inflammation

Obesity, Altered Fat Levels May Worsen Severity of RRMS, Study Found

Obesity, altered lipid (fat) levels, and elevated leptin ā€” an hormone produced by fat cells ā€” may contribute to neuroinflammation, and worse disease severity in people with relapsing-remitting multiple sclerosis (RRMS), research has found. A study with the findings, titled “Obesity worsens central inflammation and disability in multiple…

New Compounds Offer Significant Anti-inflammatory, Neuroprotective Benefits in MS Mouse Study

Two newly identified variants of the known pharmaceutical agent chloroindazole showed significant anti-inflammatory and neuroprotective benefits in a mouse model of multiple sclerosis, a new study shows. Multiple sclerosis is an autoimmune, demyelinating disease of the central nervous system with no known cause or cure. Patients with MS characteristically show loss of the myelin sheath, a protective coat in nerve cells that helps increase cell-to-cell signaling. Several studies have suggested that estrogens ā€” a type of hormone ā€” are beneficial to the functioning of the central nervous system, and help regulate the immune system. Thus, they are attractive candidates for the treatment of MS. However, despite their potential to treat MS, estrogen-based therapies can have several undesirable side effects, such as feminizing male recipients and increasing the risk of developing breast and endometrial cancers in females. Interestingly, estrogens work by binding and activating two different types of receptors: the estrogen receptor (ER)Ī± and ERĪ². The cancer-inducing effects of estrogens are mediated mainly through estrogen receptor ERĪ±. Hence, therapies that specifically target ERĪ² can bypass these deleterious effects. Chloroindazole (IndCl), a pharmaceutical agent, has up to 100-fold relative binding affinity for ERĪ² over ERĪ±. IndCl has been shown previously to have beneficial effects on modulating the immune system and the central nervous system, and inducing myelination of nerve cells in mouse models of MS. Furthermore, IndCl and other ERĪ²-activating agents directly support the growth, differentiation (maturation), and overall myelination activity of oligodendrocytes, which are the nerve cells that produce the myelin sheath. Therefore, in order to optimize the benefits of IndCl, researchers developed and screened seven novel IndCl analogues for their ability to promote oligodendrocyte survival, growth, and differentiation. These analogues have a molecular structure closely similar to that of IndCl, but interact with estrogen receptors in subtly different ways. Among these seven compounds, researchers found two analogues ā€” IndCl-o-chloro and IndCl-o-methyl ā€” that stimulated growth and differentiation similar to the original IndCl. Next, researchers evaluated the benefits of these compounds in a mouse model of MS ā€” the experimental autoimmune encephalomyelitis (EAE) mouse model ā€” to determine whether they could alter the disease course, white matter pathology (level of demyelination), and inflammation. Results indicated that both compounds ā€œameliorated disease severity, increased mature OLs [oligodendrocytes], and improved overall myelination in the corpus callosum and white matter tracts of the spinal cord,ā€ researchers wrote. Corpus callosum is a thick band of nerves that connect the left and right side of the brain. White matter tracts connect the cortex (the largest part of the brain) with other areas in the central nervous system. These beneficial effects were accompanied by a reduced production of the toxic, inflammatory molecules interferon-Ī³ and CXCL10. Additionally, IndCl-o-methyl also reduced the levels of peripheral interleukin (IL)-17, a molecule that strongly induces inflammation. Furthermore, IndCl and both analogues upregulated the expression of a compound called CXCL1, which is associated with increased production of oligodendrocytes. Not only were these two newly identified compounds equivalent to IndCl, but the two analogues performed better in reducing disability and encouraging remyelination than the original compound, and without any obvious side effects. ā€œTheĀ o-Methyl andĀ o-Chloro IndCl analogues represent a class of ERĪ² ligands that offer significant remyelination and neuroprotection, as well as modulation of the immune system; hence, they appear appropriate to consider further for therapeutic development in multiple sclerosis and other demyelinating diseases,ā€ the researchers concluded. ā€œWe believe we created a drug that does two things really well, modulating inflammation and allowing axon remyelination. No other drug on the market can do these two things simultaneously,ā€ Seema K. Tiwari-Woodruff, said in a press releaseĀ written by Stacy Kish. Tiwari-Woodruff is the study's lead author. ā€œThe most amazing part of the study is that these new analogues of a known estrogen modulator, chloroindazole, are superior in treating mouse model of multiple sclerosis,ā€ she added. The team has patented the analogues, and hopes to begin further pharmacological and toxicity studies soon.

Study of Myelin Debris Sheds Light on Brain Inflammation in MS

Endothelial cells, those lining the inside of small blood vessels, promote clearance of myelin debris ā€” a common detrimental outcome of demyelinating diseases such as multiple sclerosis (MS) or spinal cord injury. However, in its path to clear the brain from myelin debris, endothelial cells trigger more damaging mechanisms, promoting…

Need to Know: Natural Strategies to Fight MS Inflammation

Editor’s note: “Need to Know” is a series inspired by common forum questions and comments from readers. Have a comment or question about MS? Visit our forum. This week’s question was inspired by the forum topicĀ “Do you know any natural remedies that help fight inflammation?“, from May…

Study Links Food Allergies and Increased MS Disease Activity

Multiple sclerosis (MS) patients who reported food allergies showed a 27 percent higher cumulative rate of flare-ups over the course of their disease, and more than twice the likelihood of having active inflammatory lesions, a new study shows. The study, ā€œFood Allergies are Associated with Increased Disease Activity…

High Lipid Levels Associated with Increased Disability, Inflammation in RRMS Patients, Study Shows

High levels of certain lipids, or fat, in the blood are linked to increased disability scores and high levels of pro-inflammatory markers inĀ relapsing-remitting multiple sclerosis (RRMS) patients, a small study reports. The study, ā€œLipoprotein markers associated with disability from multiple sclerosis,ā€ was published in the journal Scientific…

Stanford Researchers Open Medical Cannabis Company with Oral Therapy for MS Pain, Spasticity as Initial Goal

A new medical cannabis company calledĀ Katexco PharmaceuticalsĀ aims to develop oral therapies that harness the brain’s endocannabinoid and nicotine receptors to treat inflammatory diseases such as multiple sclerosis. Co-founded by two Stanford University researchers ā€” Jonathan Rothbard, PhD, and Lawrence Steinman, MD ā€” Katexco will leverage their expertise…

Infection with Common Herpes Virus Speeds MS-like Disease Onset and Progression in Primate Model, Study Reports

Infection with theĀ most common member of the herpes virus family, called HHV-6, may pass unnoticed and without symptoms, but the very act of being infected significantly accelerated the development and progression of aĀ multiple sclerosis-like disease in nonhuman primates, a study reports. Its findings support the role of viral infection in…