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Feb 25

For lives at risk, the perfect recipe (SLIDESHOW) – Sentinel & Enterprise

Diets that Work Comments Off on For lives at risk, the perfect recipe (SLIDESHOW) – Sentinel & Enterprise

HEALTHY CHOICES: Cambrooke Therapeutics co-founder Lynn Paolella with low-protein hamburger buns produced at the company's Ayer plant. See video at sentinelandenterprise.com. SENTINEL & ENTERPRISE / JOHN LOVE

Sentinel and Enterprise staff photos can be ordered by visiting our SmugMug site.

AYER -- A marvelous thing happened after a jeweler, her architect husband and her businessman brother put their heads together.

"We made a difference," Lynn Paolella said. "It really started with an inspiration to feed my kids."

Lynn and her husband David have three children. The two youngest, Cameron and Brooke, were born with a rare disease, phenylketonuria, or PKU.

The only way to manage the disease that can cause intellectual disability and other health problems is a diet that minimizes exposure to phenylalanine, an amino acid in protein, yet provides enough protein for the body.

The amino acid is present in many foods, even things like potatoes. It is also a main ingredient of the sweetener Aspartame.

Sentinel and Enterprise staff photos can be ordered by visiting our SmugMug site.

Until 2009, the accepted treatment for the disease was based on synthetic protein without phenylalanine. "They protected our kids' brains," David Paolella said, but the diet was unpalatable.

Lynn set to work, developing recipes that her children would want to eat. "I love to cook and I absolutely loved the challenge of this low-protein diet," she said.

In 2000, those early attempts led to a new business, Cambrooke Therapeutics. It started out as a family business with just the Paolellas and Lynn's brother, Don Patterson. They developed the food, outsourced manufacturing and made connections all around the world.

Now, the Ayer-based medical food manufacturer is increasingly automated with clients across the globe.

Development of PKU treatment is covered under the Orphan Drug Act, David Paolella said. The act covers drugs and treatment for diseases affecting small numbers of people.

PKU, an inborn error of metabolism, occurs in about one in every 10,000 births in the United States. When caught at birth and managed successfully, the children can thrive. If left untreated, mental retardation results.

Sentinel and Enterprise staff photos can be ordered by visiting our SmugMug site.

The disease is easy to catch in newborns. The screening test for was developed by a Massachusetts doctor, Robert Guthrie, in the 1960s. His photo is on the wall of the ground floor conference room in Ayer.

Cambrooke is at the cutting edge of medical nutrition. In 2009, the University of Wisconsin Madison developed a way to make a protein without phenylalanine from whey, a cheese-making byproduct.

"They approached us," Lynn Paolella said.

The protein tasted better than the synthetic product. Cambrooke licensed the technology. A peer-reviewed study funded by the National Institutes of Health and the Food and Drug Administration, proved the safety and effectiveness of the protein.

Sentinel and Enterprise staff photos can be ordered by visiting our SmugMug site.

Along the journey, the company worked with the Small Business Development Center at Clark University in Worcester.

They moved into a former electronics plant in Ayer, drawn to the area by the other beverage and food companies. The building required a multi-million dollar makeover to become a sterile place to manufacture and package beverages.

Food is made from scratch in Brockton, Lynn Paolella said.

The liquids products are put into sterile packaging, David Paolella said. The product will not spoil at room temperature. Nutrients in the liquid will degrade over time.

Their equipment is the only setup in the county that can turn out cost-effective, sterile packages in small batches of 20 to 30 cases, he said. Most beverage manufacturers will produce the same product for days before changing.

Cambrooke makes food products for other inborn error of metabolism diseases. They also make high-fat food that can manage and sometimes even cure intractable epilepsy that is not controlled by drugs.

The products allow people who must follow strict diets in order to remain healthy the chance to live a life just like everyone else.

"In essence, we're a grocery store of products they can eat," David Paolella said. Some want flour to make cookies, others would rather have cookie dough to bake and some want packages of cookies.

When Cameron and Brooke, now 24 and 19, their older brother Bryce, 26, sit down to eat with the family, everyone might eat Cambrooke products.Or maybe not. (The PKU diet is vegetarian; mom and dad like their meat.)

Three hospitals where families are sent when after receiving a diagnoses of a disease that can be treated by diet are in Massachusetts. They go home with information about Cambrooke after their first visit.

Working with the Massachusetts Export Center and the U.S. State Department, Cambrooke established overseas markets. The incidence of PKU is higher in other countries.

They just met with a Chinese mother, who began manufacturing PKU-friendly food after her child was diagnosed. Until recently, if a child in China had PKU, there was no government help. Babies were left by the side of the road to die, Lynn Paolella said.

An export deal could be in the works. The market would be huge. The disease is more common there than it is in the U.S., she said.

The test kitchen, with two sinks, large ovens and seating for a crowd, sees everyone from groups of dieticians to families learning to deal with the restrictive diet. A playroom upstairs keeps little ones busy while older folks learn.

Enabling people and families to live with the diagnoses is another challenge Cambrooke took on.

Some of the diseases treated by diet must require lifelong management. An iPhone app helps patients keep track of their nutrition.

Cambrooke can bill insurers directly, making it easier for their clients.

Schools are required to supply special diets when needed. The school lunch program Lynn Paolella developed is used in about 400 schools, the closest one in Groton.

The meals need to be heated up and the child with a restricted diet can eat with friends.

Health-care benefits are not consistent across the country, David said. Some states do not even require newborn testing for PKU. The test might be sent out of state to be read. If the lab will includes PKU results, out-of-state health-care providers might not give them to parents.

Lynn went to Washington, D.C., to advocate for the Medical Food Equity Act, requiring insurance plans to cover formula and low-protein foods. The act died in committee.

The business remains a family business at heart. Bryce Paolella helped with developing a new product.

Lynn and David Paolella are the founders and work with the company daily.

Don Patterson is the vice president of operations.

Lynn and Don's mother gives the products her own blessing. Marilyn Patterson helps out with packaging; she plants a kiss and a prayer of goodwill in each box she prepares.

Follow Anne O'Connor on Twitter and Tout @a1oconnor.

See the article here:
For lives at risk, the perfect recipe (SLIDESHOW) - Sentinel & Enterprise

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