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Parkinson's disease and transplants / Roger A. Barker.

Henry Stewart Biomedical & Life Sciences Collection Available online

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Format:
Video
Author/Creator:
Barker, Roger A., author.
Language:
English
Subjects (All):
Alternative medicine.
Brain stimulation.
Physical Description:
1 videorecording (61 min., 08 sec.) : sound, color
Place of Publication:
London : Henry Stewart Talks, 2020.
System Details:
video file
Contents:
Intro slide
The classical pathology of Parkinson's disease
Treatment strategies in PD
Criteria for any cell therapy to be used in PD
Experimental data on neural grafts: summary
Clinical effects of fetal nigral allografts
Freed et al trial of neural grafting in PD
Olanow et al trial of neural grafting in PD: design
Olanow et al trial of neural grafting: results
Summary of clinical data on neural allografts in PD
The issues facing neural grafting in PD
The real pathology of PD
Clinical spectrum of signs and symptoms in PD
Thus the remit for any cell therapy in PD
Different cells that could be used in PD
Xenografts
Obstacle 1: zoonotic infection
Paradis et al study on PERVs
Van der Laan et al study on PERVs
Obstacle 2: risk of rejection
The CD8 cellular rejection response
Obstacle 3: functional capacity of xenografts
Stem cells
Why consider stem cells for grafting?
Types of stem cells
How might stem cells be used in treating PD
Transplantation of exogenously derived stem cells
Embryonic neural stem cells (NSCs)
What must embryonic NSCs be able to do?
Embryonic NSCs in vitro: growth potential
Embyonic neural stem cell differentiation in vitro
Problems with embryonic NSCs: general
Changes in embryonic NSC behaviour over time
The problems with their terminal differentiation
ES cells and dopmainergic differentitiation
Conclusion on stem cells forming dopamine cells
Can such cells repair brains?
Porcine NSC transplant study
Transplant survival
Transplant differentiation
Presence of Dopaminergic cells
Circuit reconstruction (1)
Circuit reconstruction (2)
Functional outcome
Conclusion on stem cell transplants in PD to date
Cells for grafting: conclusion
Where should transplants be placed?
Summary of data to date
Nigrostrital circuit reconstruction data to date
Topography of nigrostriatal dopaminergic projection
Conclusion on where grafts should be placed
When should patients be grafted
The stages of PD and origin of dyskinesais
The treatment of PD by stage
Conclusion on when should patients be grafted
Which patients should be grafted?
The heterogeneity of PD
The CamPaIGN study design
Defining PD heterogeneity
Motor phenotypes
Motor phenotypes in the CamPaIGN study
Cognitive phenotypes
Cognitive phenotypes in the CamPaIGN study
Verbal working memory in PD
fMRI changes with manipulation on VWMT
But what causes these differences?
COMT and BDNF
Comt and BDNF polymorphisms
A tentative classification of PD
Conclusion on which patients should be grafted
Overall conclusion
Acknowledgements
Speaker details.
Notes:
Description based on publisher supplied metadata and other sources.
Retrieved April 8, 2024, from https://hstalks.com/bs/235/.

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