Our goal at Pathways Neuro Pharma, Inc. is to ease the suffering of the millions of people whose lives are under the influence of alcoholism. We are focusing on new discoveries of the physiological underpinnings of substance abuse; the factors that make it a disease, not a character flaw or moral failing.
The Pathways proprietary combination of gene therapy along with a pharmaceutical drug approach targets a master reward regulatory pathway that has been proven to exist not only in higher mammals, but also in test animals that have been trained to mimic human alcoholism disease. Our approach seeks to rebalance this reward processing system so that those victims of chronic alcoholism can lead more normal lives.
We are working at the intersection of neurological pathways that are involved in coordinating consciousness with the production of the brain's mood-regulating chemicals. Demonstrations using functional MRI and single unit electrophysiology have closely linked this coordinating function with the brain region called the habenula. Recent discoveries have uncovered an important role for a neuroreceptor called GPR139. It is found only in the nervous system and is highly concentrated in the habenula. When activated, GPR139 regulates the habenula’s role in the coordination of incoming positive and negative reward signals originating in the frontal lobe of the brain with outgoing regulatory signals to the mid-brain production centers of the mood regulators serotonin and dopamine.
We are working with academic partners and qualified Clinical Research Organizations for a DNA therapy to increase the expression of GPR139 receptors and for a discovery program for pharmaceutical drug candidates that activate GPR139. We have successfully manufactured DNA constructs which, when administered in an animal model, have increased the expression of GPR139 in brain tissue. Also, in an already completed animal trial, the pharmaceutical activation of the GPR139-habenular pathway resulted in decreased alcohol consumption, with the effect most pronounced in subgroups of highly compulsive drinkers. Of particular interest, the treatment also decreased hyperalgesia, the increase in pain sensitivity felt in alcohol-dependent test animals that are denied access to alcohol. We believe this may be critically important to reducing the rate of relapse to alcoholism.
35,914 deaths were alcohol-related in 1999, that number doubled to reach 72,558 in 2017. The death rate spiked 50.9% from 16.9 to 25.5 per 100,000.
“Using Death Certificates to Explore Changes in Alcohol‐Related Mortality in the United States, 1999 to 2017”
Alcoholism: Clinical and Experimental Research, doi.org/10.1111/acer.14239
From 1999 to 2016 in the US annual deaths from cirrhosis increased by 65%, while annual deaths from hepatocellular carcinoma doubled.
“Mortality due to cirrhosis and liver cancer in the United States, 1999-2016: observational study”
BMJ (The British Medical Journal)2018;362:k2817 | doi: 10.1136/bmj.k2817
During 2009-16 people aged 25-34 years experienced the highest average annual increase in cirrhosis related mortality, driven entirely by alcohol related liver disease.
“Mortality due to cirrhosis and liver cancer in the United States, 1999-2016: observational study”
BMJ (The British Medical Journal)2018;362:k2817 | doi: 10.1136/bmj.k2817
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