201. Neurotrophic Factors, Encapsulated Cells, and ALS
- Author
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Diego Braguglia and Patrick Aebischer
- Subjects
Programmed cell death ,biology ,Neurturin ,Growth factor ,medicine.medical_treatment ,Central nervous system ,Ciliary neurotrophic factor ,medicine.disease ,Atrophy ,medicine.anatomical_structure ,nervous system ,Neurotrophic factors ,biology.protein ,medicine ,Amyotrophic lateral sclerosis ,Neuroscience - Abstract
Publisher Summary Amyotrophic lateral sclerosis (ALS) is characterized by the atrophy and death of the affected motoneurons with a marked dissolution of the nuclei and cytoplasm. This chapter considers three different aspects of ALS—the mechanism leading to cell death, the selective loss of motor neurons, and the protracted course of motoneuron degeneration. One of the common hallmarks in several motoneuron degenerative diseases, including sporadic and familial ALS, infantile spinal muscular atrophy, and hereditary sensory motor neuropathy, is the aberrant accumulation of neurofilaments (NF) in the affected motoneurons. Neurotrophic factors (NTF) play a critical role in supporting survival and differentiation of various neuronal population. Motoneurons respond to a variety of NTFs, namely insulin-like growth factor (IGF)-1, brain-derived neurotrophic factor, and neurturin. Neuronal growth factors hold promise for the treatment of neurodegenerative diseases. The presence of the blood-brain barrier, however, represents a major hurdle for the delivery of neurotrophic factors to the central nervous system (CNS). A technique involving the intrathecal implantation of polymer encapsulated cell-lines genetically engineered to release neurotrophic factors provides a means to continuously deliver neurotrophic factors directly within the CNS.
- Published
- 1999
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