The Robert Packard Center for ALS Research at Johns Hopkins
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September 22, 2002

CENTER TAKES ON TWO NEW ALS RESEARCHERS
The Scientific Advisory Board of The Robert Packard Center for ALS Research at Johns Hopkins has awarded new grants to two scientists -- each expert in a new avenue of research the Center will follow in the coming year. Here we describe the studies that Zuoshang Xu, M.D., Ph.D., from the University of Massachusetts Medical School, and Ronald W. Oppenheim, Ph.D., of the Wake Forest University School of Medicine, will carry out as the Center's newest scientists.

"DISARMING" AN ALS GENE
Scientists have uncovered more than 90 different types of mutation in the much-studied gene -- called SOD1-- that goes awry in certain inherited forms of ALS. And they know, from mouse models that carry the mutated human gene, that it triggers some as-yet undeciphered chain of events that destroys motor neurons. Because people with this inherited form of ALS typically carry normal SOD1 genes as well as mutant ones, a safe, sure way to shut off the mutant form -- in theory -- could stop the disease. Blocking the action of mutant SOD1 would then leave the cells with remaining, normal SOD1, whose usual role is to help protect them from a variety of assaults due to buildup of cell toxins. For the past year, neuroscientist Zuoshang Xu has been refining a hot new technique in molecular biology with the potential of silencing mutant SOD1 genes. Using the method called RNA interference (RNAi), he's "disarmed" trial mutant SOD1 in laboratory test mixtures. In the approach, he creates small, double-stranded RNA molecules that can slip through cell membranes and, functionally, act like a well-targeted monkey wrench to disrupt the specific gene's activity. These small, interfering RNAs (siRNAs) target molecular intermediates in the reactions a gene directs and triggers their destruction. The technique mimics a natural method cells use to quiet genes. In his Center work, Xu will extend and refine his studies to silence a larger number of SOD1 mutations. He'll also work on synthesizing the optimal small RNA molecules. As part of groundwork for possible therapies, Xu will begin testing the RNAi technique on SOD1 mouse models of ALS.

BLOCKING DEATH'S PATHWAY
When ALS kills motor nerves, it unleashes a process that ultimately trips a destructive program hard-wired into motor neuron cells. Programmed cell death has been eyed as a possible target for therapy for ALS and other neurodegenerative diseases, and scientists have singled out certain steps on that downward path as being potentially more useful than others to disrupt. One such stage involves the action of a gene called Bax -- one neuroscientist Ronald W. Oppenheim has recently studied in hopes of saving nerve cells. His results so far are interesting. When Oppenheim studied mice lacking the Bax gene, he found they greatly resisted a natural "sweep" of certain no-longer-necessary neurons that's part of normal embryo development. To his surprise, however, the rescued nerve cells failed to connect properly with target muscles after the mice were born, or to integrate into the spinal cord networks that carry out motor function. To increase chances of connection, Oppenheim next injected the mice with a substance called GDNF (glial derived neurotrophic factor), which, in nature, encourages the meeting of nerve cells and their muscle targets. With GDNF, most of the nerve cells appeared normal and the number of cells with proper muscle connections jumped. In his Center work, Oppenheim will again study mice without the Bax gene, only this time in mouse SOD1 models of ALS. He'll monitor neuromuscular function and motor nerve behavior in the mice to see if lacking Bax protects the mice, if it's in some way harmful or if ALS-like changes appear. Should nerve cells be protected from death but fail to connect with muscle, he'll then test GDNF's ability to correct that and do follow-up studies to explain precisely what's happening.

THE ROBERT PACKARD CENTER FOR ALS RESEARCH

The Robert Packard Center for ALS Research at Johns Hopkins is a collaborative effort by some of the best ALS and non-ALS scientists to aggressively and rapidly develop new treatments and find a cure for ALS, also know as Lou Gehrig's disease. It's the only institution of its kind dedicated solely to the disease. Research conducted by the Center is meant to translate from bench to bedside in a expedited time frame. Center scientists from institutions around the world have made some of the most important discoveries in ALS, leading to advances in understanding and treatment of the disease.

The nature of ALS shapes the Center's aggressive, results-oriented scientific approach. ALS is a devistating, progressive neuromuscular disease that causes complete paralysis and loss of function-including the ability to eat, speak, and breathe-and eventually, death. ALS progresses quickly and is not curable. Most patients die within five years of diagnosis.

To learn more about The Center for ALS Research at Johns Hopkins, including the latest information on ALS research and treatment, log on to www.alscenter.org.


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