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Nervous system growth factors have extensive effects on neuronal function and survival. Nerve growth factor (NGF) prevents the death and stimulates the function of basal forebrain cholinergic neurons in correlational models of Alzheimer’s disease (AD), leading to its translation to Phase 1 and 2 human clinical trials. Separately, Brain-Derived Neurotrophic Factor (BDNF) infl uences the survival and function of entorhinal cortical and hippocampal neurons in several animal models of AD, including transgenic mutant APP-expressing mice; aged rats and lesioned rats; and aged and lesioned primates. These benefi cial effects appear to occur independent of alteration in beta amyloid load. We are currently examining the extended safety and tolerability of BDNF gene delivery to the entorhinal cortex in additional animal studies, potentially leading to specifi c targeting of short term memory loss in future human AD trials. This talk will review the history and current status of growth factor gene delivery in AD and other neurodegenerative disorders.
The identity, synaptic relationship and, ultimately, function of neurons is defi ned by their position. It is particularly evident in the cerebral cortex where neurons acquire their position by active migration before birth from multiple sites of origin and involve complex molecular events and cell–cell interactions. We have used a variety of in vitro and in vivo assays show how specifi c genes, encoding signaling and morphoregulatory molecules and their receptors cooperate in orchestrating various components of migration such as the mode of neuronal proliferation, phenotype determination, establishment of polarity, detachment from the local substrate and rate of migration to the proper position in the cortex. Interestingly, some of these genes and molecules are also implicated in the pathogenesis of cognitive disorders such as schizophrenia, mild mental retardation, childhood epilepsy and autism. In addition, we found that the rate of neuronal migration and precise inside-to-outside sequence of their deployment can be disrupted by exposure of embryo to various physical, chemical, and biological agents. Disruption or even slowing down of neuronal migration by either genetic or environmental factors results in gross heterotopias or in subtle abnormalities of neuronal positions that eventually affect the pattern of synaptic circuits and ultimately may cause variety of idiopathic disorders of highest cognitive function.
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