Orlando Sentinel

A doctor once on a path

- By Naseem S. Miller Staff Writer

to becoming a neurosurge­on is now searching for cures for neurodegen­erative diseases — and he says he’s close to potentiall­y helping millions.

More than three decades ago, when Dr. Kiminobu Sugaya was a young scientist in Japan, he made a calculatio­n: If he became a neurosurge­on, treated as many as 200 patients each year and practiced for 20 years, he would improve the lives of about 4,000 people. Only 4,000 people, he thought.

“I didn’t like that. So I moved to research,” he said recently in his new office at the University of Central Florida’s new Lake Nona Life Science Incubator.

Since then, Sugaya has been searching for a cure for neurodegen­erative diseases, such as Alzheimer’s and Parkinson’s, and he says today, more than ever, he’s close to finding a cure and potentiall­y helping millions of people.

His young company SynapCyte is working on developing a proprietar­y drug that targets the stem cells in the brain and triggers them to multiply and create new neurons, replacing the ones lost to the disease.

“This drug is totally different from the previous ones,” said Sugaya, a neurobiolo­gist and professor of medicine at UCF. “We’re recreating your brain. That’s the difference. We’re not dealing with symptoms.”

Sugaya’s research is still in the pre-clinical stage, and all the results are based on animal studies, but he says so far the data are

promising.

The idea that the nervous system can’t regenerate was disproven in the late 1990s when researcher­s found that stem cells existed in the adult brain, although there’s still debate as to exactly how many cells there are, where and their rate of regenerati­on, said Dr. Michael Valenzuela, professor of regenerati­ve medicine at Brain & Mind Centre at The University of Sydney in Australia.

Sugaya is one of several researcher­s studying stem cells for neurodegen­erative diseases. Some, like Sugaya, are trying to activate existing stem cells, while others are trying to make the right kind of stem cells in the lab and introduce them to parts of the brain that are under stress.

“Stem cells are relatively new technology and are believed to hold much promise,” said Dr. Kelly Shepard, a senior science officer at California Institute for Regenerati­ve Medicine, in an email. “It will take time to understand them, their capabiliti­es and their limitation­s — but there is much to look forward to.”

Almost 6 million Americans currently live with Alzheimer’s disease. Another 1 million live with Parkinson’s. But researcher­s have yet to find an effective treatment for the diseases.

Five drugs have been approved to treat the symptoms of Alzheimer’s, helping with memory and thinking problems, according to the Alzheimer’s Associatio­n. But none reverses the effects of the disease.

Many drug trials aiming to slow down or treat the disease have failed, mainly because how the disease starts and progresses is poorly understood, Shepard said.

Some promising news came a few months later from preliminar­y data of another experiment­al drug developed by Biogen and Eisai, which slowed the progressio­n of Alzheimer’s disease. But it is still too soon to know whether it will be successful in later stages of the trial.

Sugaya is banking on harnessing the power of stem cells already in the brain and goes as far as saying that his drug may one day cure Alzheimer’s and Parkinson’s. But some experts are skeptical. Valenzuela said “It would be a grave mistake to get too excited by some isolated rodent experiment­s. Recall that we have ‘cured’ Alzheimer’s disease at least 50 times over in different mouse models, and each of those treatments has failed when tested in humans,” he wrote in an email. And there are some caveats. Shepard pointed out that Parkinson’s and Alzheimer’s affect more cell types than just neurons.

“We don’t know enough about [Alzheimer’s disease] to say what would be a cure,” Kelly wrote. “[Neural stem cells] might be a tool of study to discover new treatment options. And one day they might be used to regenerate lost neurons. But this is a long way off and there is much more that needs to be understood.”

Sugaya arrived in the U.S. 31 years ago. After research stints at University of Illinois in Chicago and Mayo Clinic in Jacksonvil­le, he came to UCF 14 years ago. Along the way, he founded a biotech company name Progenicyt­e, licensing more than 60 patents and patents pending, including some for a drug that stimulates neural stem cells in the brain.

To develop the drug, he formed a UCF spin-off company called SynapCyte in late 2016. The company is one of the first startups to move to UCF’s new Lake Nona Life Science Incubator, which opened in May.

SynapCyte expects to present the drug’s pre-clinical results to FDA within the year and with an approval, start the Phase I human trials to test the safety of the therapy and potentiall­y get a hint at the effectiven­ess of the drug. If successful, the drug will then move to Phase II clinical trials. All this could be done in the next three years, said company CEO Bob Hering.

SynapCyte could then potentiall­y license the drug to a major pharmaceut­ical company.

“I didn’t want to go to big pharma with this drug,” Sugaya said. “When they license it, they’ll put in on the shelf because they have other drugs in the pipeline or want to treat the patients forever.”

For now, SynapCyte’s main objective is to raise money for the startup, and it’s a challenge.

“When you approach someone and say, ‘We have the cure for Alzheimer’s disease and Parkinson’s disease, while all the major [pharmaceut­ical companies] have failed,’ they ask, ‘Why should they fund us?’ ”

But Sugaya and Hering are confident they are developing a cure.

“It’s a bold statement, isn’t it?” Hering said. “We think we’re onto something really special.”

 ?? NASEEM S. MILLER/STAFF ?? Dr. Kiminobu Sugaya, a neurobiolo­gist and professor of medicine at the University of Central Florida, shows results of a pre-clinical study on mice and the effect of SynapCyte, his startup company, on neuro generation in mice with Alzheimer’s disease.
NASEEM S. MILLER/STAFF Dr. Kiminobu Sugaya, a neurobiolo­gist and professor of medicine at the University of Central Florida, shows results of a pre-clinical study on mice and the effect of SynapCyte, his startup company, on neuro generation in mice with Alzheimer’s disease.

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