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Old 05-25-2011, 11:03 PM   #1
Lani
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Exclamation Genentech scientists discover way to sneak antibody based drugs X blood-brain barrier

Study finds way to get antibody therapies into brain



CHICAGO | Wed May 25, 2011 8:29pm EDT
(Reuters) - Scientists have found a way to get antibody-based therapies across a key barrier in the brain and deliver a payload of drugs that take aim at an elusive Alzheimer's target.

The researchers at Roche Holding AG's biotechnology unit Genentech said the findings from two studies, reported on Wednesday in the journal Science Translational Medicine, could open the door to new treatments for diseases like Alzheimer's, schizophrenia, Parkinson's and even autism.

"This really opens a whole new frontier for antibody therapies," said Mark Dennis, a senior antibody scientist at California-based Genentech, a company known for its antibody-based treatments for cancer.

"Before, the brain was considered off limits," Dennis said in a telephone interview.

He and colleagues discovered a reliable way of getting antibody drugs across the blood-brain barrier, a protective fortress that only allows select molecules or nutrients from the bloodstream to enter the brain.

"It's protecting the brain from toxins," Ryan Watts, associate director of neuroscience at Genentech who worked on both studies, said in a telephone interview.

Small molecules, including some pills, can cross this barrier, but large molecules, such as engineered antibodies, get stuck in the tight mesh of cells that line blood vessels in the brain.

Companies are already developing Alzheimer's drugs that use antibodies to attack the Alzheimer's-related protein beta amyloid, but the problem is that only small amounts can get into the brain.

Watts estimates less than 0.1 percent make it across. "This technology significantly improves that," he said.

The discovery came through studies of a new targeted antibody drug for Alzheimer's disease that works by blocking beta-secretase 1 or BACE, an enzyme required for chopping up amyloid beta proteins that go on to form sticky plaques in the brains of Alzheimer's patients.

Studies in mice and monkeys showed the engineered antibody effectively reduced the amount of amyloid beta in the animals' blood, but it had only a modest effect at reducing levels of the protein in the brain.

To overcome this, the team decided to use a Trojan horse approach. They knew that iron crosses easily into the brain, so they made the antibody specifically target transferrin receptors, which transport iron across the blood brain barrier.

But the large molecules kept getting stuck on the receptors and couldn't make it across the blood brain barrier.

Watts likens it to a ski lift: The molecules got on the lift, but never got off.

To overcome this, Dennis figured out a way to make the antibodies less sticky - by reducing their affinity for the transferrin receptors.

That allowed enough of the antibodies to fall off the receptors and enter the brain.

Tests in mice show the antibodies hit their target, and significantly reduced levels of amyloid beta in the brain.

Several companies, including Eli Lilly and Co, have been working to develop drugs that target BACE, which is thought to be a safer target than gamma-secretase.

Lilly pulled the plug on late-stage studies of its gamma-secretase drug semagacestat last summer because some people saw declines in brain function, and some developed a form of skin cancer.

Watts said their beta-secretase 1 antibody is very specific, and it may prove to be safer, but the big discovery for him is getting antibodies into the brain.

"We're going after this very aggressively," Watts said, adding that the company wants to study antibody treatments for neurodegenerative diseases other than Alzheimer's.

"The list is quite long," Watts said.

SOURCE: bit.ly/kmpk1 Science Translational Medicine, May 25, 2011.
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Old 05-27-2011, 02:45 PM   #2
krisvell
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Re: Genentech scientists discover way to sneak antibody based drugs X blood-brain bar

Lani,
This can't come fast enough.

Kris....
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06/08/09 - 55, IDC, IIIA, ER+/PR-/HER+++
Nottingham 6/9 - Grade 2 5.2cm, several nodes
06/23/09 - Neoadjuvant - TCH Herceptin til June
10/07/09 - Finished Chemo
10/27/09 - Mastectomy RB
Path Report: RB No residual tumor pCR,
2 of 15 pos - .5mm largest micromets
12/18/09 - Radiation started (28)
02/05/10 - Finished Radiation
01/11/10 - Started Femara
06/22/10 - Finished Herceptin.. My son's 22nd BD. Hope it's a sign! Hoping for the best.
11/15/10 - Started Walter Reed BC Vaccine trial at
1/04/11 - Sibley Mem. Had to withdraw due to met
01/23/11 - Stage IV - Brain Met 1.6cm 1.7cm
02/03/11 - Gamma Knife (2 fracts to minmize necrosis)
03/01/11 - Gamma Knife
6/11 - Necrosis
7/11 - Necrosis stopped & Tumor progression
8/11 = Now think it's really necrosis
9/11 - Avastin every two weeks -- It's working!! Necrosis is shrinking.
12/11 - Necrosis gone AVASTIN worked.
12/11 - Bone &CT found


Oct '10 - Ran Hartford 1/2 Marathon to Thank Dr. Slamon for Herceptin!
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Old 05-27-2011, 05:28 PM   #3
hutchibk
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Re: Genentech scientists discover way to sneak antibody based drugs X blood-brain bar

Exactly Kris... hurry!! This is great. LOVE Genentech.
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Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

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