La maladie de Parkinson au Canada (serveur d'exploration)

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Gene delivery of neurturin to putamen and substantia nigra in Parkinson disease: A double-blind, randomized, controlled trial.

Identifieur interne : 000513 ( PubMed/Checkpoint ); précédent : 000512; suivant : 000514

Gene delivery of neurturin to putamen and substantia nigra in Parkinson disease: A double-blind, randomized, controlled trial.

Auteurs : C. Warren Olanow [États-Unis] ; Raymond T. Bartus [États-Unis] ; Tiffany L. Baumann [États-Unis] ; Stewart Factor [États-Unis] ; Nicholas Boulis [États-Unis] ; Mark Stacy [États-Unis] ; Dennis A. Turner [États-Unis] ; William Marks [États-Unis] ; Paul Larson [États-Unis] ; Phillip A. Starr [États-Unis] ; Joseph Jankovic [États-Unis] ; Richard Simpson [États-Unis] ; Ray Watts [États-Unis] ; Barton Guthrie [États-Unis] ; Kathleen Poston [États-Unis] ; Jaimie M. Henderson [États-Unis] ; Matthew Stern [États-Unis] ; Gordon Baltuch [États-Unis] ; Christopher G. Goetz [États-Unis] ; Christopher Herzog [États-Unis] ; Jeffrey H. Kordower [États-Unis] ; Ron Alterman [États-Unis] ; Andres M. Lozano [Canada] ; Anthony E. Lang [Canada]

Source :

RBID : pubmed:26061140

English descriptors

Abstract

A 12-month double-blind sham-surgery-controlled trial assessing adeno-associated virus type 2 (AAV2)-neurturin injected into the putamen bilaterally failed to meet its primary endpoint, but showed positive results for the primary endpoint in the subgroup of subjects followed for 18 months and for several secondary endpoints. Analysis of postmortem tissue suggested impaired axonal transport of neurturin from putamen to substantia nigra. In the present study, we tested the safety and efficacy of AAV2-neurturin delivered to putamen and substantia nigra.

DOI: 10.1002/ana.24436
PubMed: 26061140


Affiliations:


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pubmed:26061140

Le document en format XML

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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G" last="Goetz">Christopher G. Goetz</name>
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<name sortKey="Herzog, Christopher" sort="Herzog, Christopher" uniqKey="Herzog C" first="Christopher" last="Herzog">Christopher Herzog</name>
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<region type="state">Illinois</region>
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<nlm:affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<name sortKey="Larson, Paul" sort="Larson, Paul" uniqKey="Larson P" first="Paul" last="Larson">Paul Larson</name>
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<nlm:affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<nlm:affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</nlm:affiliation>
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<region type="state">Californie</region>
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<wicri:cityArea>Department of Neurological Surgery, University of California, San Francisco, San Francisco</wicri:cityArea>
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<name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<nlm:affiliation>Department of Neurology, Baylor College of Medicine, Houston, TX.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Texas</region>
</placeName>
<wicri:cityArea>Department of Neurology, Baylor College of Medicine, Houston</wicri:cityArea>
<placeName>
<settlement type="city">Houston</settlement>
<region type="state">Texas</region>
</placeName>
<orgName type="university" n="3">Baylor College of Medicine</orgName>
<placeName>
<settlement type="city">Houston</settlement>
<region type="state">Texas</region>
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<orgName type="university" n="3">Baylor College of Medicine</orgName>
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<name sortKey="Simpson, Richard" sort="Simpson, Richard" uniqKey="Simpson R" first="Richard" last="Simpson">Richard Simpson</name>
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<nlm:affiliation>Department of Neurosurgery, Baylor College of Medicine, Houston, TX.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Texas</region>
</placeName>
<wicri:cityArea>Department of Neurosurgery, Baylor College of Medicine, Houston</wicri:cityArea>
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<name sortKey="Watts, Ray" sort="Watts, Ray" uniqKey="Watts R" first="Ray" last="Watts">Ray Watts</name>
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<nlm:affiliation>Department of Neurology, University of Alabama at Birmingham, Birmingham, AL.</nlm:affiliation>
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<placeName>
<region type="state">Alabama</region>
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<wicri:cityArea>Department of Neurology, University of Alabama at Birmingham, Birmingham</wicri:cityArea>
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<author>
<name sortKey="Poston, Kathleen" sort="Poston, Kathleen" uniqKey="Poston K" first="Kathleen" last="Poston">Kathleen Poston</name>
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<region type="state">Californie</region>
</placeName>
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<name sortKey="Henderson, Jaimie M" sort="Henderson, Jaimie M" uniqKey="Henderson J" first="Jaimie M" last="Henderson">Jaimie M. Henderson</name>
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<nlm:affiliation>Department of Neurosurgery, Stanford University Medical Center, Stanford, CA.</nlm:affiliation>
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<region type="state">Californie</region>
</placeName>
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<name sortKey="Stern, Matthew" sort="Stern, Matthew" uniqKey="Stern M" first="Matthew" last="Stern">Matthew Stern</name>
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<nlm:affiliation>Department of Neurology, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation>
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<region type="state">Pennsylvanie</region>
</placeName>
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<name sortKey="Baltuch, Gordon" sort="Baltuch, Gordon" uniqKey="Baltuch G" first="Gordon" last="Baltuch">Gordon Baltuch</name>
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</placeName>
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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G" last="Goetz">Christopher G. Goetz</name>
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<nlm:affiliation>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL.</nlm:affiliation>
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<region type="state">Illinois</region>
</placeName>
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<name sortKey="Herzog, Christopher" sort="Herzog, Christopher" uniqKey="Herzog C" first="Christopher" last="Herzog">Christopher Herzog</name>
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</placeName>
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<nlm:affiliation>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL.</nlm:affiliation>
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<placeName>
<region type="state">Illinois</region>
</placeName>
<wicri:cityArea>Department of Neurological Sciences, Rush University Medical Center, Chicago</wicri:cityArea>
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<name sortKey="Alterman, Ron" sort="Alterman, Ron" uniqKey="Alterman R" first="Ron" last="Alterman">Ron Alterman</name>
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<nlm:affiliation>Beth Israel-Deaconess Medical Center, Department of Neurosurgery, Boston, MA.</nlm:affiliation>
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<region type="state">Massachusetts</region>
</placeName>
<wicri:cityArea>Beth Israel-Deaconess Medical Center, Department of Neurosurgery, Boston</wicri:cityArea>
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<name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name>
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<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name>
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<nlm:affiliation>Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation>
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<settlement type="city">Toronto</settlement>
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<title level="j">Annals of neurology</title>
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<term>Aged</term>
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<term>Dependovirus</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Genetic Therapy (methods)</term>
<term>Genetic Vectors (therapeutic use)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurturin (genetics)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Putamen (metabolism)</term>
<term>Putamen (physiopathology)</term>
<term>Substantia Nigra (metabolism)</term>
<term>Substantia Nigra (physiopathology)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en">
<term>Neurturin</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Parkinson Disease</term>
<term>Putamen</term>
<term>Substantia Nigra</term>
</keywords>
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<term>Genetic Therapy</term>
</keywords>
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<term>Parkinson Disease</term>
<term>Putamen</term>
<term>Substantia Nigra</term>
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<term>Genetic Vectors</term>
</keywords>
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<term>Parkinson Disease</term>
</keywords>
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<term>Aged</term>
<term>Axonal Transport</term>
<term>Dependovirus</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">A 12-month double-blind sham-surgery-controlled trial assessing adeno-associated virus type 2 (AAV2)-neurturin injected into the putamen bilaterally failed to meet its primary endpoint, but showed positive results for the primary endpoint in the subgroup of subjects followed for 18 months and for several secondary endpoints. Analysis of postmortem tissue suggested impaired axonal transport of neurturin from putamen to substantia nigra. In the present study, we tested the safety and efficacy of AAV2-neurturin delivered to putamen and substantia nigra.</div>
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<DateCreated>
<Year>2015</Year>
<Month>07</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>07</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1531-8249</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>78</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2015</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Annals of neurology</Title>
<ISOAbbreviation>Ann. Neurol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Gene delivery of neurturin to putamen and substantia nigra in Parkinson disease: A double-blind, randomized, controlled trial.</ArticleTitle>
<Pagination>
<MedlinePgn>248-57</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/ana.24436</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">A 12-month double-blind sham-surgery-controlled trial assessing adeno-associated virus type 2 (AAV2)-neurturin injected into the putamen bilaterally failed to meet its primary endpoint, but showed positive results for the primary endpoint in the subgroup of subjects followed for 18 months and for several secondary endpoints. Analysis of postmortem tissue suggested impaired axonal transport of neurturin from putamen to substantia nigra. In the present study, we tested the safety and efficacy of AAV2-neurturin delivered to putamen and substantia nigra.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed a 15- to 24-month, multicenter, double-blind trial in patients with advanced Parkinson disease (PD) who were randomly assigned to receive bilateral AAV2-neurturin injected bilaterally into the substantia nigra (2.0 × 10(11) vector genomes) and putamen (1.0 × 10(12) vector genomes) or sham surgery. The primary endpoint was change from baseline to final visit performed at the time the last enrolled subject completed the 15-month evaluation in the motor subscore of the Unified Parkinson's Disease Rating Scale in the practically defined off state.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-one patients were enrolled in the trial. There was no significant difference between groups in the primary endpoint (change from baseline: AAV2-neurturin, -7.0 ± 9.92; sham, -5.2 ± 10.01; p = 0.515) or in most secondary endpoints. Two subjects had cerebral hemorrhages with transient symptoms. No clinically meaningful adverse events were attributed to AAV2-neurturin.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">AAV2-neurturin delivery to the putamen and substantia nigra bilaterally in PD was not superior to sham surgery. The procedure was well tolerated, and there were no clinically significant adverse events related to AAV2-neurturin.</AbstractText>
<CopyrightInformation>© 2015 American Neurological Association.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Warren Olanow</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Departments of Neurology and Neuroscience, Mount Sinai School of Medicine, New York, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bartus</LastName>
<ForeName>Raymond T</ForeName>
<Initials>RT</Initials>
<AffiliationInfo>
<Affiliation>RTBioconsultants, San Diego, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Baumann</LastName>
<ForeName>Tiffany L</ForeName>
<Initials>TL</Initials>
<AffiliationInfo>
<Affiliation>Isis Pharmaceuticals, Carlsbad, CA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Factor</LastName>
<ForeName>Stewart</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurology, Emory University School of Medicine, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Boulis</LastName>
<ForeName>Nicholas</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Stacy</LastName>
<ForeName>Mark</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, Duke University School of Medicine, Durham, NC.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Turner</LastName>
<ForeName>Dennis A</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurosurgery, Duke University School of Medicine, Durham, NC.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Marks</LastName>
<ForeName>William</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Larson</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Starr</LastName>
<ForeName>Phillip A</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Jankovic</LastName>
<ForeName>Joseph</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, Baylor College of Medicine, Houston, TX.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Simpson</LastName>
<ForeName>Richard</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurosurgery, Baylor College of Medicine, Houston, TX.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Watts</LastName>
<ForeName>Ray</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurology, University of Alabama at Birmingham, Birmingham, AL.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guthrie</LastName>
<ForeName>Barton</ForeName>
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<Affiliation>Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Poston</LastName>
<ForeName>Kathleen</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Neurology and Neurological Sciences, Stanford University Medical Center, Stanford, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Henderson</LastName>
<ForeName>Jaimie M</ForeName>
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<Affiliation>Department of Neurosurgery, Stanford University Medical Center, Stanford, CA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Stern</LastName>
<ForeName>Matthew</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, University of Pennsylvania, Philadelphia, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Baltuch</LastName>
<ForeName>Gordon</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Goetz</LastName>
<ForeName>Christopher G</ForeName>
<Initials>CG</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Herzog</LastName>
<ForeName>Christopher</ForeName>
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<Affiliation>Ceregene, San Diego, CA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Kordower</LastName>
<ForeName>Jeffrey H</ForeName>
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<Affiliation>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL.</Affiliation>
</AffiliationInfo>
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<LastName>Alterman</LastName>
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<LastName>Lozano</LastName>
<ForeName>Andres M</ForeName>
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<AffiliationInfo>
<Affiliation>Division of Neurosurgery, Department of Surgery, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lang</LastName>
<ForeName>Anthony E</ForeName>
<Initials>AE</Initials>
<AffiliationInfo>
<Affiliation>Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
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<PublicationType UI="D016448">Multicenter Study</PublicationType>
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<Year>2015</Year>
<Month>06</Month>
<Day>10</Day>
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<Country>United States</Country>
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<DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
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<DescriptorName UI="D013378" MajorTopicYN="N">Substantia Nigra</DescriptorName>
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<li>Californie</li>
<li>Caroline du Nord</li>
<li>Géorgie (États-Unis)</li>
<li>Illinois</li>
<li>Massachusetts</li>
<li>Ontario</li>
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<name sortKey="Warren Olanow, C" sort="Warren Olanow, C" uniqKey="Warren Olanow C" first="C" last="Warren Olanow">C. Warren Olanow</name>
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<name sortKey="Boulis, Nicholas" sort="Boulis, Nicholas" uniqKey="Boulis N" first="Nicholas" last="Boulis">Nicholas Boulis</name>
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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G" last="Goetz">Christopher G. Goetz</name>
<name sortKey="Guthrie, Barton" sort="Guthrie, Barton" uniqKey="Guthrie B" first="Barton" last="Guthrie">Barton Guthrie</name>
<name sortKey="Henderson, Jaimie M" sort="Henderson, Jaimie M" uniqKey="Henderson J" first="Jaimie M" last="Henderson">Jaimie M. Henderson</name>
<name sortKey="Herzog, Christopher" sort="Herzog, Christopher" uniqKey="Herzog C" first="Christopher" last="Herzog">Christopher Herzog</name>
<name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
<name sortKey="Kordower, Jeffrey H" sort="Kordower, Jeffrey H" uniqKey="Kordower J" first="Jeffrey H" last="Kordower">Jeffrey H. Kordower</name>
<name sortKey="Larson, Paul" sort="Larson, Paul" uniqKey="Larson P" first="Paul" last="Larson">Paul Larson</name>
<name sortKey="Marks, William" sort="Marks, William" uniqKey="Marks W" first="William" last="Marks">William Marks</name>
<name sortKey="Poston, Kathleen" sort="Poston, Kathleen" uniqKey="Poston K" first="Kathleen" last="Poston">Kathleen Poston</name>
<name sortKey="Simpson, Richard" sort="Simpson, Richard" uniqKey="Simpson R" first="Richard" last="Simpson">Richard Simpson</name>
<name sortKey="Stacy, Mark" sort="Stacy, Mark" uniqKey="Stacy M" first="Mark" last="Stacy">Mark Stacy</name>
<name sortKey="Starr, Phillip A" sort="Starr, Phillip A" uniqKey="Starr P" first="Phillip A" last="Starr">Phillip A. Starr</name>
<name sortKey="Stern, Matthew" sort="Stern, Matthew" uniqKey="Stern M" first="Matthew" last="Stern">Matthew Stern</name>
<name sortKey="Turner, Dennis A" sort="Turner, Dennis A" uniqKey="Turner D" first="Dennis A" last="Turner">Dennis A. Turner</name>
<name sortKey="Watts, Ray" sort="Watts, Ray" uniqKey="Watts R" first="Ray" last="Watts">Ray Watts</name>
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<name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M" last="Lozano">Andres M. Lozano</name>
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<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name>
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