People with multiple sclerosis (MS) seem to experience significant changes in cognition more than a year before significant physical decline is evident, a study found. While measures of processing speed, verbal memory, and visual memory worsened after about 2.7 years, significant changes in walking function and dexterity were only…
disease progression
People with multiple sclerosis (MS) may receive less frequent treatments with anti-CD20 therapies without increasing their risk of disease activity or disability progression. That’s according to a new meta-analysis of published studies that investigated the use of different dosing schedules for anti-CD20 therapies — approved treatments that deplete the…
People with relapsing-remitting multiple sclerosis (RRMS) who started fasting or adopted a ketogenic diet — one low in carbs and rich in fat — for 18 months showed reductions in risk factors for heart and metabolic disease that were similar to those who followed a standard healthy diet, according…
Most children with multiple sclerosis (MS) have chronic active lesions that slowly get bigger over time, and their frequency seems to correlate with the total number of lesions and reduced brain growth, according to a research letter. Changes in disability or cognitive scores over time, however, weren’t significantly associated…
A new model using artificial intelligence (AI) suggests that multiple sclerosis (MS) progression is better viewed along a single disease spectrum, rather than as distinct disease types — such as those now used in MS diagnosis and treatment — according to a study led by scientists in Europe. The…
The International Progressive MS Alliance has introduced the MS Clinical and Imaging Data Resource, or CIDR, to accelerate the search for effective treatments for progressive forms of multiple sclerosis (MS) where options are limited. The resource was built in partnership with McGill University in Canada, as well as…
New or worsening symptoms of multiple sclerosis (MS) are often part of the disease’s unpredictable nature, but there’s danger in assuming that every symptom flare is another relapse. When I think back on the course of my disease, I realize I could have made a serious error by making…
Although it wasn’t his field of study, my father has always been a history buff. On breaks from school, our peers visited theme parks, where they tried out death-defying rides and attempted to eat their own body weight in sugar. My sisters and I, on the other hand, were dragged…
People who develop multiple sclerosis (MS) begin using healthcare services more frequently up to 15 years before their first MS symptoms appear, a study from the University of British Columbia (UBC) suggests. The findings add to evidence that early signs of MS may go unnoticed for many years.
Switching between CD20-targeting antibodies Ocrevus (ocrelizumab) and Kesimpta (ofatumumab) doesn’t affect either’s effectiveness at lowering disease activity and slowing disability progression in people with multiple sclerosis (MS), a real-world study in Germany shows. Researchers did see a link between switching and a faster, continuous decrease of immunoglobulin…
In progressive forms of multiple sclerosis (MS), treatment with estrogen hormones such as estradiol may help reduce inflammation and nerve damage — especially among patients for whom the disease may be triggered or worsened by viral infections — a mouse study has found. U.S. researchers investigating the impact of sex…
A type of imaging finding called iron rim lesions are associated with more severe disability and a greater extent of brain damage in people with multiple sclerosis (MS), a new analysis suggests. This specific imaging finding may help guide discussions about individualized treatments for MS, the study’s researchers said.
Autologous hematopoietic stem cell transplant (aHSCT) could slow disease progression in people with relapsing-remitting multiple sclerosis (RRMS), according to a study tracking MS patients in Sweden. The procedure was associated with sustained reductions in biomarkers linked to progressive MS. The results also showed that a significant portion of patients…
Over the past three decades, the number of adults worldwide being diagnosed with multiple sclerosis (MS) has increased, but globally, rates of death related to complications of MS have declined, a new study shows. “The period from 1990 to 2021 has witnessed important shifts in the global landscape of…
Experts are calling for tailored strategies to enhance the diagnosis, treatment, and monitoring of older people with multiple sclerosis (MS). As people with MS live longer, age-related biological changes increasingly complicate diagnosing and managing the disease in older adults. No universal framework currently guides how to address these unique…
About 48 hours ago as I’m writing these words, I began to hear a strange, high-pitched tone. At first I thought it was one of the dog collars we use with our invisible fence, but it was a little odd that I heard it inside while the dogs were in…
The night before I was supposed to teach an autoimmune nutrition class, I reentered a role I thought I’d finally outgrown. Instead of educating other practitioners in the functional medicine space, I found myself in the emergency room, listing symptoms I couldn’t fully untangle or explain. I wasn’t there…
People with multiple sclerosis (MS) visited doctors, were admitted to the hospital, and used emergency care more often than other people more than two decades before their diagnosis, a large study finds. The use of these services peaked in the year before a diagnosis, but visits to a primary…
Blood levels of a protein called GFAP, which reflects the activation and damage to support cells in the brain and spinal cord, may help predict disease severity and the response to treatment with relapsing forms of multiple sclerosis (MS), according to a new analysis of clinical trial data. “This…
The rates of people with multiple sclerosis (MS) who advance from a relapsing disease course to a secondary progressive one have decreased significantly in the past decades, a 30-year study in Italy shows. While the greater availability and earlier use of disease-modifying therapies (DMTs) have played a role,…
Nearly two-thirds of people with multiple sclerosis (MS) who underwent a stem cell transplant showed no signs of confirmed disability progression five years later, according to a study tracking MS patients in the U.K. The results were generally better for people with relapsing-remitting MS (RRMS), but nearly half…
People with multiple sclerosis (MS) have a significantly greater risk of developing dementia compared with the general population, according to a new systematic review and meta-analysis. Of nearly 38,000 MS patients assessed across 10 published studies, about 5% had a diagnosis of dementia. The prevalence was particularly high in…
Scientists have made significant advances in treating multiple sclerosis (MS) in recent decades, with a number of treatments for the neurodegenerative disease approved or in development. But one issue that’s been more challenging to address, researchers say, is MS quiet progression — when there aren’t new visible lesions…
Older men with multiple sclerosis (MS) who use medicines that reduce the levels of androgens, or male sex hormones, experience sustained or increased disease activity instead of the expected decreases that typically happen with advancing age, a small study suggests. According to the team, such disease activity was “particularly”…
Mitochondrial abnormalities, or problems in the powerhouses of cells, seem to be a main contributor to the death of important nerve cells in the cerebellum — a brain region involved in motor control — in people with multiple sclerosis (MS), a new study suggests. Researchers found that inflammation and…
For years, the date of June 22 marked the anniversary of an autologous hematopoietic stem cell transplant (aHSCT) that gave me back a kind of life I never thought I’d taste again. The date marked a milestone I clung to like a ribbon at the finish line, a sign I’d…
A ketogenic diet — a very low-carbohydrate, high-fat diet — rich in long-chain, saturated fatty acids like those in butter and fatty red meat didn’t reduce optic nerve damage in a mouse model of multiple sclerosis (MS), a study shows. Instead, feeding mice this type of diet before the…
In people with benign relapsing-remitting multiple sclerosis (RRMS) who have minimal disease activity, there is a loss of overall brain tissue but specific parts of the brain may grow to help compensate for the damage, a new study indicates. The study, “AI-driven MRI analysis reveals brain…
People who develop multiple sclerosis (MS) at a younger age tend to consistently have better physical health but worse mental health than those diagnosed later, a study found. While physical health declined in the long term for all age groups, and mental health increased, the differences between groups were…
Gum disease caused by the bacterium Porphyromonas gingivalis (Pg) is associated with worse multiple sclerosis (MS) in a mouse model of the disease, a study shows. Infection with Pg directly or indirectly boosted pro-inflammatory pathways in immune cells in the spleen, where they’re produced, thereby aggravating MS. These effects…