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Antibiotic
may treat Huntington's disease
NEW YORK (Reuters Health)
- A common antibiotic holds promise as a treatment for Huntington's
disease, a hereditary disorder for which there is no effective treatment
or cure. In mice genetically engineered to develop a similar illness,
minocycline, an antibiotic used to treat some forms of acne and arthritis,
slowed down the development of symptoms and death from the disease,
researchers report.
"The drug that we used
is one that is in the pharmacy today," the studys senior
author, Dr. Robert M. Friedlander, of Brigham and Women's Hospital,
in Boston, Massachusetts, told Reuters Health.
"It would be one of
the first drugs that would be effective for Huntington disease,"
he said, cautioning that clinical trials need to be conducted to prove
its effectiveness in humans.
There is currently no effective
treatment for Huntingtons disease, a fatal hereditary disorder
in which the death of brain cells eventually leads to involuntary movements
and mental and behavioral changes. Symptoms usually begin when a person
is 35 to 40 years old. Children of people with Huntington's have a 50%
chance of developing the disease.
An enzyme called caspase-1
and a substance called nitric oxide are believed to be involved in Huntingtons
disease. Since the antibiotic minocycline targets this enzyme and another
one involved in the release of nitric oxide, the researchers tested
its effects in mice with a disease similar to Huntingtons.
In mice who received daily
treatment with minocycline, symptoms began later than in untreated mice,
the researchers report in the July issue of the journal Nature Medicine.
These mice also lived an average of 14% longer than untreated mice.
In contrast, mice treated with another type of antibiotic did not appear
to benefit at all.
In his comments to Reuters
Health, Friedlander said that minocycline has been used over the long
term in people without causing serious side effects. Before the drug
is prescribed to people with Huntington's disease, however, he said
that its effectiveness needs to be tested in clinical trials.
Assuming that the drug does
slow down Huntingtons disease, it will probably be used in combination
with other drugs that are developed to treat the disease, just as a
multi-drug '"cocktail" is used to treat AIDS, according to
Friedlander.
"It's not a cure for
Huntington disease," said Friedlander, but "we're getting
there."
- SOURCE:
Nature Medicine 2000; 6:797-801

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