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A Cure For Wolfram Three Steps 2.0 Fumi Urano, MD, PhD. REPLACE damaged tissues. PROTECT & REGROW remaining tissues. STOP p rogression. FDA-approved drugs. 1. Stop the progression. Novel drugs. Common Molecular Pathway. ER Calcium leakage.
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A Cure For Wolfram Three Steps 2.0 Fumi Urano, MD, PhD REPLACE damaged tissues PROTECT & REGROW remaining tissues STOP progression
FDA-approved drugs 1. Stop the progression Novel drugs
Common Molecular Pathway ER Calcium leakage
Identify FDA-approved DRUGS that can prevent ER calcium depletion-mediated Cell Death
Induced Pluripotent Stem Cells from Wolfram patients Urano F. Diabetes(2014)
Drug A prevents apoptosis in Wolfram iPSC-derived neuronal cells TREATMENT Lu et al. unpublished
High in Patients Low in Non-Patients
What is MANF? • Purified from Brain • Promotes Cell Growth • Prevents Cell Death • Retinitis Pigmentosa • Parkison’s disease
MANF-based treatment Eye cells derived from Wolfram iPS cells MANF peptide From Amarantus
3. Replace the damaged tissues REGENERATIVE MEDICINE
Brain Cells and Eye cells from skin cells Skin fibroblasts EYE BRAIN iPS Cells
Replace disease-causing DNA with the healthy one 5’ 3’ L 1 2 3 4 5 6 7 8 Expected size 1268bp Expected size 877bp
A Cure For Wolfram Three Steps 2.0 REPLACE damaged tissues PROTECT & REGROW remaining tissues STOP progression