News

Weill Neurohub Unites 3 Academic Centers with DOE Scientists to Advance Tools, Treatments for MS and Other Ills

Three academic research institutions launched the Weill Neurohub initiative, an effort to speed the discovery and development of therapies forĀ neurological diseases thatĀ includeĀ multiple sclerosis (MS), Parkinsonā€™s and Alzheimerā€™s disease, and for psychiatric disorders like anxiety, depression, and schizophrenia. The initiative unites three West Coast…

7T MRI Reveals New Insights into Some RRMS Features

With the help of 7 Tesla magnetic resonance imaging (MRI), investigators discovered that leptomeningeal enhancement ā€” a radiographic finding indicative of brain inflammation ā€” is more common than previously thought in people with relapsing-remitting multiple sclerosisĀ (RRMS), and is tied to lesions in specific regions of the brain.

Long-term IFN-Beta Treatment Normalizes Immune Balance in RRMS, Study Shows

Long-term treatment with interferon beta (IFN-beta) corrects the defective immune balance characteristic of people withĀ relapsing-remitting multiple sclerosisĀ (RRMS), a study has found. The study also identified more than 200 genes with significantly different activity between complete and partial responders to IFN-beta treatment, which could be used to identify which…

2 Potassium Channels Key to Fast Transmission of Impulses Along Myelin-rich Nerve Fibers, Study Shows

Two potassium ion channels located at gaps between segments of myelin are required for high frequency and high-speed conduction of electrical impulses along myelin-rich nerves, a study shows. Loss of the workings of these potassium channels in what are called the nodes of RanvierĀ slowed nerve conduction, and impaired the sensory response of a rat.Ā These findings suggest that similar problems with these channels may exist in people with multiple sclerosis (MS). The study ā€œTREK-1 and TRAAK Are Principal K+Ā Channels at the Nodes of Ranvier for Rapid Action Potential Conduction on Mammalian Myelinated Afferent Nervesā€ was published in the journal Neuron. Myelin, the fat-rich substance that wraps around nerve fibers (axons), works to insulate and increase the velocity of the signals relayed by nerve cells. Gaps between segments of myelin, or nodes of Ranvier, also work to amplify these signals. Nerve impulses must travel and arrive at relay points extremely quickly for effective connection and communication between brain regions. Researchers at the University of Alabama at Birmingham (UAB) showed for the first time that the nodes of Ranvier have potassium channels that allow the myelinated nerves to propagate nerve impulses at very high frequencies, and with high conduction speeds. This is key for fast transmission of sensations and rapid muscle control in mammals. The nodes of Ranvier were first discovered in 1878 by the French scientist Louis-Antoine Ranvier. Later research, dating from 1939, showed that they work as relay stations placed along myelinated nerves ā€” about 1 millimeter apart ā€” for proper conduction of nerve impulses at rates of 50 to 200 meters per second. Between these nodes, the nerve is wrapped in myelin. When the nerve fires, the electrical impulse travels along the nerve (called action potential)Ā from one node to the other at a speed 100 times faster than that of impulses in nerves lacking myelin. Neuroscientists know that ions crossing the membrane of nerve cells are required to fire electrical impulses along nerves, but whether potassium ion channels were present in the nodes of Ranvier remained a matter of debate.Ā No one had been able to use patch clampsĀ ā€” a technique that allows recording of whole-cell or single-ion channel currents flowing across membranes ā€” to the nodes of the small intact nerves in mammals. UAB researchers led byĀ Jianguo Gu, PhD, worked with a rat and identified two ion channels, called TREK-1 and TRAAK, as the main potassium channels in the nodes of Ranvier of the ratā€™s myelinated nerve. Most importantly, they showed these ion channels allow high-speed and high frequency conduction of nerve impulses along the myelinated afferent nerves ā€” those carrying information from the sensory organs (like the eyes or skin) to the central nervous system (the brain and spinal cord). TREK-1 and TRAAK channels were highly enriched ā€” 3,000 times higher ā€” at the nodes of Ranvier in afferent nerves than in the nerve cellā€™s body. When the scientists removed (knocked down) these channels, conduction speed in the rat's nerve dropped by 50 percent, and the rat's "aversion reaction" to its whisker being flicked was slower. "TREK-1 and TRAAK are clustered at nodes of Ranvier of myelinated afferent nerves," the researchers concluded, and "suppressing these channels retards nerve conduction and impairs sensory functions." Increasing evidence shows that dysfunction in the nodes of Ranvier are present in neurological diseases, including MS. Whether autoantibodies (antibodies that attack the bodyā€™s own tissues) target the TREK-1 and TRAAK to affect nerve conduction, leading to sensory and motor problems such as those seen in MS, remains to be investigated, Gu said in a UAB news release written by Jeff Hansen.

Generic Version of Gilenya, pms-Fingolimod, Now Available for RRMS Patients in Canada

PharmascienceĀ recently launched pms-Fingolimod, a generic version of Novartisā€™Ā GilenyaĀ (fingolimod),Ā to treat adults with relapsing-remitting multiple sclerosisĀ (RRMS) in Canada. The new generic is now available in that country, and has demonstrated efficacy and safety similar to Gilenya. GenericĀ medicines are chemically identical to the original branded therapy, but carry a…

European 3TR Project Unites Experts in Effort to Make Treatment More Personal and Effective

A new public-private initiative brings academic and industry researchers from 15Ā European countries together in a large-scale effort to understand differences and commonalities in seven immune-mediated and inflammatory diseases, including multiple sclerosis, so to better predict a patient’s likely response to treatment and likely disease progression. The project, called 3TR…

Employed MS Patients Have Lower Productivity, Reduced Health-related Quality of Life, Study Shows

Employed individuals with relapsing-remitting multiple sclerosis (RRMS) have lower work productivity, reduced health-related quality of life, and use more healthcare resources than individuals who do not have multiple sclerosis (MS), a new study shows. The study, ā€œBurden of relapsing-remitting multiple sclerosis on workers in the US: a cross-sectional…

Vumerity Approved in US as Treatment for RRMS and Active SPMS

The U.S. Food and Drug Administration (FDA) has approved Vumerity (diroximel fumarate)Ā for the treatment of relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome (CIS), relapsing-remitting MS (RRMS), and active secondary progressive disease (SPMS). Vumerity (previously known as ALKS 8700) was developed by Alkermes…

Unemployment Risk Factors in MS Vary with Age, Study Suggests

Physical symptoms and poorer coping mechanisms are major risk factors for unemployment in younger and older people with multiple sclerosis (MS), while psychological problems have the greatest impact in middle-aged patientsā€™ unemployment, a study suggests. These findings highlight that unemployment risk factors vary with age and call for interventions…