The path to discovery of a therapy for any rare disease
is a long and arduous one. Many experiments will be made some successful some
not. However, strides are being made within the JNCL research field, small ones,
but forward is the direction.
For many of the children suffering with JNCL, time is
of the utmost importance and we can all play our part in this journey to
success.
Below is a simplified path to discovery and clicking on
each picture will reveal a more in depth description.





Gene - As with any disease
one of the most important steps that research takes is to locate the defective
gene that causes the disease. With the gene located the door to discovery is
opened.
For JNCL, the hunt for the JNCL gene (Cln3) ended in
1995 in the lab of Terry Lerner at Massachusetts General Hospital.
Protein - Most
genes code for proteins and if the gene is damaged then it is likely that the
protein will not be expressed. The function of the protein is important to know
so that the disease progression can be understood. With the protein function
known, drug development and discovery could be targeted so that at least slowing
and controlling of the disease may be achieved.
Disease Mechanism
- This is a very complex area of the path to discovery. In
JNCL the lack of a protein has catastrophic affects on the brain. The neurons
are being systematically killed but why would a lack of a protein have such a
profound effect? Is it the lack of such a protein or does the protein interact
with some other pathway requiring this protein, that causes this degeneration.
As part of understanding the disease mechanism an urgent need is required
regarding the pathology of JNCL of which is little known or documented.
Therapy -
Therapies can be targeted towards different outcomes. The primary objectives for
a catastrophic disease such as JNCL, are; Slowing/controlling the disease
progression, Halting the Disease progression and reversal of the disease.
Typically they can be categorized as:
Scientific Tool Kit -
For any of the above core research areas, there is a requirement to have access
to the latest tools and evaluation centers to aid in discovery of the relevant
information. Today's technology has allowed science to progress at an
exponential pace. Tools come in various forms from high end computing power such
as micro array systems, MRI PET scans etc. to bio-chemical tools known as
reagents.
Reagents such as animal models that mimic the
disease can rapidly increase therapeutic discoveries. Other reagents are
antibodies, cDNA etc. A major discovery of a model for JNCL has been the yeast
homolog for JNCL.
For success of any therapy to be gauged a
prior evaluation criteria needs to be established. This is where the evaluation
centers are extremely important. The objective of these types of centers are to
establish not only the scientific element of the disease etc., but the clinical
attributes associated with the specific individual.
In the battle for scientific discoveries, it
is important that relevant information that pertains to all discoveries be made
available so that rapid progress can be achieved.