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Research and treatment timeline: 30+ years of ms milestones | 4

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special feature: Spotlight on research<br />

Whether discovering new ways to treat sympto<strong>ms</strong> or trying to find a cure, researchers<br />

are working hard to make advances that will benefit the lives <strong>of</strong> people with MS. Through<br />

research in the areas <strong>of</strong> myelin repair, symptom management, environment as a possible<br />

cause <strong>and</strong> the development <strong>of</strong> <strong>treatment</strong>s for MS, the research <strong>of</strong> today looks to form a<br />

path to a brighter future for those who live with MS.<br />

In this special feature, we are pleased to highlight some <strong>of</strong> the important research<br />

happening right now in the MS community.<br />

myelin repair<br />

Myelin is<br />

the fatty<br />

coating that<br />

protects <strong>and</strong><br />

surrounds nerve<br />

fibres within the<br />

central nervous<br />

system. Often<br />

compared to the<br />

insulating material around electrical<br />

wiring, myelin aids the conduction <strong>of</strong><br />

electrical signals between neurons<br />

within the spinal cord <strong>and</strong> brain.<br />

Multiple sclerosis involves the body’s<br />

immune system attacking <strong>and</strong><br />

destroying myelin. Such demyelination<br />

can cause interference in transmitting<br />

nerve signals, which can cause blurred<br />

vision, slurred speech, trembling <strong>and</strong><br />

cognitive difficulties.<br />

Some approved therapies for MS<br />

involve slowing down the body’s<br />

immune system to prevent it<br />

from attacking the myelin. Such<br />

<strong>treatment</strong> can prevent the disease<br />

from progressing <strong>and</strong> can minimize<br />

attacks. <strong>Research</strong> is currently<br />

ongoing with regard to developing<br />

techniques to induce myelin repair<br />

with antibodies; however, studies<br />

are still exploring if this method can<br />

be effective in restoring the loss <strong>of</strong><br />

myelin in humans.<br />

What’s happening now<br />

Michael Keough<br />

university <strong>of</strong> Calgary<br />

PhD studentship<br />

Michael Keough is the recipient<br />

<strong>of</strong> a 2012 MS Society <strong>of</strong><br />

Canada Doctoral Award for his<br />

project, “Altering the Inhibitory<br />

Microenvironment to Promote<br />

Oligodendrocyte Maturation <strong>and</strong> Remyelination.”<br />

Remyelination is characteristic in acute multiple<br />

sclerosis (MS) lesions yet <strong>of</strong>ten fails in chronic<br />

stages <strong>of</strong> disease. Oligodendrocyte precursor cells<br />

(OPCs) reside in chronic MS lesions in immature<br />

states, suggesting that inhibitory molecules in the<br />

lesion environment cause remyelination failure.<br />

Extracellular matrix molecules called “chondroitin<br />

sulfate proteoglycans” are abnormally elevated in<br />

chronic MS lesions, <strong>and</strong> data indicates that they are<br />

responsible for remyelination failure.<br />

Mr. Keough’s goal is to further analyze these<br />

molecules <strong>and</strong> seek therapeutics to overcome<br />

their inhibition <strong>of</strong> OPCs, such that remyelination<br />

can be possible in chronic stages <strong>of</strong> MS.<br />

“There are currently no MS medications targeted to<br />

directly impact regeneration <strong>of</strong> lost myelin,” Keough<br />

says. “A new angle <strong>of</strong> <strong>treatment</strong>, in combination with<br />

current <strong>and</strong> advancing immunomodulatory therapies,<br />

may be beneficial to people living with MS.”<br />

<strong>ms</strong> canada Fall/Winter 2012 5

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