Proneuron's Activated Immune Cell Therapies Regenerate and Protect Nerve Cells
January 24, 1999
By PointCast Health.
LOS ANGELES, Jan. 24 /PRNewswire/ -- Proneuron Biotechnologies, Inc., a
privately held biotechnology company, today announced that in separate animal
studies, its activated immune cell therapies promoted regrowth of severed
nerve fibers and protected nerve cells from secondary damage triggered by an
initial injury. The findings support the company's novel approach to treating
neurological conditions by stimulating the immune system. In the company's
autologous immune cell therapy, the subject's own immune cells are removed,
activated, and returned to the central nervous system (CNS) where they
stimulate healing.
The results of the studies were published separately in the July 1998 and
January 1999 issues of Nature Medicine. Both studies were conducted by
Professor Michal Schwartz, holder of the Maurice and Ilse Katz Chair of
Neuroimmunology at the Weizmann Institute and Chief Scientist of Proneuron
Biotechnologies, Inc. Dr. Schwartz presented the results at the Annual Meeting
of the American Association for the Advancement of Science under the title
"Axonal Regrowth and Protection Benefit from Inflammation and Autoimmunity:
Clinical Implications."
"Proneuron scientific collaborators are uncovering much about the
relationship between the immune system and the CNS," said Dr. Schwartz. "Most
immune cells, including macrophages and T-cells, are excluded from the CNS due
to a physiological property called 'immune privilege.' Immune privilege
inhibits macrophage and T-cell activity because it can endanger neurons.
However, our results suggest that when appropriately activated, the patient's
own immune cells can become a therapy for many neurological conditions."
"The company is privileged to develop these autologous cell therapies
representing over 15 years of work at the Weizmann Institute," said
Dale S. Miller, acting president and member of the board of directors of
Proneuron Biotechnologies, Inc. "These technologies may ultimately provide
therapeutic benefit to many patient populations, including patients with
spinal cord injury, glaucoma, peripheral nerve injury, and anterior ischemic
optic neuropathy (AION -- a chronic loss of vision associated with diabetes)."
Nerve Regrowth in Spinal Cord Injury Study
In the first study, Proneuron's implanted macrophage technology restored
movement in rats with severed spinal cords. Macrophages were stimulated
outside the body by exposure to segments of regenerating peripheral nerves and
then implanted in the severed spinal cords of 22 rats. Three control groups of
rats did not receive treatment. Motor function in the rats' hind limbs was
assessed for 16-19 weeks. Beginning two weeks after injury, 70% of treated
animals (15 of 22) showed significant recovery of motor and behavioral
activity, including vigorous voluntary movement in the hind limbs equivalent
to approximately 40% of normal voluntary movement. No control animals showed
any recovery.
"Although human clinical trials are obviously needed, we are very
encouraged by these results," commented Dr. Schwartz. "In this study, the
improved motor activity was strongly linked to regrowth of severed nerves. I
believe that implanted macrophages have the ability to induce and accelerate
powerful healing processes inside the CNS. This research offers new hope to
victims of spinal cord injury."
Spinal Cord Injury (SCI)
Spinal cord injury (SCI) is a devastating trauma to the CNS which claims
12,000 new victims in the U.S. each year. The company estimates that
approximately 250,000 people in the U.S. are permanently disabled and
paralyzed due to SCI. The condition disproportionately affects young, active
members of society injured in motor vehicle collisions, sports or work-related
accidents. The total cost of care for SCI patients in the US is estimated to
exceed $8 billion annually. No long-term treatment is available to regenerate
damaged spinal cord nerves.
Protection From Secondary Neuronal Injury
In the second study, rats with severe optic nerve damage were injected
with T-cells sensitized to respond to antigens of myelin basic protein (MBP),
a substance present at sites of nerve damage in the CNS. Treated rats retained
approximately 300% more functional neurons than did untreated animals,
suggesting a powerful neuroprotective effect. In addition,
electrophysiological activity in injured optic nerves was significantly
reduced by injection of MBP-activated T-cells. Abnormally intense
electrophysiological activity is known to play a role in progressive neuronal
damage.
"This study suggests that selectively activated autoimmune T-cells can
produce significant neuroprotective benefit," stated Dr. Schwartz. "The study
supports the hypothesis that activated T-cells may halt secondary nerve damage
by putting injured neurons in a state of rest. Quiet neurons may be less
likely to over-stimulate their neighbors."
Secondary Neuronal Damage and Neurological Impairment
Nerve cells in the central nervous system (CNS), known as neurons, are
harmed by injury to the brain or spinal cord. Most neuronal injury and death,
however, does not typically occur at the time of initial injury. Many more
neurons suffer progressive injury and die in the hours, days or weeks
following CNS trauma. Neurons harmed in the initial injury are believed to
become overexcited and over-stimulate neighboring cells, resulting in a cascade
of secondary neuronal injury and death. Secondary neuronal damage frequently
leads to serious neurological impairment following CNS injury, including loss
of coordination, difficulty walking, or paralysis; memory loss, inability to
concentrate and other cognitive deficits; and loss of vision or blindness.
Background: Immune Privilege
Compared to other body tissues, CNS tissues have a limited ability to
recover from injury or insult. Recent research indicates that this is related
to the active suppression of the immune system in the CNS, a physiological
property known as "immune privilege." The CNS, for example, contains neither
T-cells nor macrophages, the two most powerful immune system cells in the
body. T-cells attack foreign antigens in the body while macrophages engulf,
absorb and remove damaged cells and debris. Instead, the CNS is shielded from
foreign organisms and substances by a tight screen known as the "blood-brain
barrier."
Immune privilege is believed to protect neurons from certain diseases and
auto-immune disorders. Macrophages and T-cells, for example, may secrete
substances toxic to neurons. However, immune privilege also limits the ability
of CNS nerve cells to protect themselves from disease and injury. Proneuron
believes that its activated T-cell therapy has the potential to selectively
neutralize immune privilege and boost the body's natural defense mechanisms.
Proneuron Company Profile
Proneuron Biotechnologies, Inc. is a biotechnology company developing
novel therapies for acute and chronic neurodegenerative diseases, including
spinal cord injury and optic neuropathy. The company's strategy is to achieve,
proof of concept for its therapeutics in human clinical trials; seek
late-stage development and marketing partners; and ultimately to establish
four CNS therapy centers where patients can receive activated macrophage and
T-cell therapies.
The company has three proprietary technology platforms for neuroprotective
and neuro-regenerative therapies: autologous macrophage therapies to
regenerate CNS nerve fibers; autologous T-cell therapies to protect nerve
cells from neurodegenerative injury; and immune Privilege factor (IPF) therapy
to stimulate the CNS immune response. In preclinical studies conducted by the
company, its therapies have promoted regrowth of severed spinal cord fibers
and optic nerve fibers, and protected neurons in multiple animal models
By mid-1999, the company expects to initiate Phase I/II human clinical
trials of its autologous macrophage therapy to treat spinal cord injury (SCI).
Such trials will be conducted in Israel under an Investigational New Drug
(IND) application filed with the United States Food & Drug Administration
(FDA). Proneuron is in the process of establishing a current Good
Manufacturing Practice (cGMP) facility in Israel to support these clinical
trials.
Proneuron was founded in 1996 to commercialize technologies being
developed at the Weizmann Institute of Science in Rehovot, Israel. Proneuron
has obtained an exclusive worldwide license to uses of such technologies from
Yeda Research and Development Corporation, Ltd., the commercialization arm of
the Weizmann Institute. Since inception, the company has raised equity
financing from Israeli and U.S. investors, including AG Tech, DS Polaris II,
Chase Equity Associates, Hudson Investment Group and Omega.
Press releases and corporate information from Proneuron Biotechnologies,
Inc. are available on the Internet at www.Proneuron.com.