES PERTAINING TO RESEARCH, NEWS AND INFORMATION FOR PARKINSON'S DISEASE, DEMENTIA, THE BRAIN, DEPRESSION AND PARKINSON'S WITH DYSTONIA. I ALSO POST ABOUT FUNDRAISING FOR PARKINSON'S DISEASE AND EVENTS. I TRY TO BE UP-TO-DATE AS POSSIBLE.

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Saturday, May 17, 2014

An active role played by the motor cortex in learning movement patterns - Medical News Today

Wednesday 7 May 2014 - 1am PST
Wed 7 May 2014 - 1am PST



 Tennis Player


 

Piano Player

Skilled motor movements of the sort tennis players employ while serving a tennis ball or pianists use in playing a concerto, require precise interactions between the motor cortex and the rest of the brain. Neuroscientists had long assumed that the motor cortex functioned something like a piano keyboard.

"Every time you wanted to hear a specific note, there was a specific key to press," says Andrew Peters, a neurobiologist at UC San Diego's Center for Neural Circuits and Behavior. "In other words, every specific movement of a muscle required the activation of specific cells in the motor cortex because the main job of the motor cortex was thought to be to listen to the rest of the cortex and press the keys it's directed to press."

But in a study published in the advance online publication of the journal Nature, Peters, the first author of the paper, and his colleagues found that the motor cortex itself plays an active role in learning new motor movements. In a series of experiments using mice, the researchers showed in detail how those movements are learned over time.

Mouse Motor Cortex
Cells in the motor cortex of mice display regions in which the neurons are active (in green) and regions in which neuron firing is inhibited (in red).
Credit: UC San Diego
"Our finding that the relationship between body movements and the activity of the part of the cortex closest to the muscles is profoundly plastic and shaped by learning provides a better picture of this process," says Takaki Komiyama, an assistant professor of biology at UC San Diego who headed the research team. "That's important, because elucidating brain plasticity during learning could lead to new avenues for treating learning and movement disorders, including Parkinson's disease."

With Simon Chen, another UC San Diego neurobiologist, the researchers monitored the activity of neurons in the motor cortex over a period of two weeks while mice learned to press a lever in a specific way with their front limbs to receive a reward.

"What we saw was that during learning, different patterns of activity - which cells are active, when they're active - were evident in the motor cortex," says Peters. "This ends up translating to different patterns of activity even for similar movements. Once the animal has learned the movement, similar movements are then accompanied by consistent activity. This consistent activity moreover is totally new to the animal: it wasn't used early in learning even with movements that were similar to the later movement."

"Early on," Peters says, "the animals will occasionally make movements that look like the expert movements they make after learning. The patterns of brain activity that accompany those similar early and late movements are actually completely different though. Over the course of learning, the animal generates a whole new set of activity in the motor cortex to make that movement. In the piano keyboard analogy, that's like using one key to make a note early on, but a different key to make the same note later."
An active role played by the motor cortex in learning movement patterns - Medical News Today


Friday, May 16, 2014

Electrical stimulation of dopamine neurons alters human learning, offers potential for rehabilitation after injury or addictive behaviors - Medical News Today






Stimulation of a certain population of neurons within the brain can alter the learning process, according to a team of neuroscientists and neurosurgeons at the University of Pennsylvania. A report in the Journal of Neuroscience describes for the first time that human learning can be modified by stimulation of dopamine-containing neurons in a deep brain structure known as the substantia nigra. Researchers suggest that the stimulation may have altered learning by biasing individuals to repeat physical actions that resulted in reward.

"Stimulating the substantia nigra as participants received a reward led them to repeat the action that preceded the reward, suggesting that this brain region plays an important role in modulating action-based associative learning," said co-senior author Michael Kahana, PhD, professor of Psychology in Penn's School of Arts and Sciences.

Eleven study participants were all undergoing deep brain stimulation (DBS) treatment for Parkinson's disease. During an awake portion of the procedure, participants played a computer game where they chose between pairs of objects that carried different reward rates (like choosing between rigged slot machines in a casino). The objects were displayed on a computer screen and participants made selections by pressing buttons on hand-held controllers. When they got a reward, they were shown a green screen and heard a sound of a cash register (as they might in a casino). Participants were not told which objects were more likely to yield reward, but that their task was to figure out which ones were "good" options based on trial and error.

When stimulation was provided in the substantia nigra following reward, participants tended to repeat the button press that resulted in a reward. This was the case even when the rewarded object was no longer associated with that button press, resulting in poorer performance on the game when stimulation was given (48 percent accuracy), compared to when stimulation was not given (67 percent).

"While we've suspected, based on previous studies in animal models, that these dopaminergic neurons in the substainia nigra - play an important role in reward learning, this is the first study to demonstrate in humans that electrical stimulation near these neurons can modify the learning process," said the study's co-senior author Gordon Baltuch, MD, PhD, professor of Neurosurgery in the Perelman School of Medicine at the University of Pennsylvania. "This result also has possible clinical implications through modulating pathological reward-based learning, for conditions such as substance abuse or problem gambling, or enhancing the rehabilitation process in patients with neurological deficits."


Electrical stimulation of dopamine neurons alters human learning, offers potential for rehabilitation after injury or addictive behaviors - Medical News Today

Wednesday, May 14, 2014

International Stem Cell Corporation Announces Positive Parkinson's Disease Data

Tuesday April 29, 2014

Wall Street Journal Online - International Stem Cell Corporation (OTCQB: ISCO) (www.internationalstemcell.com), a California-based biotechnology company developing novel stem cell-based therapies and biomedical products announced today that some behavioral improvements have been observed after six months in the pre-clinical non-human primate (NHP) study of Parkinson's disease (PD). The detailed behavioral data will be presented at the 66th American Academy of Neurology Annual Meeting in Philadelphia.
"It is encouraging to see these behavioral scores trending in the right direction as it means that the implanted cells may be having a positive impact on the disease symptoms," said Professor D. Eugene Redmond Jr. MD, of Yale University Medical School and the study's supervisor. "The rating scores are equivalent to components of the UPDRS which is widely used in research to evaluate Parkinson's patients. The Parkison's score is known to correlate very highly with brain dopamine concentrations."
The study consists of 18 primates, all exposed to the neurotoxin, MPTP, divided into three cohorts, a sham treated group and two treatment groups receiving different doses of human neural stem cells (hPNSC) derived from ISCO's proprietary parthenogenetic stem cell line. All of the groups had matching levels of parkinsonism and functional disability prior to the cell injections. The 6 months data showed that the healthy behavior scores of the treatment group increased 170% while that of the placebo group increased by 58%. In addition, one of the treatment groups demonstrated a significant improvement in the main Parkinson's rating score of 63% (p < 0.05) while there was no significant improvement in the control group. The changes in these scores are particularly noteworthy as it signifies a greater reduction in the severity of the symptoms in the treatment group compared with the control group. A more detailed update will be presented once the histopathology and biodistribution analysis of the tissue has been completed.
Dr. Ruslan Semechkin ISCO's Chief Scientific Officer commented: "The results of this interim analysis are very promising. This study provides information about how our human neural stem cells, derived from our parthenogenetic stem cells, behave in a diseased brain and how the diseased tissue responds and is a critical part of our planned IND submission."
About International Stem Cell Corporation
International Stem Cell Corporation is focused on the therapeutic applications of human parthenogenetic stem cells (hpSCs) and the development and commercialization of cell-based research and cosmetic products. ISCO's core technology, parthenogenesis, results in the creation of pluripotent human stem cells from unfertilized oocytes (eggs) hence avoiding ethical issues associated with the use or destruction of viable human embryos. ISCO scientists have created the first parthenogenetic, homozygous stem cell line that can be a source of therapeutic cells for hundreds of millions of individuals of differing genders, ages and racial background with minimal immune rejection after transplantation. hpSCs offer the potential to create the first true stem cell bank, UniStemCell(TM). ISCO also produces and markets specialized cells and growth media for therapeutic research worldwide through its subsidiary Lifeline Cell Technology (www.lifelinecelltech.com), and stem cell-based skin care products through its subsidiary Lifeline Skin Care (www.lifelineskincare.com). More information is available at www.internationalstemcell.com.
According to the Parkinson's Disease Foundation, an estimated seven to 10 million people worldwide live with PD, with as many as one million of those in the United States alone, more than the combined total of people diagnosed with multiple sclerosis, muscular distrophy, and Lou Gehrig's disease. The total direct and indirect cost of Parkinson's disease is estimated to be nearly $25 billion per year in the United States alone.
ISCO's Parkinson's disease program uses human parthenogenetic neural stem cells (hPNSC), a novel therapeutic cellular product derived from the company's proprietary histocompatible human pluripotent stem cells. hPNSC are self-renewing multipotent cells that are precursors for the major cells of the central nervous system. The ability of hPNSC to (i) differentiate into dopaminergic (DA) neurons and (ii) express neurotrophic factors such as glial derived neurotrophic factor (GDNF) and brain derived neurotrophic factor (BDNF) to protect the nigrostriatal system, offers a new opportunity for the treatment of Parkinson's disease, especially in cases where current small molecule approaches fail to adequately control the symptoms.
(29 April 2014). Wall Street Journal Online. International Stem Cell Corporation Announces Positive Parkinson's Disease Datahttp://online.wsj.com/article/PR-CO-20140429-909787.html

Exenatide has Potential as a Disease Modifying Agent in Parkinson's Disease

Tuesday May 06, 2014

Medical Xpress - A follow-up study of patients with Parkinson's disease (PD) who participated in an earlier "proof of concept" clinical trial using exenatide showed that improvements persisted twelve months after discontinuing exenatide therapy. These data provide strong encouragement for the further study of this drug in patients with PD, report researchers in the Journal of Parkinson's Disease.
Several recent discoveries have highlighted common cellular pathways that potentially relate neurodegenerative processes with abnormal mitochondrial function and abnormal glucose metabolism.
Exenatide, a glucagon-like peptide-1 agonist (GLP-1 agonist) medication marketed as Byetta® and Bydureon® and used in the treatment of insulin resistance in patients with Type 2 diabetes, has been proposed as a disease modifying drug in PD. Earlier studies had shown that  is neuroprotective and promotes functionally beneficial neuroplasticity in animal models of neurodegeneration. Furthermore, exenatide has a favorable safety profile, with only relatively mild gastrointestinal side effects (including nausea and weight loss) as frequent adverse events.
In an earlier "proof of concept" randomized controlled trial published in May 2013, participants were randomized to either self-administer exenatide in addition to their regular PD medications or to act as controls, i.e., receive their conventional PD treatment only. All of the participants had moderate severity PD. In total, 44 patients (20 in the exenatide group and 24 controls) completed the trial. After 12 months the results showed significant and clinically meaningful differences in both motor and cognitive symptoms between those patients receiving exenatide and the controls. At 14 months, when the patients had discontinued exenatide for two months, the exenatide-treated and control groups still differed from each other. The authors concluded that the study supported potential disease-modifying benefits of exenatide in PD, while acknowledging the lack of a placebo arm.
All of the participants took part in a repeat assessment 12 months after the trial ended. The motor and cognitive advantages persisted in the exenatide group. Compared with the control group, those in the exenatide group had an advantage of 5.6 when using the blinded MDS-UPDRS motor subscale and 5.3 points on the Mattis Dementia Rating scale.
"We found that patients on exenatide appeared essentially unchanged throughout and beyond the trial period, while the control group had the expected rate of gradual decline in movement and cognitive ability," comments senior investigator Thomas Foltynie, MRCP, PhD, of the Sobell Department of Motor Neuroscience, UCL Institute of Neurology, London, UK.
The investigators did not find evidence in their data to suggest that glucose tolerance is different in PD patients who received exenatide for 12 months.
"Aside from the changes in MDS-UPDRS scores, there was also persistent divergence in cognitive performance between the groups, with significant differences which were sustained along the trial period, far beyond the 12-month period of drug exposure," says Foltynie. "These data provide continued support for formal double blind trials of GLP-1 agonists as disease modifying drugs in PD."
"The present study could represent a milestone if future controlled trials provide evidence supporting a disease-modifying effect of exenatide and could lead to a revolution in PD therapy," comment Tanya Simuni, MD, of Northwestern University Feinberg School of Medicine, Chicago, and Patrik Brundin, MD, PhD, of the Van Andel Research Institute, Grand Rapids, MI. Writing in the same issue, they warn however that: "Notwithstanding the promising nature of the results, it has to be emphasized that placebo effects can be highly significant and long-standing in PD. Therefore one should not jump to premature conclusions, While placebo effects ought to have diminished 12 months after drug withdrawal so that the exenatide-treated and control groups no longer differed, a lingering placebo effect cannot be excluded."
Tom Isaacs, Co-founder and President of The Cure Parkinson's Trust which funded the follow-up study, says: "Although we have to remain cautious on the estimation of these results, we are encouraged by the findings. This is the first time that I have come across a program that has the potential to make an enduring change for Parkinson's  and we are excited by the potential of this scientific research."
(6 May 2014). Medical Express. Exenatide has potential as a disease modifying agent in Parkinson's disease. http://medicalxpress.com/news/2014-05-exenatide-potential-disease-agent-parkinson.html

Sleep in Parkinson's Disease With and Without Deep Brain Stimulation

Tuesday May 06, 2014

PR Newswire - 
New findings from The Parkinson Alliance (PA) survey entitled "Sleep in Parkinson's Disease With and Without Deep Brain Stimulation," show that sleep disturbance is highly prevalent in Parkinson's disease (PD), and deep brain stimulation therapy (DBS) may benefit sleep quality and duration. Given that sleep disturbance is a significant problem for people with PD--with health, social and psychological implications, PA conducted a survey related to sleep; 1,247 individuals with Parkinson's participated, including 353 participants who underwent DBS and 894 individuals without DBS.
The majority of participants in this study reported significant sleep disturbance. After controlling for age and disease duration, individuals who have DBS reported less night-time sleep disturbance specifically related to motor symptoms and other PD symptoms. Additionally, the individuals who had DBS reported longer duration of consecutive hours of night-time sleep as compared to the individuals who did not have DBS.
"This research conducted by The Parkinson Alliance highlights the prevalence of sleep disturbance across age and disease duration for individuals with PD. This study has a large number of participants, giving a glimpse into the pervasive nature of sleep disturbance for individuals with PD, further reinforcing the importance of assessing non-motor symptoms in this population. Importantly, this report gives an understanding about contributing factors to sleep disturbance and thorough and practical recommendations that may help improve sleep in individuals with PD," said Jeffrey Wertheimer, Ph.D., clinical neuropsychologist and Chief Research Consultant for The Parkinson Alliance. Wertheimer adds, "Sleep disturbance is often under-assessed and undertreated. Once individuals with PD and their treatment providers have a better understanding about the contributing factors to poor sleep, intervention can be initiated. Moreover, following a proper assessment of sleep disturbance, numerous techniques can be initiated, including implementation of good sleep hygiene, behavioral intervention (modifying behavior to assist with improving sleep), medications to facilitate sleep, and/or specialized sleep devices, such as CPAP (continuous positive airway pressure) or BiPAP (bilevel positive airway pressure) machines."
Baroni, Nastassia (30 April 2014). NewsFeeds. Sleep in Parkinson's Disease With and Without Deep Brain Stimulation. http://www.digitaljournal.com/pr/1898699

Sunday, May 11, 2014

Parkinson Power Overcome the Overwhelming


Parkinson Power has uploaded Parkinson Power Overcome the Overwhelming
Parkinson Power Overcome the Overwhelming
Parkinson Power

Jean Hubble, MD talking about APOKYN for the treatment of Parkinson's

Parkinson Power has uploaded Jean Hubble, MD talking about APOKYN for the treatment of Parkinson's
Jean Hubble, MD talking about APOKYN for the treatment of Parkinson's
Parkinson Power

Saturday, May 10, 2014

DIABETES TREATMENT FOR PARKINSON'S DISEASE \


9th May 2014 - New research

Journal of Parkinson's Disease [2014] Mar 24 [Epub ahead of print] (I.Aviles-Olmos,
J.Dickson, Z.Kefalopoulou, A.Djamshidian, J.Kahan, P.E.Fmedsci, P.Whitton, R.Wyse, T.

Isaacs, A.Lees, P.Limousin, T.Foltynie)


Exenatide, which is a treatment for diabetes, has been tested as a disease modifying treatment
for Parkinson's Disease. Exenatide is an injected glucagon-like peptide-1 agonist medication
marketed as Byett and Bydureon and is used in the treatment of insulin resistance in patients
with Type 2 diabetes. It differs in pharmacological action and chemical structure from
insulin. For more information go to : http://www.rxlist.com/byetta-drug.htm 

The authors do not suggest how this diabetes drug can have effect in Parkinson's Disease.
Using the MDS-UPDRS, which is a means of assessing the
extent of Parkinson's Disease symptoms, people with
Parkinson's Disease were assessed who had previously taken
Exenatide. People with Parkinson's Disease had an advantage
of 5.6 points (with a range of 2.2 to 9.0) on the assessment.
They also had a better score when assessed concerning
dementia. Unusually, the effect of Exenatide on Parkinson's
Disease had continued beyond its use.
In a previous study, when people with moderate Parkinson's Disease received subcutaneous
injections of Exenatide for a year there were marginal improvements in Parkinson's Disease
motor and cognitive measures. Exenatide treated patients had a mean improvement after one
year on the UPDRS of 2.7 compared with a mean decline of 2.2 points in controls. Exenatide
was well tolerated but weight loss was common.
Complete abstract : http://www.ncbi.nlm.nih.gov/pubmed/23728174

http://www.viartis.net/parkinsons.disease/news/140509.pdf

mail@viartis

Friday, May 9, 2014

10 Early Warning Signs of Parkinson's Disease


I was ask to show this again.
Sometimes it is hard to tell that you might have Parkinson's disease. Parkinson's disease is when your brain stops making an important chemical called dopamine. This chemical helps your body to move, and helps your mood. If you do have Parkinson's, you can feel better by taking a pill that helps your body to replace that chemical. Parkinson's disease will get worse slowly over time, and your doctor can help you stay healthy longer. Some of the problems listed here could be signs of Parkinson's disease.
No single one of these signs means that you should worry about Parkinson's disease. If you have more than one symptom, you should make an appointment to talk to your doctor. 
Early diagnosis of Parkinson's disease gives you the best chance of a longer, healthier life.
What you can do if you do have Parkinson's disease:
  • Work with your doctor to create a plan to stay healthy. This plan might include:
    • A referral to a neurologist, a doctor who specializes in the brain
    • Care from an occupational therapist, physical therapist or speech therapist
    • Meeting with a medical social worker to talk about how Parkinson's will affect your life
  • Start a regular exercise program to delay further symptoms.
  • Talk with family and friends who can provide you with the support you need.

Tremor or Shaking

Have you noticed a slight shaking or tremor in your finger, thumb, hand, chin or lip? Does your leg shake when you sit down or relax? Twitching or shaking of limbs is a common early sign of Parkinson’s disease.
What is normal? Shaking can be normal after lots of exercise, if you have been injured, or could be caused by a medicine you take.

Small Handwriting

Has your handwriting suddenly gotten much smaller than in it was in the past? You may notice the way you write words on a page has changed, such as letter sizes are smaller and the words are crowded together. A sudden change in handwriting is often a sign of Parkinson’s disease.
What is normal? Sometimes writing can change as you get older, if you have stiff hands or fingers or poor vision, but this happens over time and not suddenly.

Loss of Smell

Have you noticed you no longer smell certain foods very well? If  you seem to have more trouble smelling foods like bananas, dill pickles or licorice, you should ask your doctor about Parkinson’s disease.
What is normal? Your sense of smell can be changed by a cold, flu or a stuffy nose, but it should come back after you are better.

Trouble Sleeping

Do you thrash around in bed or kick and punch while you are deeply asleep? You might notice that you started falling out of bed while asleep. Sometimes, your spouse will notice, or will want to move to another bed. Sudden movements during sleep may be a sign of Parkinson’s disease.
What is normal? It is normal for everyone to have a night when they ‘toss and turn’ instead of sleeping.

Trouble Moving or Walking

Do you feel stiff in your body, arms or legs? Sometimes stiffness goes away as you move. If it does not, it can be a sign of Parkinson’s disease. You might notice that your arms don’t swing when you walk, or maybe other people have said you look stiff. An early sign might be stiffness or pain in your shoulder or hips. People sometimes say their feet seem ‘stuck to the floor.’
What is normal? If you have injured your arm or shoulder, you may not be able to use it as well until it is healed or another illness like arthritis might cause the same symptom.

Constipation

Do you have trouble moving your bowels without straining every day? Straining to move your bowels can be an early sign of Parkinson’s disease and you should talk to your doctor.
What is normal? If you do not have enough water or fiber in your body, it can cause problems in the bathroom. Also some medicine will cause constipation too. If there is no other reason such as diet or medicine that would cause you to have trouble moving your bowels, you should speak with your doctor.

A Soft or Low Voice

Have other people told you that your voice is very soft when you speak in a normal tone, or that you sound hoarse? If there has been a change in your voice you should see your doctor about whether it could be Parkinson’s disease. Sometimes you might think other people are losing their hearing, when really you are speaking more softly.
What is normal? A chest cold or other virus can cause your voice to sound different but you should go back to sounding the same when you get over your cough or cold.

Masked Face

Have you been told that you have a serious, depressed or mad look on your face more often, even when you are not in a bad mood? This serious looking face is called masking. Also, if you or other people notice that you have a blank stare or do not blink your eyes very often, you should ask your doctor about Parkinson’s disease.
What is normal? Some medicines can cause you to have the same type of serious or staring look, but you would go back to the way you were after you stopped the medication.

Dizziness or Fainting

Do you notice that you often feel dizzy when you stand up out of a chair? Feeling dizzy or fainting can be signs of low blood pressure and can be linked to Parkinson’s disease.
What is normal? Everyone has had a time when they stood up and felt dizzy, but if it happens on a regular basis you should see your doctor.

Stooping or Hunching Over

Are you not standing up as straight as you used to? If you or your family or friends notice that you seem to be stooping, leaning or slouching when you stand, it could be a sign of Parkinson’s disease.
What is normal? If you have pain from an injury or if you are sick, it might cause you to stand crookedly. Also, a problem with your bones can make you hunch over.

Thursday, May 8, 2014

New concept may explain vision problems in Parkinson's disease



(Medical Xpress)—Are patients with Parkinson's disease "blind to blindsight?" That's not a trick question, but the focus of an inquiry by neuroscientists from Rush University Medical Center as well as the Centre Hospitalier and University of Luxembourg.

The "blind to blindness" concept is described in the June issue of the journal Brain by Dr. Nico J. Diederich, from Centre Hospitalier and University of Luxembourg, who is a visiting scholar at Rush University. He was joined by the Rush researchers Glenn Stebbins, PhD, and Dr. Christopher G. Goetz, and neuropsychologist Christine Schiltz, PhD, from the University of Luxembourg.
The scientists developed the concept of "blind to blindsight" to integrate data on visual impairments that contribute to the disability and diminished quality of life in  with Parkinson's disease.
Blindsight is observed in people who are blind as a result of a lesion in the of their brain. Although these individuals are blind, they maintain the ability to sense accurately a light source or a rapid movement without being aware of it. Strangely, blindsighted patients even can respond appropriately to emotional , especially those expressing fear or danger. It is believed that these visual stimuli can be turned directly into actions (e.g., movement of the eyes) by passing through lower areas of the brain. Thus, these retained visual functions operate as unconscious responses to visual stimulation even when there is extensive damage to the visual cortex. .
Conversely, patients with Parkinson's disease, who do not have a problem with their general vision, are unable to do these tasks: they display slowness and reduced accuracy of pursuit eye movements. They often have difficulties grasping a moving object, and show decreased sensitivity to low contrast and impaired ability to read "right away" other people's facial expressions.
Taken together, these Parkinson's disease symptoms represent major impairments in blindsight – hence, "blind to blindsight." Based on this new concept, the researchers could now propose a new concept how to comprehensively understand within one visual system—blindsight—numerous visual signs and symptoms of patients with Parkinson's disease. Impairment of the evolutionary old networks in the brain operating within the blindsight visual system form the basis of the visual problems in Parkinson's disease.