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http://news.bbc.co.uk/2/hi/health/3907559.stm

 

Lorenzo's oil: The full story

Lorenzo Odone is 25 years old and lives in Washington.

Eighteen years ago he was diagnosed with an incurable

disease and given less than two years to live.

 

His remarkable survival is due to his parents' single

minded refusal to accept the doctors' grim prognosis.

 

With no scientific training they took on the medical

establishment and set about finding a cure. And in

1986 it seemed they had succeeded.

 

I asked the doctor if I could read the medical

papers. He said: 'Don't bother, you won't understand

them'.

Augusto Odone

Their astonishing story was told in the Hollywood

movie, Lorenzo's Oil.

 

The movie painted a fairytale picture of a miracle

cure, and gave hope to thousands of young children

suffering the same devastating illness.

 

But these claims have always been controversial. Now,

as BBC television documentary series Medical Mysteries

reports, a 10 year study into the effects of Lorenzo's

Oil has come up with surprising results.

 

The oil doesn't seem to work for people who are

already ill - but it does seem to prevent illness in

those whose genes make them vulnerable to developing

symptoms.

 

Lorenzo suffered from Adrenoleucodystrophy (ALD), a

genetic disease that progressively destroys the brain

of young boys.

 

Within a year children are paralysed, blind, unable to

speak. It is invariably fatal.

 

Desperation

 

When he was diagnosed, Lorenzo's father Augusto was

desperate.

 

" I was terrorised, I was shocked. Well, it's a death

sentence.

 

" So I asked the doctor if I could read the medical

papers. He said: 'Don't bother, you won't understand

them'. "

 

Undeterred, Augusto Odone spent night after night in

the library scouring every single paper about his

son's illness.

 

He discovered that the brain damage seemed to be

linked to a build up of dangerous fatty acids in the

blood - long chain fatty acids.

 

He invited all the world experts to a conference to

discuss the research, and it was at the conference

that he first found a glimmer of hope.

 

An oil - oleic acid - was able to destroy these fatty

acids.

 

Less than a year later Augusto and his wife Michaela

had a treatment: a combination of oils that

effectively reduced the long chain fatty acids in the

blood.

 

It was astonishing. Where the entire medical

profession had failed, two ordinary parents had

succeeded.

 

Optimism

 

Dr Hugo Moser, the world authority on ALD, remembers

that early optimism.

 

" Lorenzo's oil lowered the fatty acids more

effectively than any other medical approach that had

been tried. We would be foolish not to give it very

serious consideration. "

 

Augusto published his findings and Dr Moser started

putting all of his young ALD patients on the oil.

 

For one family in Britain, news of the Odones' triumph

couldn't have come at a better time.

 

The Stafford family had just discovered that their

seven-year-old son Barry had just been diagnosed with

ALD.

 

They flew over to America and Barry became the first

British patient to be put on Lorenzo's oil.

 

Within weeks his long chain fatty acid levels had

dropped to normal.

 

Younger brother at risk

 

But the Staffords anguish wasn't over. Because ALD is

a genetic condition there was a 50:50 chance that

Barry's younger brother Glenn would have the defective

gene too.

 

At the time Glenn was only two years old, so he

wouldn't have started showing any symptoms even if he

had the disease.

 

But a blood test confirmed their worst fears. Glenn

too had the faulty gene.

 

Alfie Stafford, the boy's father, said: " It felt like

our world was turned upside down again. We could lose

two boys. We could lose two boys within 10 years. "

 

Very little is known about how ALD is inherited. Girls

who have the gene do not show any symptoms, and not

every boy with the faulty gene goes on to develop the

devastating childhood form - ALD.

 

Glenn might not develop ALD, but Dr Moser put him on

Lorenzo's oil in any event.

 

In fact, Glenn became the first non-symptomatic child

to be put on the oil.

 

Reality different

 

Over the next few years, the movie Lorenzo's oil,

starring Susan Sarandon and Nick Nolte, was released.

 

It received huge acclaim, and Susan Sarandon was Oscar

nominated for her role as Lorenzo's mother.

 

It showed a miracle cure but the reality was beginning

to look very different.

 

Lorenzo himself was still alive, but was not getting

better; and one by one, other children on the oil

died.

 

Barry Stafford was getting worse and worse, and his

mother Chris was upset at the hype round the film.

 

" Lovely film - but I did have a problem - it made it

seem like a miracle cure, but it's not and I've proved

that with Barry, " she said.

 

Seven years after being put on the oil, Barry died.

The disease had caused massive brain damage and the

oil didn't seem to be able to stop the progression.

 

Barry's fate was not unique. Other children were also

dying, despite being on Lorenzo's oil.

 

Doctors all over the world stopped prescribing the

oil.

 

Preventative effect

 

It's due to the oil that I'm here now.

Glenn Stafford

Augusto Odone turned his formidable drive into another

area of research - trying to regenerate the damaged

nerves in the brain.

 

Dr Moser, however, was not prepared to give up. He

decided to focus on boys who had the ALD gene but had

not yet developed the symptoms.

 

Perhaps the oil could prevent the disease ever

appearing. Boys like Barry's younger brother Glenn

were put on the oil.

 

After 10 years the results are finally through. And

they are dramatic.

 

Of 120 boys in the trial 83 are still free of the

disease. Lorenzo's Oil is showing a significant

preventative effect.

 

According to Dr Moser taking the oil reduced the

chance of getting the disease by half.

 

And Glenn Stafford, the first non-symptomatic patient

to be out on the oil is now 21 years old and fully

fit.

 

" If they hadn't caught the disease and put me on the

oil then I don't think I would be here now, " he said.

 

" So it's due to the oil that I'm here now. "

 

So now there is real hope. Tests can identify boys

with the gene, and the oil gives them a hugely

improved chance of escaping the horrific disease.

 

And Augusto Odone? He's delighted with the findings.

But he's still, 15 years on, looking for a cure for

his son who lies at home, paralysed by the ALD.

 

Medical Mysteries - Lorenzo's Oil was broadcast on BBC

One on 21 July at 2235 BST.

 

Story from BBC NEWS:

http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/3907559.stm

 

Published: 2004/07/21 08:12:20 GMT

 

© BBC MMIV

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