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Press Release

Media Contact:

Coenraads

Director of Research, RSRF

monica@...

EMBARGOED UNTIL FEBRUARY 8, 2007 2 p.m. U.S. EASTERN TIME

REVERSAL OF SYMPTOMS IN AN AUTISM SPECTRUM DISORDER

Rett Syndrome is reversed in genetic mouse model

Cincinnati, OH (February 8, 2007) -The Rett Syndrome Research Foundation

(RSRF) announces results of a landmark study reversing the symptoms of Rett

Syndrome (RTT) in a genetic mouse model. The findings, by Bird, Ph.D., of

the University of Edinburgh and Chairman of the RSRF Scientific Advisory Board,

appear online in Science Express on February 8, 2007. Rett Syndrome is a severe

childhood neurological disease that is the most physically disabling of the

autism spectrum disorders. The experiments were funded by the Rett Syndrome

Research Foundation (RSRF), the Wellcome Trust and the Rett Syndrome U.K./Jeans

for Genes.

Caused by mutations in the gene MECP2, RTT affects primarily girls,

striking at random in early childhood and destroying speech, normal movement and

functional hand use. Many children become wheelchair bound; those who walk

display an abnormal, stiff-legged gait. Disordered breathing patterns and

Parkinson-like tremors are common.

Restoration of fully functional MECP2 over a four week period eradicated

tremors and normalized breathing, mobility and gait in mice that had previously

been fully symptomatic and, in some cases, only days away from death.

" Like many other people, we expected that giving MECP2 to mice that were

already sick would not work, " said Bird. " The idea that you could put back an

essential component after the damage to the brain is done and recover an

apparently normal mouse seemed farfetched, as nerve cells that developed in the

absence of a key component were assumed to be irrevocably damaged. The results

are gratifyingly clear, though, and must give hope to those who are affected by

this distressing disorder. "

Bird is Buchanan Professor of Genetics at University of Edinburgh and

Director of the Wellcome Trust Centre for Cell Biology. MECP2, first identified

by Bird in 1990, is considered to be a protein that regulates the expression of

other genes by turning them off at the appropriate time.

In 1999 Huda Zoghbi, M.D., Professor, Departments of Molecular and Human

Genetics, Pediatrics, Neurology, and Neuroscience at Baylor College of Medicine

discovered that RTT is caused by mutations in the MECP2 gene. Mutations in MECP2

are now being seen in some cases of childhood schizophrenia, classic autism and

learning disabilities. " The findings are extraordinary, and are of relevance not

only to Rett Syndrome but to a much broader class of disorders, including autism

and schizophrenia. The successful restoration of normal function demonstrated in

the mouse models suggests that if we can develop therapies to address the loss

of MECP2 we may be able to reverse neurological damage in children and adults

with Rett, autism and related neuropsychiatric disorders, " commented Zoghbi.

The reversal experiments were carried out in the Bird lab by research

assistant Jacky Guy. Employing technology known as Cre-lox recombination, she

created mouse models in which MECP2 was silenced by insertion of a Stop cassette

into the gene, resulting in the neurological deficits seen in RTT. Silencing

could be reversed at will by removing the Stop cassette, thereby reactivating

the MECP2 gene. This was achieved by treating the mice with a drug that caused

the enzyme Cre to enter the cell nucleus where it could splice out the cassette.

As well as losing overt behavioral defects, the mice also recovered a key

electrophysiological function of the brain. This was determined by measuring LTP

(long-term potentiation) which provides a quantifiable measurement of the

ability of neurons to respond to stimulation. LTP has long been thought to

reflect the cellular basis of learning and memory. Though LTP in RTT mice models

was defective, it was restored to normal function by the reversal experiments.

" The reversal of neurological defects, reported in the remarkable article

by Guy et al, is surprising because the cause of the symptoms occurred early in

development and was expected to be permanent. Of particular note is the recovery

of LTP, which is the best current physiological correlate of learning and

memory. These findings are very encouraging for those searching for a treatment

because they give hope that the symptoms could not only be halted from

progressing, but the course of the disease itself may be able to be reversed, "

stated Fred Gage, Ph.D. of the Salk Institute of Biological Studies.

" Dr. Bird's astonishing results usher in a new era for Rett Syndrome and

other autism spectrum disorders. The reversal experiments provide justification

for aggressive exploration of next steps on all fronts, from drug discovery to

gene correction. The Rett Syndrome Research Foundation will be focused on a

comprehensive effort to identify and speed treatments to the children and adults

in dire need of them, " commented Coenraads, co-founder and Director of

Research for RSRF and mother of a young daughter with the disorder.

About the Rett Syndrome Research Foundation

The Rett Syndrome Research Foundation (www.rsrf.org) was created in late

1999 and is the largest private source of funds for biomedical research on Rett

Syndrome.

About the Wellcome Trust

The Wellcome Trust is the largest charity in the UK and the second largest

medical research charity in the world. It funds innovative biomedical research,

in the UK and internationally, spending around £500 million each year to support

the brightest scientists with the best ideas. The Wellcome Trust supports public

debate about biomedical research and its impact on health and wellbeing.

www.wellcome.ac.uk

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oh my gosh - this is breathtakingly amazing~! wouldn't it be amazing???

love,

yuka

Encouraging development in healing a genetic related

condition

Press Release

Media Contact:

Coenraads

Director of Research, RSRF

monica@...

EMBARGOED UNTIL FEBRUARY 8, 2007 2 p.m. U.S. EASTERN TIME

REVERSAL OF SYMPTOMS IN AN AUTISM SPECTRUM DISORDER

Rett Syndrome is reversed in genetic mouse model

Cincinnati, OH (February 8, 2007) -The Rett Syndrome Research Foundation

(RSRF) announces results of a landmark study reversing the symptoms of Rett

Syndrome (RTT) in a genetic mouse model. The findings, by Bird, Ph.D., of

the University of Edinburgh and Chairman of the RSRF Scientific Advisory Board,

appear online in Science Express on February 8, 2007. Rett Syndrome is a severe

childhood neurological disease that is the most physically disabling of the

autism spectrum disorders. The experiments were funded by the Rett Syndrome

Research Foundation (RSRF), the Wellcome Trust and the Rett Syndrome U.K./Jeans

for Genes.

Caused by mutations in the gene MECP2, RTT affects primarily girls, striking

at random in early childhood and destroying speech, normal movement and

functional hand use. Many children become wheelchair bound; those who walk

display an abnormal, stiff-legged gait. Disordered breathing patterns and

Parkinson-like tremors are common.

Restoration of fully functional MECP2 over a four week period eradicated

tremors and normalized breathing, mobility and gait in mice that had previously

been fully symptomatic and, in some cases, only days away from death.

" Like many other people, we expected that giving MECP2 to mice that were

already sick would not work, " said Bird. " The idea that you could put back an

essential component after the damage to the brain is done and recover an

apparently normal mouse seemed farfetched, as nerve cells that developed in the

absence of a key component were assumed to be irrevocably damaged. The results

are gratifyingly clear, though, and must give hope to those who are affected by

this distressing disorder. "

Bird is Buchanan Professor of Genetics at University of Edinburgh and Director

of the Wellcome Trust Centre for Cell Biology. MECP2, first identified by Bird

in 1990, is considered to be a protein that regulates the expression of other

genes by turning them off at the appropriate time.

In 1999 Huda Zoghbi, M.D., Professor, Departments of Molecular and Human

Genetics, Pediatrics, Neurology, and Neuroscience at Baylor College of Medicine

discovered that RTT is caused by mutations in the MECP2 gene. Mutations in MECP2

are now being seen in some cases of childhood schizophrenia, classic autism and

learning disabilities. " The findings are extraordinary, and are of relevance not

only to Rett Syndrome but to a much broader class of disorders, including autism

and schizophrenia. The successful restoration of normal function demonstrated in

the mouse models suggests that if we can develop therapies to address the loss

of MECP2 we may be able to reverse neurological damage in children and adults

with Rett, autism and related neuropsychiatric disorders, " commented Zoghbi.

The reversal experiments were carried out in the Bird lab by research

assistant Jacky Guy. Employing technology known as Cre-lox recombination, she

created mouse models in which MECP2 was silenced by insertion of a Stop cassette

into the gene, resulting in the neurological deficits seen in RTT. Silencing

could be reversed at will by removing the Stop cassette, thereby reactivating

the MECP2 gene. This was achieved by treating the mice with a drug that caused

the enzyme Cre to enter the cell nucleus where it could splice out the cassette.

As well as losing overt behavioral defects, the mice also recovered a key

electrophysiological function of the brain. This was determined by measuring LTP

(long-term potentiation) which provides a quantifiable measurement of the

ability of neurons to respond to stimulation. LTP has long been thought to

reflect the cellular basis of learning and memory. Though LTP in RTT mice models

was defective, it was restored to normal function by the reversal experiments.

" The reversal of neurological defects, reported in the remarkable article by

Guy et al, is surprising because the cause of the symptoms occurred early in

development and was expected to be permanent. Of particular note is the recovery

of LTP, which is the best current physiological correlate of learning and

memory. These findings are very encouraging for those searching for a treatment

because they give hope that the symptoms could not only be halted from

progressing, but the course of the disease itself may be able to be reversed, "

stated Fred Gage, Ph.D. of the Salk Institute of Biological Studies.

" Dr. Bird's astonishing results usher in a new era for Rett Syndrome and other

autism spectrum disorders. The reversal experiments provide justification for

aggressive exploration of next steps on all fronts, from drug discovery to gene

correction. The Rett Syndrome Research Foundation will be focused on a

comprehensive effort to identify and speed treatments to the children and adults

in dire need of them, " commented Coenraads, co-founder and Director of

Research for RSRF and mother of a young daughter with the disorder.

About the Rett Syndrome Research Foundation

The Rett Syndrome Research Foundation (www.rsrf.org) was created in late 1999

and is the largest private source of funds for biomedical research on Rett

Syndrome.

About the Wellcome Trust

The Wellcome Trust is the largest charity in the UK and the second largest

medical research charity in the world. It funds innovative biomedical research,

in the UK and internationally, spending around £500 million each year to support

the brightest scientists with the best ideas. The Wellcome Trust supports public

debate about biomedical research and its impact on health and wellbeing.

www.wellcome.ac.uk

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Wow! That is pretty amazing stuff! I wonder how many disorders will be

reversed someday??

Michele W

_____

From: CHARGE [mailto:CHARGE ] On Behalf Of

Keedy

Sent: Thursday, February 08, 2007 9:44 PM

To: charge

Subject: Encouraging development in healing a genetic related

condition

Press Release

Media Contact:

Coenraads

Director of Research, RSRF

monica (AT) rsrf (DOT) <mailto:monica%40rsrf.org> org

EMBARGOED UNTIL FEBRUARY 8, 2007 2 p.m. U.S. EASTERN TIME

REVERSAL OF SYMPTOMS IN AN AUTISM SPECTRUM DISORDER

Rett Syndrome is reversed in genetic mouse model

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Share on other sites

Wow!

Thanks for sharing . There is a fabulous article in this month's

Discover magazine. It is actually a review of 2 books that are out,

but talks about neural plasticiity and the amazing recovery of

function that can happen with a bit of simple guidance.

--

Kim

Certified HANDLE Screener and Intern

Mom to Dylan 10 CHaRGE, Kayla 16, Tyler 18

and wife to Roy who makes all things possible in our lives.

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Michele, Kim, Yuka, and ,

Here is a bit more information. Interestingly, the Rett Syndrome Foundation,

which is also a parent organization, helped spearhead the research. Some

researchers below believe that other conditions may also be helped down the road

by the findings.

I love the part where it says the study challenges that the brain damage

experienced in Rett Syndrome is permanent. It also says the study raises the

hope of recovery.

Study Raises Hope for Rett Syndrome Cure

Email this Story

Feb 8, 2:38 PM (ET)

By LAURAN NEERGAARD

WASHINGTON (AP) - Scientists are raising the first hope of recovery from an

autism-like disease that leaves thousands of girls unable to talk or walk - with

an experiment that erased symptoms of the disorder in genetically engineered

mice.

Thursday's report challenges the long-held belief that the brain damage from

Rett syndrome is permanent, but it comes with a big warning: Researchers don't

know how to even try such treatment in people yet, making the discovery one of

both optimism and continued frustration.

" The thing that keeps your feet on the ground with this study is it shows the

principle of reversibility, but doesn't give you any clue about how to

accomplish that, " cautioned lead researcher Dr. Bird, a geneticist at

Scotland's Edinburgh University.

Still, parents rejoiced at the research, saying it gave them hope that even if

finding actual therapies takes another decade, their severely disabled daughters

still may have a chance to improve.

" To think even 10 or 20 years down the road ... she could learn to talk and

walk, " said Endres of her daughter Jillian, 4, who smiles delightedly

as she watches other children play but can't even hold a toy in her own hands.

" If it can happen in Jillian's lifetime, that means the world to us. "

And the work, published Thursday by the journal Science, could affect more than

Rett syndrome, because the same genetic culprit plays a role in certain forms of

autism and other brain diseases, too.

" In this class of disorders, now we have a great hope that if we figure out a

way to manipulate the function of the neurons ... we have a chance of recovery, "

said Dr. Huda Zoghbi of the Baylor College of Medicine. Zoghbi discovered Rett's

genetic culprit in 1999.

Rett syndrome is rare, afflicting roughly one in 10,000 girls. (Boys who are

stricken almost always die in infancy.)

But Rett is the most physically disabling of the family of autism diseases.

Girls are born healthy but then the culprit gene somehow mutates, destroying

speech and normal movement. A classic sign is hands that can do nothing but

wring. Many children never walk; those that do have a stiff-legged gait.

Symptoms usually appear between 6 and 18 months of age. Patients can live to

adulthood, although many die of infections before then.

What goes awry: a gene called MECP2 that is supposed to switch off other genes

involved in the maturation of neurons. When MECP2 shuts off in Rett syndrome,

girls' brain cells don't die, but they don't keep developing.

The question is whether switching that gene back on could restore neuronal

function. Even Bird didn't think so - he was stunned by his own team's finding.

First the ish researchers switched off MECP2 in male mice by inserting a

chemical roadblock into the gene that they could switch on and off with

medication. When the gene was switched off, baby mice hardly moved and died

within weeks.

The first attempt at switching the gene back on killed half the mice, apparently

by flooding their cells with too much of MECP2's protein. So the scientists

tried again, this time gradually increasing gene activity - and rescuing all but

one mouse. Video shows the treated animals scurrying around just like normal

rodents.

The real test was in female mice. Why? The mutated gene is carried on just one

of females' two X chromosomes, giving them some normal gene function so they

don't show symptoms until they're older. If even adult female mice could be

saved, it would signal hope for girls - and it worked.

" We expected that at best we'd get a reduction in the severity of the symptoms.

To have them go away virtually completely was a big surprise, " Bird said.

The experiments couldn't test cognitive functions, such as speech, just physical

ones.

But " the work is really beautiful, " said Dr. Uta Francke of Stanford University,

a co-discoverer of culprit MECP2 who has studied and cared for Rett patients for

20 years. " They have very convincing evidence " that damage once thought

permanent is reversible.

The Rett Syndrome Research Foundation, a parents' group that co-funded the

research, now will push scientists to develop human treatments.

" We were worried there was this narrow window of opportunity within which you

had to intervene, " said foundation co-founder Coenraads, whose

10-year-old daughter Chelsea has Rett syndrome. The new study dispels that

notion, and " gives scientists every reason to explore the next steps on every

front, from gene therapy to drug discovery. "

Gene therapy probably is a long shot, specialists agree. More practical would be

to figure out what other genes MECP2 governs and how to use medications to

manipulate those downstream effects, Zoghbi said.

http://apnews.excite.com/article/20070208/D8N5NOM80.html

Encouraging development in healing a genetic related

condition

Press Release

Media Contact:

Coenraads

Director of Research, RSRF

monica (AT) rsrf (DOT) <mailto:monica%40rsrf.org> org

EMBARGOED UNTIL FEBRUARY 8, 2007 2 p.m. U.S. EASTERN TIME

REVERSAL OF SYMPTOMS IN AN AUTISM SPECTRUM DISORDER

Rett Syndrome is reversed in genetic mouse model

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Share on other sites

This is so very amazing and brings so much hope. , I think you are

right--there is no telling what else will be connected and helped.

pam

Re: Encouraging development in healing a genetic related

condition

Michele, Kim, Yuka, and ,

Here is a bit more information. Interestingly, the Rett Syndrome Foundation,

which is also a parent organization, helped spearhead the research. Some

researchers below believe that other conditions may also be helped down the road

by the findings.

I love the part where it says the study challenges that the brain damage

experienced in Rett Syndrome is permanent. It also says the study raises the

hope of recovery.

Study Raises Hope for Rett Syndrome Cure

Email this Story

Feb 8, 2:38 PM (ET)

By LAURAN NEERGAARD

WASHINGTON (AP) - Scientists are raising the first hope of recovery from an

autism-like disease that leaves thousands of girls unable to talk or walk - with

an experiment that erased symptoms of the disorder in genetically engineered

mice.

Thursday's report challenges the long-held belief that the brain damage from

Rett syndrome is permanent, but it comes with a big warning: Researchers don't

know how to even try such treatment in people yet, making the discovery one of

both optimism and continued frustration.

" The thing that keeps your feet on the ground with this study is it shows the

principle of reversibility, but doesn't give you any clue about how to

accomplish that, " cautioned lead researcher Dr. Bird, a geneticist at

Scotland's Edinburgh University.

Still, parents rejoiced at the research, saying it gave them hope that even if

finding actual therapies takes another decade, their severely disabled daughters

still may have a chance to improve.

" To think even 10 or 20 years down the road ... she could learn to talk and

walk, " said Endres of her daughter Jillian, 4, who smiles delightedly

as she watches other children play but can't even hold a toy in her own hands.

" If it can happen in Jillian's lifetime, that means the world to us. "

And the work, published Thursday by the journal Science, could affect more than

Rett syndrome, because the same genetic culprit plays a role in certain forms of

autism and other brain diseases, too.

" In this class of disorders, now we have a great hope that if we figure out a

way to manipulate the function of the neurons ... we have a chance of recovery, "

said Dr. Huda Zoghbi of the Baylor College of Medicine. Zoghbi discovered Rett's

genetic culprit in 1999.

Rett syndrome is rare, afflicting roughly one in 10,000 girls. (Boys who are

stricken almost always die in infancy.)

But Rett is the most physically disabling of the family of autism diseases.

Girls are born healthy but then the culprit gene somehow mutates, destroying

speech and normal movement. A classic sign is hands that can do nothing but

wring. Many children never walk; those that do have a stiff-legged gait.

Symptoms usually appear between 6 and 18 months of age. Patients can live to

adulthood, although many die of infections before then.

What goes awry: a gene called MECP2 that is supposed to switch off other genes

involved in the maturation of neurons. When MECP2 shuts off in Rett syndrome,

girls' brain cells don't die, but they don't keep developing.

The question is whether switching that gene back on could restore neuronal

function. Even Bird didn't think so - he was stunned by his own team's finding.

First the ish researchers switched off MECP2 in male mice by inserting a

chemical roadblock into the gene that they could switch on and off with

medication. When the gene was switched off, baby mice hardly moved and died

within weeks.

The first attempt at switching the gene back on killed half the mice, apparently

by flooding their cells with too much of MECP2's protein. So the scientists

tried again, this time gradually increasing gene activity - and rescuing all but

one mouse. Video shows the treated animals scurrying around just like normal

rodents.

The real test was in female mice. Why? The mutated gene is carried on just one

of females' two X chromosomes, giving them some normal gene function so they

don't show symptoms until they're older. If even adult female mice could be

saved, it would signal hope for girls - and it worked.

" We expected that at best we'd get a reduction in the severity of the symptoms.

To have them go away virtually completely was a big surprise, " Bird said.

The experiments couldn't test cognitive functions, such as speech, just physical

ones.

But " the work is really beautiful, " said Dr. Uta Francke of Stanford University,

a co-discoverer of culprit MECP2 who has studied and cared for Rett patients for

20 years. " They have very convincing evidence " that damage once thought

permanent is reversible.

The Rett Syndrome Research Foundation, a parents' group that co-funded the

research, now will push scientists to develop human treatments.

" We were worried there was this narrow window of opportunity within which you

had to intervene, " said foundation co-founder Coenraads, whose

10-year-old daughter Chelsea has Rett syndrome. The new study dispels that

notion, and " gives scientists every reason to explore the next steps on every

front, from gene therapy to drug discovery. "

Gene therapy probably is a long shot, specialists agree. More practical would be

to figure out what other genes MECP2 governs and how to use medications to

manipulate those downstream effects, Zoghbi said.

http://apnews.excite.com/article/20070208/D8N5NOM80.html

Encouraging development in healing a genetic related

condition

Press Release

Media Contact:

Coenraads

Director of Research, RSRF

monica (AT) rsrf (DOT) <mailto:monica%40rsrf.org> org

EMBARGOED UNTIL FEBRUARY 8, 2007 2 p.m. U.S. EASTERN TIME

REVERSAL OF SYMPTOMS IN AN AUTISM SPECTRUM DISORDER

Rett Syndrome is reversed in genetic mouse model

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-

It is incredible to think that the brain can be " healed " or brought to full

function from a place of such extreme dysfunction. Who knows where it will

lead or how long it will take, but I think it's lovely to know that these

kids really do have a full function in there - we just have to figure out

how to unlock it. It dispels the notion that they are not " whole " . It's

hard to put into words, but I think the idea that one small correction can

unlock everything is amazing and can shed a new light on things for

outsiders as well.

Michele W

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