News

Tysabri Treatment Lessens Sexual Dysfunction in MS Patients, Study Finds

Treatment with Tysabri (natalizumab)Ā can help lessen sexual dysfunction in patients with multiple sclerosis (MS), a new study shows. The study, ā€œPatient perceived changes in sexual dysfunction after initiation of natalizumab for multiple sclerosis,ā€ was published in the Multiple Sclerosis Journal ā€“ Experimental, Translational and Clinical. MS is…

Single Gene Variant May Identify MS Patients at Risk of Liver Damage Linked to Interferon-Beta Use, Study Says

A genetic variant close to a gene called interferon regulatory factor 6Ā (IRF6) may help to predict those multiple sclerosis (MS) patients most at risk of liver injury while using interferon-beta therapies, a study reports. The study, ā€œCommon variation nearĀ IRF6Ā is associated with IFN-Ī²-induced liver injury in multiple sclerosisā€ was published…

Non-fermentable Fiber Diet Helped Prevent MS in Mice

A diet that incorporates non-fermentable fiber ā€” a common component of a vegetarian diet ā€” during early life can help prevent the onset of autoimmune diseases such as multiple sclerosis (MS), a new study shows. The study, ā€œDietary non-fermentable fiber prevents autoimmune neurological disease by changing gut metabolic and…

Progressive MS Patients with Considerable Disability Ably Treated with Cladribine, UK Case Study Reports

Cladridine may be effective in preventingĀ disability progression and reducing damage to nerve cells in people withĀ progressive forms of multiple sclerosis (MS), researchers suggest based on a case study of two such patients given the injectable treatment. MS is characterized by progressive degeneration of cells in the central nervous system, mostly…

Missouri Trial to Examine if Fasting Alters Gut Microbiome and Immune System of RRMS Patients in Helpful Ways

A 12-week clinical study is recruiting people with relapsing-remitting multiple sclerosis (RRMS) to evaluate if intermittent fasting can improve their immune response, metabolism, and gut microbiome ā€” the bacterial community that inhabits the gastrointestinal tract. Its findings may also hint at whether such a diet might ease MS symptoms or alter discourse course and, if used in conjunction with other treatments, boost their efficacy. Conducted by researchers atĀ Washington University in St. Louis, Missouri,Ā the trial is supported by their findings in an earlier mouse study.Ā  Results showed that fasting worked to ease MS-like symptoms in a mouse model of the disease, the research team reported. Specifically,Ā EAE mice fed every other day were less prone to symptoms that included difficulty in walking, limb weakness, and paralysis than mice allowed to eat freely.Ā  A fasting diet also enriched bacterial diversity in the mice guts, and shifted immune cell populations there toward a lower inflammatory response.Ā When gut bacteria were transferred from fasting mice to nonfasting mice, the later also were seen to be better protected against MS-like movement problems, supporting the influence of the gut microbiome on MS symptoms. Several diets have been proposed to help ease disease progression in MS patients, but solid scientific evidence is lacking to support any one diet over another, leaving the issue much to an individualā€™s choice. ā€œThe fact is that diet may indeed help with MS symptoms, but the studies havenā€™t been done,ā€ Laura Piccio, MD, an associate professor of neurology at WUSTL and the study's lead author, said in a WUSTL news releaseĀ written by Tamara Bhandari. Taking place at the Missouri university, the trialĀ is expected to enroll 60 RRMS patients.Ā Half will be randomly assigned to eat a standard Western-style diet seven days a week, and the other half to Western-style diet five days a week, with two days set aside for fasting (consuming a maximum of 500 calories each day). On fasting days, patients canĀ only drink water or calorie-free beverages and eat fresh, steamed or roasted non-starchy vegetables All will undergo a neurological assessment, and provide blood and stool samples in the study's beginning, at mid-point or week six, and at its end (week 12). Those using MS medications will continue on their prescribed treatment regimens throughout the study. More information, including enrollment information, is available here. Piccio noted thatĀ a pilot study on diet in 16 MS patients showed that limiting calories every other day for two weeks led to immune and gut microbiome changes that resembled those observed in the mice study she helped to lead. Its researchers concluded that intermittent fasting had the potential to positively manipulate the immune response in MS patients by changing their gut microbiome. The gut microbiome plays a central role in digestion, and in producing vitamins and amino acids (the building blocks of proteins). But a growing body of evidence indicates that it also determines how our immune systems develops and matures. Indeed, an increasing number of studiesĀ link irregularities in the gut microbiome with MS. ā€œThere are several possible ways fasting can affect inflammation and the immune response,ā€ Piccio said. ā€œOne is by changing hormone levels. We found that levels of the anti-inflammatory hormone corticosterone were nearly twice as high in the fasting mice. But it also could act through the gut microbiome.ā€ The new trial will allowĀ the team to analyze more deeply the effects of a fasting diet ā€” and perhaps gather evidence for a larger study investigating if skipping meals can ease MS symptoms. Its goal is to find out "whether people on limited fasts undergo changes to their metabolism, immune response and microbiome similar to what we see in the mouse,ā€ Piccio said. ā€œI donā€™t think any physician working with this disease thinks you can cure MS with diet alone,ā€ she added,Ā ā€œbut we may be able to use it as an add-on to current treatments to help people feel better.ā€

Overreactive T-cells Can Transition into T-cells That Control the Immune Response, Study Shows

New research shows that overreactive and tissue-damaging T-cells can transition into regulatory T-cells that help to control the immune system’s response. These findings open the door to further understanding of the mechanism underlying this transition, knowledge that can help scientists in designing more effective, targeted immunotherapies for diseases like multiple…

Touchscreen-based Cognitive Testing is Effective in MS Care, Study Finds

Cognitive impairment is common among patients with multiple sclerosis (MS) and can be assessedĀ through touchscreen cognitive tests in clinical care, a British study reports. The study ā€œInvestigating Domain-Specific Cognitive Impairment Among Patients With Multiple Sclerosis Using Touchscreen Cognitive Testing in Routine Clinical Careā€ was published in the…

#EAN2018 – Slowly Evolving Lesions Monitored Using MTR Scans May Be Marker of SPMS Progression

An MRI technique known as magnetization transfer ratio (MTR) correlated closely with theĀ progression ofĀ slowly evolving lesions (SELs) ā€” aĀ specific type of multiple sclerosis lesion ā€” in patients with secondary progressive MS (SPMS). According to the researchers, monitoring changes in SELs ā€” which indicate demyelination and loss of nerve fibers ā€”…

Grey Matter Atrophy Common to All with MS and Follows Ordered Sequence, Study Finds

Grey matter atrophy ā€” its loss ā€” Ā follows a sequential pattern that expands to involve more regions of the brain over time in all multiple sclerosis (MS) patients, regardless of their disease type, a new study reports. Atrophy progression is also similar betweenĀ relapsing-remitting multiple sclerosisĀ (RRMS) andĀ primary-progressive multiple sclerosisĀ (PPMS)…

Sativex Relieves Pain in MS Patients, Italian Study Confirms

Researchers confirmed that Sativex spray is beneficial in alleviating pain in patients with multiple sclerosis (MS), and also improved their pain sensitivity to cold temperatures. The study reporting the findings, ā€œPain Modulation after Oromucosal Cannabinoid Spray (SATIVEX) in Patients with Multiple Sclerosis: A Study with Quantitative…