Showing posts with label veterans. Show all posts
Showing posts with label veterans. Show all posts

Friday, November 7, 2008

Regenerating Brain Cells

When I worked in the Neuro ICU in the early 1970s I was teased relentlessly at times by doctors who believed I was a bit wacky when I'd argue for the ability of the human body to regenerate brain and nerve cells.

The 1990s found me happy when I read a report on a similar result in a study.

Now it seems we are making more headway, and the jokes can stop.

I've applied a process to accomplish this with people who have had traumatic brain injury and suffer with PTSD. I'm sure it applies to the current situation with our young soldiers.
Scientists coax brain cells in mice to regenerateBy Julie Steenhuysen
Thu Nov 6, 2008

CHICAGO (Reuters) – Scientists have found a way to get damaged nerve cells in the brains of mice to repair themselves, a finding that may lead to new treatments for spinal cord and brain injuries.

By turning off proteins that keep nerve cell growth in check, the researchers were able to stimulate regrowth in mice with damaged optic nerves, they reported on Thursday.

"This is the first time it has been possible to see such significant regeneration by manipulating single molecules," Zhigang He of Children's Hospital Boston, whose study appears in the journal Science, said in a statement.

A separate team found that blocking a protein that discourages cell repairs allowed nerve cells in lab dishes to regenerate.

Taken together, the findings offer leads on ways to coax damaged nerves in the brain and spinal cord to fix themselves.

The studies focused on nerve fibers called axons that carry electrical signals throughout the body.

"In your arms and legs, if these fibers are severed, they can regrow back to the muscle," said Marc Tessier-Lavigne, executive vice president of research drug discovery at biotechnology firm Genentech Inc.

"Nerve fibers in the brain and spinal cord do not regenerate. When you have a spinal cord injury, the paralysis is usually permanent," he said in a telephone interview.

"The ambition of our field is to understand why it is the fibers don't regenerate in the central nervous system."

REKINDLING GROWTH

He's team focused on a gene network called the mTOR pathway, which is very active when young nerve cells are first growing but becomes less active once nerve cells mature.

Nerve injury appears to shut down this network completely. And two proteins -- PTEN and TSC1 -- appear to be responsible for silencing this pathway, the researchers discovered.

"If we get rid of (those proteins), axons can regenerate very dramatically," He said in a telephone interview.

Mice genetically engineered to lack the proteins kept more neurons after an injury to the optic nerve than normal mice. And the mutant mice were able to grow new axons within two weeks.

He said the study suggests that blocking the proteins might rekindle the nerve cell's natural ability to grow. The team is now looking for drugs that can block the proteins.

Tessier-Lavigne and colleagues focused on a different problem -- the chemicals in the body that discourage repairs.

"Even if the nerve cell could regrow, the environment is hostile to regrowth," Tessier-Lavigne said.

He said when an axon in the spinal cord is severed, the cut end sprouts a growth cone.

"It almost looks like a little hand at the end of this cable-like structure," he said.

Tiny sensors on the growth cone pick up chemical signals. In nerves in the periphery of the body such as the finger, signals tell the axon to repair itself. But in the central nervous system, chemical signals repress growth.

Tessier-Lavigne's team found one of those signals -- a protein called PirB -- in the insulating myelin sheath that wraps around each neuron. When they blocked this myelin protein in cell cultures, they got nerve cells to grow.

Tessier-Lavigne said the hope is to use this information to make drugs that allow nerve cells in the brain and spine to repair themselves.

(Editing by Maggie Fox and John O'Callaghan) Copyright © 2008 Reuters Limited.

Friday, October 17, 2008

Using your mind to heal

The release of this recent repeat of older studies is very worthwhile to see reported in mainstream media.

Years ago when I worked in neuro-icu from time to time and subsequently throughout my career as a health professional I have always maintained that neurons can be regenerated. It is the basis for the effectiveness of the therapy for stroke victims to regain use of effected limbs in association with restraining the unaffected limb for short period twice daily ( you are hearing me cringe when I think of all the after effects of CVAs and head injury that are preventable with proper care).

The mind is indeed a powerful tool in healing. Many of us on the avant garde edge of health care have always believed this and integrated the teachings into our care for patients and clients. There is no reason why specific healing techniques cannot be taught to patients to encourage them to rely more on the body's inherent ability to heal. It is also an effective tool that already has been shown to assist the injured with sexual issues.

Many more applications are there, waiting for the door to open.

Perhaps this report will encourage others still relying on Newtonian thinking to burst out of the chains.
Mind power moves paralysed limbs By Michelle Roberts, Health reporter, BBC News

Scientists have shown it is possible to harness brain signals and redirect them to make paralysed limbs move.

The technology bypasses injuries that stop nerve signals travelling from the brain to the muscles, offering hope for people with spinal damage.

So far the US team from the University of Washington have only tested their "brain-machine interfaces" in monkeys.

The hope is to develop implantable circuits for humans without the need for robotic limbs, Nature reports.

Wired up

Spinal cord injuries impair the nerve pathways between the brain and the limbs but spare both the limb muscles and the part of the brain that controls movement - the motor cortex.

Similar techniques could be applied to stimulate the lower limb muscles during walking
Lead researcher Dr Chet Moritz


Recent studies have shown that quadriplegic patients - people who have paralysis in all four limbs - can consciously control the activity of nerve cells or neurons in the motor cortex that command hand movements, even after several years of paralysis.

Using a gadget called a brain-machine interface, Dr Chet Moritz and colleagues re-routed motor cortex control signals from the brains of temporarily paralysed monkeys directly to their arm muscles.

The gadget, which is the size of a mobile phone, interprets the brain signals and converts them into electrical impulses that can then stimulate muscle to contract.

By wiring up artificial pathways for the signals to pass down, muscles that lacked natural stimulation after paralysis with a local anaesthetic regained a flow of electrical signals from the brain.

Life-changing

The monkeys were then able to tense the muscles in the paralysed arm, a first step towards producing more complicated goal-directed movements, such as grasping a cup or pushing buttons, say the researchers.

Lead researcher Dr Chet Moritz said: "This could be scaled to include more muscles or stimulate sites in the spinal cord that could activate muscles in a coordinated action.

"Similar techniques could be applied to stimulate the lower limb muscles during walking."

The scientists found the monkeys could learn to use virtually any motor cortex nerve cell to control muscle stimulation - it did not have to be one that would normally controlled arm movement. And their control over the muscles improved with practice.

The researchers say they need to do trials in humans, meaning a treatment could be decades away.

Dr Mark Bacon, head of research at the UK charity Spinal Research, said: "This is clearly a step in the right direction and proves the principle that artificially transducing the will to move generated in the brain with relevant motor activity can be achieved.

"However, these results have been produced in experimental models where there is no injury per se."

He said injury-induced changes to the nerve circuits might hinder the technology's application in real life.

Also, brain-machine interfaces communicate in only one direction - in this case from the brain to the muscle.

"Sensory feedback, so important for fine control of movements and dexterity, is still some way away," he said.

Story from BBC NEWS: http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/7669159.stm
Published: 2008/10/15 17:02:32 GMT © BBC MMVIII