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COMMENTTHE COLLEGE NEWSLETTER ISSUE NO 141 | MAY 2002Enzyme aidsspinal cordregenerationrial enzyme called chondroiti-ecent research by scientistsnase ABC destroys some of theat King’s Centre formolecules in the scar, allowingRNeuroscience Research maynerves a path to grow back along. pave the way for new treatmentsDr Elizabeth Bradbury, leadof spinal cord injuries.author and researcher in theSpinal cord injuries typicallyGuy’s, King’s & St Thomas’arise from car accidents, violence,School of Biomedical Sciences,falls and sports injuries, with ansaid: ‘The enzyme may becomeaverage of two new cases admit-part of a developing arsenal ofted every day in the UK alone.therapies to treat people suffer-In research published lasting from paralysing injuries. month in Nature and supported‘After damage to spinal cordby the Wellcome Trust, scientiststissue, a complex jungle of mole-from the Centre show how ancules is deposited in the scarredarea. Chondroitinase ABC actslike a “molecular machete” cut-Clinical trials involving thisting a path through the jungle of Stem cell licencetreatment as part of a multi-molecules that usually preventtargeted therapy could startspinal cord nerves growing back Professor Peter Braude and Dr Stephen Minger, together with Dr Susanwithin the next five years.Pickering were granted one of the first two UK licences by the Humaninto these damaged areas.Fertilisation and Embryology Authority to produce human ...

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RecentresearchbycseitnsisttainKsgntCefreeNrosoruneicRecrcheseaavemaypawyhteenwofrentmeatrpisoftsdroclaneirujnicrodni.spSnilaypicallyjuriestcmoarasirarfevi,enolidcctsensopadnlaslecf,,wiriesinjurtsfoegarevanahtadssecawneotwniyehtKUnolat-midteerevdaylbsiehdaltsomtne.InresearchpudetroppuWehtybatNinhsndeaurittsicnemhtfsoromeellct,sTrusemeblnaanwzyenohsohweCeertnibrestolnervefdesipansesvereerovscdishi.TesvlesmehtriapertfotmentreaofaratmrpyofyamniesritufuethenO.errehtfoevirthsofctimlacpsniniujrodateerftsanapiroclnidyrujsieasonswhynervecsnaonteregenarleC.etisyrujniginndou-rurslstsicsrasueebactheatormssuefmrofdaylpiotndalsaseenarscenvrse(adamegdls)multglialcelotrclbeTihso.srvestneunaarece-lomrahtseluetcrseoierrbaeabtc-eirlaeznmyack.However,afsegmoriworbgnstssopethrvnenthesieculemolfhtemososrtyoesdBCAsenai-itordnohcdellacezabethB.DrElikcaolgngorwabatptohrvneaesollagniwcse,raBiomofhoolsScec,sicnelaSdeciymnzeheT:idsatrapemocebyameleadautradbury,eresrahcohrnaduyeG,sierthnTtSamohgniK&sprarfmoniglasyriesinjufter.Aegamadanipsottirdcola,uessofaedevolipgnarsenaloftheraseipotaerteptleopufsr-feginlomaekilstcaBCAsenatioidrontahapitgnuc-tteachearmeculselusiomfc-elngjuolempcoxleraae.hCsacrrdedinthedepositettoinckamdsehergsevreabgniwoordalcryiinjuaergadepSnisa.oleolfmulectesorhthguehtgnujentspinalcordnahtsuaullyrpveodtnofiesesbr-erworgmronyllarsible.sirreveerdenvrhTeniujttoeagameduscaidroclanipsehrolorneumajosamebboellrpigaccihwnachebavedatstginrfotiparalay-issnadolssofsensationsllecev.tsolsimashiTpanmeyocmm,ostaoinucithonwinerthertoehprorlkehtethattacerapiesiwnhthtnibmoitaiedconybllusetnaueevmyaac,rhesetttarghichw,sihtsahcustsentmeaTr.tsenCOLLEGENEWSLETTEsmoeostroTfEHvaade,ncutbotnihTsisgataerycondbured:cludiwgng-orBar.rDveernntremrosfhtsmelbeverptadsspeainzymE PorssferonPioatrenegerdroclani0220RISSUENO141 |MAYna nmE dsilioitaut Arihoyobrgylodocu euhytt  orpyonic stman embr ni senilllec mevegay he Th.rcMaoi ntntaeresa p k to worheiron teretra Beaud DndtS rehpeiM nregn, together with rDS sunaiPkcreni greweg  oedntraht fo en tsrif eUK ltwo ces icenehH ybt eFtrmuna.eg4  napdno t tisiv uG eht odul yaRoer hngriehP seTsse sircn Roy Herighnal Hrow ac keb nuof ontehe tro gsupapeg3 .)A  npuadys campus (see aclilinCvingnvollsitriadetehar-iatgrtestartwipycouldemtaatnihtertsafltmupasortS.etmecevyaesrnextfithinthe
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miracle cure. There are stillmany other blocks that mustbe overcome before completespinal cord repair can beachieved in humans. In terms oftreating people, we could seeclinical trials involving thistreatment as part of a multi-targeted therapy starting withinthe next five years.’
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Left: Pr ofessorful eye of dentalNairn Wilson, students andD rHead of Guy’s,Pat Reynolds,King’s & Senior LecturerSt Thomas’ and member ofDental Institute, the team thatlaunches the new helped developdental website the siteunder the watch-
oTfh teh de eSvte lTohpommeanst New dentalcampuswebsiteAtt mhteherde eita i mswpea eosc fu glcaootiinnosgni  tdooe nrp artebhlsseelaunchedKing’s & St Thomas’ DentalfTuhtuorme aso f caBmlopcuks . 9T hoen  Ctohlel egSetAt thtiet uetne dl aouf nMcharecdh ,a  Gnueyws,from buying the course throughInsis working closely with Guy’swebsite that will help all qualifietdo taking the lectures and thenand St.Thomas’ NHS Trust ondentists to study and improve the online test at the end.a plan to develop the building,their skills, without having to ‘Our online CPD courses meancurrently underused, as antake time out of their practices. dentists can access top qualityacademic/health centre. TheAt the beginning of this year itteaching at their own conven-College has also received anbecame a legal requirement for ience. It’s particularly gratifying tounsolicited offer from the AgaUK dentists to keep their knowl- know that theprofits from thisKhan Development Networkedge and skills up-to-date througvhenture, unlike those of commer-to develop the site as a librarylifelong learning, or continuouscial companiesoefrfing CPD, willand museum. A final decisionprofessional development’ go right baciknto the Dentalon the future of the site will be(CPD). Many existing coursesInstitute, directlbyenefiting dentalmade by the College Councildemand time away from the sur-education and the dentists ofin due course.gery, whichcan mean postponed tomorrow,’ Professor Nairnpatient appointments and a loss Wilson, Head of thDeentalof income. TheDental Institute Institutecommented. The websitecourses are entilryeweb-based, address is www.gkt-cpd.org
Skin disease genetic discoveryUrology meetingAsbDtyue dtrhym eap tSuotlb olJiogsyhh neadst   iInnK siAtnipgtrusi lt elh eaodsf secrrye Tethnhi saf ta ism milaianek sei tsm o pistoe retp aionf stts ihdbeilsyec  aortveo-ioenpxtceoi ntisa nlgtn eerbwne actaiavvueesn eu tretesh aeto fm deriesncstseo avrefcrohyrKioEnfu gtrsho epw eFaaisrn s cts oIa-nthteoellsrittn ea otfim otenheaetlingshown how mutations in a gene carriers of the disease and to skin ageing, scarring or poorRadical Prostatectomy Summitat Denmark Hill in March. Thelead to the development of wound healing,’ John McGrath,College co-ordinator was Peterslliikepison i dd tihpsrrooortdueegirhn ootshuitas ,t  aatfnhf eei cntsh wefroairtmledid-.Identifying the gene abnormalitystPaorilodof.g eys, sWowerh  tooh fih neMka dotelhedec  tuhplarero  rteeDsieearrmcha,-UBinsith iani,  thmea nDaegpearr tomf etnhte  oAfCCESSin lipoid proteinosis is a greatn thisSurgery.achievement.gene produces may be involveddLmieoprssot i icdn o Spmroomutteohin n Asofisrniiscg lai,es   wgoientnehe   dodif sisftiohgre-in a wide range of roles, perhapswitThh ea  msiesteetir npgr oragrn ainm pmaer ablleeilng- acting as some sort of biologicalconducted at the Clevelandglue that holds other skinuring symptoms that begin in research new forms of treatment proteins together. We hope toClinic, Ohio and delegates werechildhood. for affected people. It is also develop studies to determine ifkept in touch via a high-resolu-it might be useful in preventingltiivoen  litrnak nesnatalbalnetdic  dIeSlDegN altinesk .i Tnhiswrinkles or acting as some sort ofthe UK to watch operations con-‘internal sunscreen’ to preventducted in the US, as well asthe ageing effects of sunlight oninteracting with their Americanthe skin. However, for now justidentifying the gene abnormalitycolleagues in sessions.in lipoid proteinosis is a greatTechnical and theoreticalachievement.apsropsetcattse ocft otemcyh nwieqruee sc oovf erraeddi,c aalsLeft:The demonstratingwell as the issues behindforehead of a the marked wrin-patient selection and post-oper-South African kling of theative management. The meetingpatient with lipoid foreheadproteinosiswas attended by doctors fromall over Europe and Asia.
2 |COMMENT| May 2002
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