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Copyright 2000 P.G. Publishing Co.  
Pittsburgh Post-Gazette

June 28, 2000, Wednesday, SOONER EDITION

SECTION: SCIENCE, TECHNOLOGY AND MEDICINE, Pg. A-3, HEALTH & SCIENCE ROUNDUP

LENGTH: 774 words

HEADLINE: NO HEADLINE

BODY:


ANTIBIOTIC AGAINST HUNTINGTON'S?

WASHINGTON -- An antibiotic used to treat a variety of infections may one day offer hope to people suffering from the inherited and deadly Huntington's disease, if experiments in mice also work in humans.

An estimated quarter-million Americans suffer from the currently untreatable disorder in which the brain degenerates, gradually reducing the person's ability to walk, talk and reason.

But researchers at Brigham and Women's Hospital in Boston and Harvard Medical School report that they were able to slow the progress of the disease in mice by using the antibiotic minocycline. Their findings appear in the July issue of the journal Nature Medicine.

"We're very excited about this," said Dr. Robert M. Friedlander, lead researcher. He expects minocycline will eventually become part of a cocktail of several drugs in treating Huntington's.

But minocycline must first be tested for toxicity in humans, Friedlander cautioned, noting that the drug appeared slightly more toxic in mice with their form of Huntington's than it did in normal mice.

Minocycline is a form of tetracycline used in humans to treat acne, rheumatoid arthritis and other diseases. Unlike the better-known tetracycline, minocycline can cross the blood-brain barrier that blocks most chemicals from entering the brain.

In the brain, minocycline blocks the production of some of the enzymes called caspases that cause brain cells to commit suicide. Production of caspases in adult brains has been associated with Huntington's disease, Lou Gehrig's disease, Parkinson's disease and strokes, Friedlander said.

Claritin patent uproar

WASHINGTON -- A bipartisan group of lawmakers renewed efforts yesterday to block a patent extension for the allergy drug Claritin, fearing that supporters will try to add the provision to one of the spending bills now moving through Congress.

"People are sick and tired of this kind of wheeling and dealing," said Sen. Paul Wellstone, D-Minn.

Claritin now sells for up to $ 2.66 per tablet, a price so high some health insurance companies have stopped paying for it. The expiration of the patent would allow cheaper, generic versions to be developed and sold.

The issue grew out of a 1984 bill, when Congress extended the patents of future drugs by five years in recognition of the lengthy approval process by the Food and Drug Administration. Drugs already being reviewed by the FDA, like Claritin, got two-year extensions. Because Claritin wasn't approved for another nine years, Schering-Plough has argued that it should be allowed to seek an additional three-year extension of its patent.

Support for quitters

WASHINGTON -- A majority of Americans who smoke want to quit but get little help from their doctors, who often don't even ask whether they smoke or offer treatments, according to a report released yesterday.

The report by the U.S. Public Health Service urges physicians to aggressively treat smoking just like any other chronic illness.

The agency, which summarizes new guidelines for getting people to quit, said spending as little as 3 minutes talking to patients about their smoking habit can dramatically raise the chance that patients will eventually quit.

"A doctor isn't providing an appropriate standard of care for his or her patients if he or she doesn't ask two key questions -- 'Do you smoke?' and 'Do you want to quit?' -- and then work with that individual to make it happen," said Dr. Michael Fiore, a tobacco researcher at the University of Wisconsin Medical School who headed a panel of private and public health officials that created the guidelines.

IVF gaps

BOLOGNA, Italy -- More than half the in vitro fertilization treatments worldwide are carried out in Europe, but the success rate is higher in the United States, mainly because U.S. doctors implant more embryos.

American women are also more likely to have multiple births, which doctors try to avoid because it increases the risk the children will be handicapped, Dr. Karl Nygren of Sweden said yesterday at a meeting of the European Society of Human Reproduction and Embryology.

About 20 percent of European women who undergo IVF give birth, compared with 26 percent in the United States. But 38 percent of American women have multiple births; among European women, the rate is 29 percent.

Much of the disparity in success rates is tied to who pays.

In France and Scandinavia, the state medical systems pay for four attempts.

In the U.S., these services aren't covered by insurance, so women often pressure their doctors to implant more embryos per attempt.

LOAD-DATE: June 29, 2000




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