Retarding ALS Progression: An Experimental Regimen

(Created by Anthony G. Payne, Ph.D.)

Printable PDF Version

 

This regimen was developed over time and includes dietary, nutraceutical and dietary measures that have seemingly slowed progression in nonfamilial ALS patients. These measures address some of the major known biologic players in Lou Gehrig’s. In-a-nutshell, the regimen....

Ř      Reduces or otherwise modulates glutamate in motor neurons and astrocytes.

Ř      Modulates calcium influx in motor neurons, which in and of itself can cause apoptosis (die-off).

Ř      Lowers homocysteine when elevated (Homocysteine apparently can become neurotoxic when elevated significantly).

Ř      Increases quinine reductase activity in motor neurons and astrocytes, which helps lower or otherwise modulate glutamate levels.     

Nutraceuticals

 

PREVAGEN – Rationale for use: Prevents calcium influx and toxicity in neurons. Recommended dose: One twenty milligram (20 mg) capsules every 2 to 3 hours during waking hours and one to two (1-2) capsules 30-60 minutes before retiring for the night. 

LITHIUM OROTATE – Rational for use: Glutamate modulation in neurons. Recommended use: Follow physician recommendations (Most ALS patient wind up taking 1 tablet or more every 2 hours. High doses require testing to insure that toxicity does not occur).

NONI – Rationale for use: Contains a potent Quinone reductase inducer – QR reduces glutamate toxicity in cells. Recommended use: Juice should be drunk liberally all day long. Capsules – 1 every 2 hours during the day and 1-2 capsules one hour to one-half hour before bedtime.

TUMERIC EXTRACT – Rationale for use: Quinone reductase inducer in astrocytes (Lowers glutamate).  Recommended Dose: 1 tablet every two hours during the day and 1-2 tablets prior to bedtime. 

MEDIUM CHAIN TRIGLYCERIDES (MCT) LIQUID OR SOFTGELS. Rational: A modicum of research indicates that a high MFT diet may slows ALS. Recommended dose: Consult a physician and possibly an R.D. (Registered Dietician) regarding creating an MFT diet and supplement plan.   

NUTRACENE®- This time-release B-multiple will help lower homocysteine, which is typically high in advanced ALS patients and induces apoptosis (die-off) in neurons according to some lab studies.

 

FOR ALS PATIENTS WITH ACTIVE HUMAN HERPES VIRUS 6 (HHV-6): If HHV-6 is suspect to be active, there are a handful of natural compounds that might prove helpful: Non-Toxic NDGA (One source: VIROX) and Transfer Factor-HHV6 (One source: Contact this company and ask)

Pharmaceuticals (Prescribed drugs)

 

DEPRENYL – Follow physician instructions.

Diet

 

Recommended Diet:  Medium Chain Triglycerides Diet. Rationale: There are many reasons the ketogenic or MCT diets can be of benefit to ALS patients, not the least of which is the fact they tend to increase glutamate transporter gene expression.

Ketogenic & MCT Diet (Epilepsy website)

MCT Diets

Also: Drink plenty of green tea (The ECGC proved neuroprotective in an animal model of ALS), and consume lots of curry dishes (There are a wealth of anti-inflammatory compounds in curry including turmeric).

OTHER EXPERIMENTAL MEASURES FOLLOW BELOW 

 

Disclaimer: Statements made and products sold through the web sites mentioned have not been evaluated by the US Food and Drug Administration. They are not intended to diagnose, treat, cure, or prevent any disease. The information contained in this regimen is provided for informational purposes only and should not be construed as medical advice or instruction. Readers are advised to consult a licensed health care professional concerning all matters related to their health and well being.


© 2007 Dr. Anthony G. Payne. All Rights Reserved

 

 

Ciliary Neurotrophic Growth Factor Expressing Cord Blood Stem Cells

 

Researchers have known for some time that ciliary neurotrophic growth factor (CNGF) prolongs the survival of motor neurons (Animal models). And many of these have proposed using CNGF to treat ALS. The problem lies in the fact that CNGF is a large molecule that cannot get through the blood brain barrier.

 

As a result, many scientists have invested a great deal of time in trying to figure out how to bypass the blood brain-barrier in order to get CNGF into the CNS -- many by use of pumps and implantable, CNF-laden resins and such (See the article below). My approach was simpler: Genetically engineer cord blood mesenchymal or other cells to synthesize and express CNGF, then catheter infuse them into an ALS patient’s CNS. These cells should live for about 180 days and thus afford ALS patients the presence of this growth factor on a fairly continuous basis for almost half a year. Subsequent infusions should keep the process going.

 

During 2006 genetics engineers working with stem cell clinical researcher Fernando Ramirez Del Rio, M.D. (in Mexico) ran with my idea and produced a human umbilical cord stem cell line that expresses ciliary neurotrophic growth factor. Following animal experiments which indicated these cells were safe, they were employed (in Mexico) to treat advanced, dying ALS patients (An ethical choice all-things-considered). In the weeks and months that followed many of those treated noted experiencing greater energy, stamina, balance and motor function. One very advanced ALS patient reported recovering some function in his previously immobile lower limbs.

 

Anthony G. Payne, Ph.D.

 

NOTE: An additional line of cord blood (mesenchymal) stem cells was created which expresses Vascular Endothelial Growth Factor (VEGF) -- a growth factor which published research indicates may benefit ALS. These cells have not been used in any ALS patients to-date (February 2008). They were, however, infused into people with heart and liver diseases that would tend to respond favorably to VEGF. No side-effects were noted and some clinical benefits were documented.  

 

 

http://www.jneurosci.org/cgi/reprint/22/21/9221

MDA GRANTEE HAS HIGH-SPEED PLAN FOR FINDING ALS THERAPIES

"There's been a lot of poison in the air about neurotrophic factors," says neurologist and neuroscientist Ralph Kuncl, an MDA grantee at Johns Hopkins University Medical Center in Baltimore . "And that's too bad, because I think that, hidden in this group, are some of the most potent agents we have."

The question for Kuncl and other researchers is how to find them and use them as therapeutic agents in ALS.

 

Kuncl believes in the future of neurotrophic factors, proteins produced by the body in or near nerve cells (neurons) that help keep these cells alive under a variety of adverse conditions, including disease, injury and a natural "pruning" process that occurs during embryonic development.

 

He leads a team that's testing new neurotrophic factors and has had success with two new ones -- PEDF (pigment epithelium-derived factor) and neurturin. Kuncl has also developed some new ways of testing the effectiveness of existing neurotrophic factors.

 

Neurotrophic factors have been important in research on ALS and other neurodegenerative diseases for several years. But results in clinical trials haven't lived up to expectations derived from laboratory models.

 

Part of the reason, in Kuncl's view, is the inadequacy of these laboratory models in predicting what will actually happen when neurotrophic factors are tried in people.

A Realistic Environment

One way to study a substance for its effects on cells is to apply it to the cells (for example, to motor neurons, which are the muscle-controlling nerve cells lost in ALS) in a laboratory dish -- a "cell culture model" or "cell culture system." Neurons in a laboratory culture can be injured by a variety of toxins and then given various substances to see how well they "rescue" the neurons from the damaging agent.

 

This method, Kuncl says, has its limitations. Cells in culture are like fish out of water; they don't live very long and outside their natural environment their behavior isn't necessarily usual for them. Because of their short life span, cells in a culture dish can't be used to study chronic conditions like ALS, where damage occurs slowly over time.

 

Other scientists study cells in animal models of a disease. Mouse models of ALS include the SOD1 transgenic mouse, which has a genetic mutation known to cause ALS in humans, and the wobbler mouse, which has a genetic mutation that produces a disease resembling ALS.

But intact animals also have their limitations, Kuncl points out. Even with state-of-the-art imaging techniques, it's impossible to see everything that's going on at the cellular level inside a live animal. And, as with humans, there are so many biochemical processes going on at once inside the animal that it's difficult to sort out what's causing what. It's also hard to say whether the animal has the same disease that human patients do.

 

About seven years ago, Kuncl's group at Johns Hopkins developed an "organotypic" model for studying neurodegenerative diseases. The system consists of thick slices of the spinal cords of rats, including all the connections between the neurons and their supporting cells, the glia. Investigators can manipulate the cells with different damaging agents (for example, exposing them to too much glutamate, which is almost certainly a factor in many cases of human ALS).

This approach "provides you with an environment in which motor neurons normally live and that's much more like real life," Kuncl says.

Proof is in the Pudding

Kuncl admits that his claims are theoretical. Proof will depend on finding a correlation between his organotypic model and results of clinical trials on humans.

Kuncl believes that, if you subtract for the "delivery factor" (the difficulty of delivering neurotrophic factors to the motor neurons in animals or humans), the results seen in his organotypic model pretty well match what you see in clinical trials of neurotrophic factors.

That correlation indicates that the substances tested in his model have promising neuron preservation capabilities, he says. If scientists are sure a drug can rescue cells if it can reach them, it's worthwhile developing a good delivery system and testing it in humans, an effort that can cost millions of dollars and years of time.

 

"By any systemic administration, you're counting on the nerve terminals down in the muscle to gobble up this stuff and transport a small fraction of it up [to the neuron]," Kuncl says. "In order to do that, you have to give massive amounts, which is both costly and risky, leading to systemic side effects, such as occurred in the CNTF [ciliary neurotrophic factor] trial, and production of antibodies, which could diminish the [therapeutic] effect."

 

One way to get around the delivery stumbling block would be to implant genes for a neurotrophic factor at spots where they're likely to be able to get the factor to the motor neurons, Kuncl says. Another method would be "to implant the factors or their genetic machinery in a wafer or resin that would continually leak it out into the nervous system."

 

Kuncl says implanting such substances near the spinal cord would probably be effective because "most of the disability in ALS is lower motor neuron, which is spinal cord, and most of the chance for reversibility by protecting motor neurons and enhancing sprouting [growth of extensions from the neurons] is at the lower motor neuron."

 

 

New Factors in the Pipeline

Kuncl's team published its PEDF results in the July issue of the Journal of Neuropathology and Experimental Neurology and its neurturin results in the May issue of Molecular and Cellular Neuroscience.

 

Either of these substances used alone in the organotypic culture model led to "virtually 100 percent survival over a course of two months," Kuncl says, under neuron-damaging conditions "when otherwise half the motor neurons or more would have been gone."

When two such factors are combined, the results can be "even more spectacular," he says.

Kuncl is particularly enthusiastic about PEDF because it may have certain advantages over other existing factors.

 

For one thing, its effects aren't limited to its success as a neurotrophic factor. Recent research has uncovered a potential role for PEDF in preventing blindness in common conditions in which too many blood vessels grow in the retina or other parts of the eye. This fortuitous finding may make PEDF a hot commodity for drug companies because of its potentially broad commercial uses.

Another advantage of PEDF is the small size of some of its active parts.

 

Their size, Kuncl says, will make administration easier, whether a gene therapy or a drug therapy approach is used. Small molecules are much more likely to cross natural barriers and enter the nervous system, even if they're administered systemically, he says.

 

Kuncl is careful to say that the discovery of PEDF and neurturin as potential drugs for ALS is still a long way from the clinic. "This discovery with PEDF allows it to enter the pipeline," he says, "but the pipeline is long." 

 

 http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1859845&blobtype=pdf

http://www.jneurosci.org/cgi/reprint/22/21/9221

 

Am J Pathol. 2006 Aug;169(2):584-98.  Links

Continued administration of ciliary neurotrophic factor protects mice from inflammatory pathology in experimental autoimmune encephalomyelitis.

.

Departement de Pharmacologie, Pavillon Roger Gaudry, 2900 Edouard-Montpetit, Montreal , QC H3T 1J4 , Canada . jf.gauchat@umontreal.ca.

Multiple sclerosis is an inflammatory disease of the central nervous system that leads to loss of myelin and oligodendrocytes and damage to axons. We show that daily administration (days 8 to 24) of murine ciliary neurotrophic factor (CNTF), a neurotrophic factor that has been described as a survival and differentiation factor for neurons and oligodendrocytes, significantly ameliorates the clinical course of a mouse model of multiple sclerosis. In the acute phase of experimental autoimmune encephalomyelitis induced by myelin oligodendrocyte glycoprotein peptide 35-55, treatment with CNTF did not change the peripheral immune response but did reduce the number of perivascular infiltrates and T cells and the level of diffuse microglial activation in spinal cord. Blood brain barrier permeability was significantly reduced in CNTF-treated animals. Beneficial effects of CNTF did not persist after it was withdrawn. After cessation of CNTF treatment, inflammation and symptoms returned to control levels. However, slight but significantly higher numbers of oligodendrocytes, NG2-positive cells, axons, and neurons were observed in mice that had been treated with high concentrations of CNTF. Our results show that CNTF inhibits inflammation in the spinal cord, resulting in amelioration of the clinical course of experimental autoimmune encephalomyelitis during time of treatment.

PMID: 16877358 [PubMed - in process]

http://www.uvm.edu/annb/faculty/PDFs/283.pdf

 

 

Axonal Remyelination by Cord Blood Stem Cells after Spinal Cord

Injury

Abstract

Human umbilical cord blood stem cells (hUCB) hold great promise for therapeutic repair after spinal cord injury (SCI). Here, we present our preliminary investigations on axonal remyelination of injured spinal cord by transplanted hUCB. Adult male rats were subjected to moderate SCI using NYU Impactor, and hUCB were grafted into the site of injury one week after SCI. Immunohistochemical data provides evidence of differentiation of hUCB into several neural phenotypes including neurons, oligodendrocytes and astrocytes. Ultrastructural analysis of axons reveals that hUCB form morphologically normal appearing myelin sheaths around axons in the injured areas of spinal cord. Colocalization studies prove that oligodendrocytes derived from hUCB secrete neurotrophic hormones neurotrophin-3 (NT3) and brain-derived neurotrophic factor (BDNF). Cord blood stem cells aid in the synthesis of myelin basic protein (MBP) and proteolipid protein (PLP) of myelin in the injured areas, thereby facilitating the process of remyelination. Elevated levels of mRNA expression were observed for NT3, BDNF, MBP and PLP in hUCB-treated rats as revealed by fluorescent in situ hybridization (FISH) analysis. Recovery of hind limb locomotor function was also significantly enhanced in the hUCB-treated rats based on Basso-Beattie-Bresnahan (BBB) scores assessed 14 d after transplantation. These findings demonstrate that hUCB, when transplanted into the spinal cord 7 days after weight-drop injury, survive for at least 2 weeks, differentiate into oligodendrocytes and neurons, and enable improved locomotor function. Therefore, hUCB facilitate functional recovery after moderate SCI and may prove to be a useful therapeutic strategy to repair the injured spinal cord.

 

J Neurosci. 2007 Jul 4;27(27):7094-104. Links

Activation of astrocytes by CNTF induces metabolic plasticity and increases resistance to metabolic insults.

Escartin C, Pierre K, Colin A, Brouillet E, Delzescaux T, Guillermier M, Dhenain M, Déglon N, Hantraye P, Pellerin L, Bonvento G.

High energy demands of neurons make them vulnerable to adverse effects of energy impairment. Recently, astrocytes were shown to regulate the flux of energy substrates to neurons. In pathological situations, astrocytes are activated but the consequences on brain energy metabolism are still poorly characterized. We found that local lentiviral-mediated gene transfer of ciliary neurotrophic factor (CNTF), a cytokine known to activate astrocytes, induced a stable decrease in the glycolytic flux in the rat striatum in vivo as measured by 2-[18F]-2-deoxy-D-glucose autoradiography and micro-positron emission tomography imaging. The activity of the mitochondrial complex IV enzyme cytochrome oxidase was not modified, suggesting maintenance of downstream oxidative steps of energy production. CNTF significantly increased the phosphorylation level of the intracellular energy sensor AMP-activated protein kinase (AMPK), supporting a specific reorganization of brain energy pathways. Indeed, we found that different key enzymes/transporters of fatty acids beta-oxidation and ketolysis were overexpressed by CNTF-activated astrocytes within the striatum. In primary striatal neuron/astrocyte mixed cultures exposed to CNTF, the AMPK pathway was also activated, and the rate of oxidation of fatty acids and ketone bodies was significantly enhanced. This metabolic plasticity conferred partial glial and neuronal protection against prolonged palmitate exposure and glycolysis inhibition. We conclude that CNTF-activated astrocytes may have a strong protective potential to face severe metabolic insults.

PMID: 17611262

J Neurochem. 2008 Jan 17

Vascular endothelial growth factor protects spinal cord motoneurons against glutamate-induced excitotoxicity via phosphatidylinositol 3-kinase.

Tolosa L, Mir M, Asensio VJ, Olmos G, Lladó J.

Grup de Neurobiologia Cel·lular, Departament de Biologia, Institut Universitari d’Investigacions en Cičncies de la Salut (IUNICS), Universitat de les Illes Balears, Palma de Mallorca, Spain.

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by the selective death of motoneurons. Recently, vascular endothelial growth factor (VEGF) has been identified as a neurotrophic factor and has been implicated in the mechanisms of pathogenesis of ALS and other neurological diseases. The potential neuroprotective effects of VEGF in a rat spinal cord organotypic culture were studied in a model of chronic glutamate excitotoxicity in which glutamate transporters are inhibited by threohydroxyaspartate (THA). Particularly, we focused on the effects of VEGF in the survival and vulnerability to excitotoxicity of spinal cord motoneurons. VEGF receptor-2 was present on spinal cord neurons, including motoneurons. Chronic (3 weeks) treatment with THA induced a significant loss of motoneurons that was inhibited by co-exposure to VEGF (50 ng/mL). VEGF activated the phosphatidylinositol 3-kinase/Akt (PI3-K/Akt) signal transduction pathway in the spinal cord cultures, and the effect on motoneuron survival was fully reversed by the specific PI3-K inhibitor, LY294002. VEGF also prevented the down-regulation of Bcl-2 and survivin, two proteins implicated in anti-apoptotic and/or anti-excitotoxic effects, after THA exposure. Together, these findings indicate that VEGF has neuroprotective effects in rat spinal cord against chronic glutamate excitotoxicity by activating the PI3-K/Akt signal transduction pathway and also reinforce the hypothesis of the potential therapeutic effects of VEGF in the prevention of motoneuron degeneration in human ALS.

PMID: 18182045

 

Disclaimer: Statements made and products sold through the web sites mentioned have not been evaluated by the US Food and Drug Administration. They are not intended to diagnose, treat, cure, or prevent any disease. The information contained in this regimen is provided for informational purposes only and should not be construed as medical advice or instruction. Readers are advised to consult a licensed health care professional concerning all matters related to their health and well being.


© 2007 Dr. Anthony G. Payne. All Rights Reserved

 

Cord Blood Serum

 

Bottom of Form

Cord blood serum is rich in growth factors that might ameliorate ALS. When cord blood was transfused into ALS patients a few years back in Atlanta, Georgia by maverick physician, Dr. Mitchell Ghen, many of the patients did show benefit (See Something Is Amiss) It is my contention that it was not the stem cells in the cord blood, but the growth factors that helped pull off this medical feat. As such, an IV infusion of cord blood serum (30 mL) or so should have salutary effects in ALS.

 

 

 

Other Experimental Approaches

Beta Lactam Antibiotics – Glutamate Transporter Function

 

Rationale: Many researchers have found evidence that the glutamate transporter function (EAAC1) in the motor neurons of ALS patients fails to function properly which causes  glutamate to accumulate, something that can lead to (motor neuron) die-off.  Interestingly, the antibiotic ceftriaxone has been shown to increase expression of this transporter in animal models (The transporter is GTL1 in rats – EAAC1 in humans).

The NIH has funded a study (see below) to test the effects of this antibiotic given via IV drip on ALS patients.

 

The one drawback of using ceftriaxone IV is side-effects. They can fairly onerous. One alternative might be slow release Keflex. This is a cephalosporin albeit not identical structurally to ceftriaxone. However, the core of all the cephalosporins is the same and it is this which may be increasing expression of the glutamate transporter GTL1 in animals (EEAC1 in human).

 

Interestingly, some ALS patients I’ve mentioned this too went to their primary care physician, got scripts for Keflex slow release, and have begun taking this on a daily basis. Most appear to be slowly gaining energy. Placebo effect or is the core molecule doing the trick? Either way, improvements are occurring which for these dying ALS patients, is a Godsend.

 

http://clinicaltrials.gov/ct/show/NCT00349622?order=1 – NIH Phase III clinical trial involving IVs of the (cephalosporin) ceftriaxone recruiting now.

 

"It is known that nerve cells called motor neurons die in the brains and spinal cords of people with amyotrophic lateral sclerosis (ALS). However, the cause of this cell death is unknown. Researchers think that increased levels of a chemical called “glutamate” may be related to the cell death. For this reason researchers want to study drugs that decrease glutamate levels near nerves. Ceftriaxone—a semi-synthetic, third generation cephalosporin antibiotic—may increase the level of a protein that decreases glutamate levels near nerves. Studies of ceftriaxone in the laboratory suggest that it may protect motor neurons from injury."

http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1074355&blobtype=pdf – "Beta-Lactam antibiotics offer neuroprotection by increasing glutamate transporter expression," Jeffrey D. Rothstein et al, Nature, Vol. 433, 6 January 2005, pp. 73-77 

v     Creatine

 

Rationale: May help reduce glutamate levels in the CNS of ALS sufferers.

 http://clinicaltrials.gov/ct/show/NCT00355576?order=1 – NIH funded clinical trial involving creatine, minocycline and celecoxib

 One doc, Dr. Lynn Myers suggests taking 15-20 grams per day (divided doses) for one week, then dropping down to 5 grams daily (Again, divided doses). He recommends "Creatine PowerTabs" – as they are premeasured to make taking high doses easier (Albeit pure powder forms are available also for those who cannot readily swallow tablets or such).

 http://www.nucare.com/creatpow.html (I have no commercial or other ties to either Dr. Myers or this product)

 J Neurochem. 2001 Apr;77(2):383-90. 

Increases in cortical glutamate concentrations in transgenic amyotrophic lateral sclerosis mice are attenuated by creatine supplementation.

·    

Neurochemistry Laboratory, Neurology Service, Massachusetts General Hospital and Harvard Medical School , Boston , Massachusetts , USA .

Several lines of evidence implicate excitotoxic mechanisms in the pathogenesis of amyotrophic lateral sclerosis (ALS). Transgenic mice with a superoxide dismutase mutation (G93A) have been utilized as an animal model of familial ALS (FALS). We examined the cortical concentrations of glutamate using in vivo microdialysis and in vivo nuclear magnetic resonance (NMR) spectroscopy, and the effect of long-term creatine supplementation. NMDA-stimulated and Ltrans-pyrrolidine-2,4-dicarboxylate (LTPD)-induced increases in glutamate were significantly higher in G93A mice compared with littermate wild-type mice at 115 days of age. At this age, the tissue concentrations of glutamate were also significantly increased as measured with NMR spectroscopy. Creatine significantly increased longevity and motor performance of the G93A mice, and significantly attenuated the increases in glutamate measured with spectroscopy at 75 days of age, but had no effect at 115 days of age. These results are consistent with impaired glutamate transport in G93A transgenic mice. The beneficial effect of creatine may be partially mediated by improved function of the glutamate transporter, which has a high demand for energy and is susceptible to oxidative stress.

PMID: 11299300 [PubMed - indexed for MEDLINE]

 

v     Sodium Phenylbutyrate

 

Something that might complement this regimen: Sodium Phenylbutyrate. 

http://www.drugs.com/cons/Sodium_Phenylbutyrate.html - Sodium Phenylbutyrate

 http://www.alsa.org/patient/drug.cfm?id=629

http://www.als.net/articles/articleDetail.asp?articleID=4538

 http://clinicaltrials.gov/show/NCT00107770 -  NIH funded clinical trial – SP. Mechanism of action discussed on this website.

v     Low Methionine Diet

 

Rationale: There is some very tentative evidence – strictly from Petri Dish studies – that methyl groups may inhibit glutamate transporters in motor neurons (Abstract below). If so, it is conceivable that a low methionine diet might set the stage for removal of some of the methyl groups in motor neurons that are inhibiting glutamate transporter function.  

 

Vegetables that are low in methionine / per 100 gm (less than 25 mg / 100 gm of the product)

Carrot ,Beetroot (boiled)., Swiss Chard, Tomatoes, Italian Squash, Yellow Squash, Green Pepper, Red Pepper, Yellow Pepper, Eggplant, Green Cabbage & Red Cabbage, Kale (boiled), lettuce, cucumber, Green Beans (boiled), Red& Brown Onions,  Celery, okra

Fruits that are Low  in methionine (less than 25mg of methionine/ 100 gm of the product)

Watermelon, cantaloupe, Honeydew melon, apples, pears, Cranberries, Raspberries, Blueberries, Strawberries, mango, plums, Dates (dried), peaches, nectarines, Banana,   pineapple, apricots 

Deserts that are low in methionine (less than 25mg of methionine/ 100 gm of the product)

Mocha mix Ice cream,  plain fruit sorbet( with no added egg white), Cool Whip in limited quantity

 http://www.hcusupport.com/diet.htm

 

v  DMSO + Aminoguanadine

 

Background: The action of serofendic acid -- which was discovered in fetal calf serum by Japanese researchers (abstracts and such follow below) -- appears to reduce glutamate toxicity in neurons by attenuating the neuron-wrecking action of Nitric Oxide (NO).

 My spin: Serofendic acid isn't available for human use at this time, but there are some compounds that appear to have a similar action. One is DMSO (dimethyl sulfoxide) -- a chemical solvent that is used by some doctors in IV and oral form for addressing various health challenges (It is FDA approved for interstitial cystitis). The DMSO molecule is part of serofendic acid actually.

 Also, aminoguanadine lowers iNO (inducible nitric oxide) in the CNS -- which would complement the action of DMSO. Aminoguanadine is a prescription drug.  

Anthony G. Payne, Ph.D.

Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on May 24, 2004; DOI: 10.1124/jpet.104.070334

0022-3565/04/3111-51-59$20.00
JPET 311:51-59, 2004NEUROPHARMACOLOGY

Serofendic Acid, a Sulfur-Containing Diterpenoid Derived from Fetal Calf Serum, Attenuates Reactive Oxygen Species-Induced Oxidative Stress in Cultured Striatal Neurons

Fumitaka Osakada, Yuka Kawato, Toshiaki Kume, Hiroshi Katsuki, Hachiro Sugimoto, and Akinori Akaike

Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan (F.O., Y.K., T.K., H.K., A.A.); and Department of Neuroscience for Drug Discovery Research, Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan (H.S.)

We previously identified a novel endogenous substance, serofendic acid, from a lipophilic extract of fetal calf serum. Serofendic acid protects cultured cortical neurons against the cytotoxicity of glutamate and nitric oxide. Here, we reported the protective effect of serofendic acid on reactive oxygen species-induced oxidative stress using primary rat striatal cultures. In addition, we compared the neuroprotective effect and the radical-scavenging activity of serofendic acid with those of dimethyl sulfoxide (DMSO), because serofendic acid possesses a DMSO structure. Paraquat caused neuronal death, which was inhibited by a cell-permeable superoxide dismutase (SOD) mimetic, Mn(III)tetrakis(4-benzoic acid)porphyrin chloride (Mn-TBAP); a cell-permeable SOD/catalase mimetic, EUK-134 [manganese 3-methoxy N,N'-bis(salicylidene)ethylenediamine chloride]; and a ferrous ion chelator, 2,2'-dipyridyl, in rat striatal cultures. Serofendic acid (10–100 µM) suppressed the neurotoxicity of paraquat, whereas DMSO (10–100 µM) did not. By contrast, higher concentrations (30–300 mM) of DMSO ameliorated the paraquat-induced cell death. Furthermore, H2O2 induced neurotoxicity, which was prevented by EUK-134 and 2,2'-dipyridyl. Serofendic acid (10–100 µM) also protected striatal neurons against the H2O2-induced toxicity. Higher concentrations (30–300 mM) of DMSO ameliorated H2O2-induced neuronal death, whereas lower concentrations (10–100 µM) did not. Electron spin resonance spectrometry with a spin-trapping technique revealed that serofendic acid and DMSO had approximately the same ability to inhibit the formation of the hydroxyl radical (·OH). These results suggest that the ·OH-scavenging activity of serofendic acid is attributable to its DMSO structure and that the remaining components such as the atisane structure play an important role in eliciting neuroprotection at a concentration range of 10 to 100 µM.


Neurosci Lett. 2005 Aug 5;383(3):199-202. Epub 2005 Apr 25.

Protective effect of serofendic acid on glutamate-induced neurotoxicity in rat cultured motor neurons.

Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Kyoto University , 46-29 Yoshida-shimoadachi-cho, Kyoto 606-8501, Japan.

We have previously reported that a sulfur-containing neuroprotective substance named serofendic acid was purified and isolated from lipophilic extract of fetal calf serum (FCS). In the present study, we investigated the effect of serofendic acid on glutamate neurotoxicity using embryonic rat spinal cord culture. When cultures were exposed to glutamate (20 microM) with a glutamate transporter inhibitor L-trans-pyrrolidine-2,4-decarboxylate (PDC; 40 microM) for 24 h, motor neurons were injured through both N-methyl-D-aspartate and alpha-amino-3-hydroxy-5-methylisoxazole/kainate receptors. This glutamate neurotoxicity was attenuated by nitric oxide (NO) synthase inhibitors. Serofendic acid (0.1-5 microM) prevented glutamate neurotoxicity in a concentration-dependent manner. S-Nitrosocysteine (SNOC; 10 microM), an NO donor, induced motor neuronal death. Serofendic acid (5 microM) also prevented SNOC-induced neurotoxicity. These results indicate that serofendic acid protects cultured motor neurons from glutamate neurotoxicity by reducing the cytotoxic action of NO.PMID: 15955411

PMID: 17185508

PMID: 16904319

PMID: 16806165

PMID: 16682316

PMID: 16682316

PMID: 16313102

PMID: 15955411

PMID: 15256723

PMID: 14607254

PMID: 14522357

PMID: 11867740

 

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