MS and the Future

From: Tom Cowper (tcowper@capital.net)
Date: Tue Jun 11 2002 - 21:01:16 MDT


I want to thank everyone who responded to my request for information on MS
research. I'm sure it will be helpful to my friend and I really appreciate
your help and willingness to share. What a great resource and a wonderful
group of highly intelligent people.

I only received one off-list response, from Jeff Davis, and as requested
I've pasted it below with his permission. Thanks again.

Tom
===========================
Jeff Davis wrote:
My mother had MS, and now one of my cousins has it.

So I have always kept an eye out for recent

developments. Below, after my comment, are several of

my most recent finds.

Fear is a terrible thing, often worse than the source

of the fear. If you're facing the unknown, and the

horror stories, MS can be way more frightening than

actually debilitating. My mother walked with a limp,

big deal. Way later she ended up in a wheelchair.

Not long after, cancer, the real scourge of our

family, killed her. And that was 25 years ago. For

the 27 years before that whe was only slightly

inconvenienced.

Technology is moving very fast now. The end is near

for MS.

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http://www.eurekalert.org/pub_releases/2002-04/dlnl-llp041802.php

Common cholesterol drug prevents, reverses MS symptoms

in mice

Lipitor T (atorvastatin), the most frequently used

cholesterol lowering agent in the world, also has the

ability to influence the immune system and proved

effective in reversing paralysis in a mouse model of

multiple sclerosis. Dr. Sawsan Youssef, a postdoctoral

fellow in the laboratory of Dr. Lawrence Steinman,

Stanford University, reported the study on April 23 at

the Experimental Biology 2002 meeting in New Orleans.

Multiple sclerosis is caused by the immune system

attacking the body's own central nervous system,

breaking down the myelin that sheathes and protects

CNS nerves, impairing the body's ability to move

normally, and eventually causing paralysis. The T

lymphocytes of the mice with which the research team

worked are sensitized to brain antigens so that they

produce an over-abundance of cytokines,

pro-inflammatory chemicals that inflame the CNS,

causing demylination of nerve sheaths through the same

mechanism and in the same manner as happens in human

multiple sclerosis. As in humans with MS, this mouse

condition (called experimental autoimmune

encephalomyelitis or EAE) can occur in either an acute

or relapsing form. The researchers found that oral

treatment with lipitor could prevent both the acute

and relapsing form of the multiple sclerosis-like

disease in the mice, and could also reverse symptoms

in mice with the ongoing chronic relapsing form of the

disease. Compared with control mice, the mice treated

with lipitor had much less CNS inflammation. A close

comparison of the lymphocytes of lipitor-treated and

control-treated mice showed that lipitor prevented the

induction of the pro-inflammatory cytokines and

induced secretion of anti-inflammatory cytokines.

Dr. Youssef says that the mechanism by which lipitor

affected the immune system suggests that it and other

statin medications may have implications for the

treatment of multiple sclerosis and other inflammatory

autoimmune diseases including insulin-dependent

diabetes mellitus and rheumatoid arthritis.

Dr. Youssef and Dr. Steinman are working closely on

this study with Dr. Scott Zamvil, University of

California at San Francisco. Other members of the

research team for this paper are Dr. Pedro Ruiz,

Stanford, and Dr. Olaf Stuve, UCLA.

--------------------------------

Initial chemotherapy treatment reduces relapses in MS

patients

DENVER, CO - Mitoxantrone, a chemical routinely used

to fight breast cancer, leukemia and malignant

lymphoma, has found a new disease to battle: Multiple

Sclerosis. Used in an initial intensive course of

chemotherapy (induction therapy), mitoxantrone

dramatically decreases disease activity in MS patients

for at least four years, according to a study

presented at the Annual Meeting of the American

Academy of Neurology.

Induction therapy, frequently used against cancers, is

designed to wipe out abnormal cells and allow for the

regrowth of normal cells. Mitoxantrone for the

treatment of MS has recently been approved by the U.S.

Food and Drug Administration. It has been used to

treat MS in France for more than a decade. Researchers

from CHU Pontchaillou of Rennes, France, have

demonstrated that mitoxantrone induction therapy for

relapsing-remitting MS patients has produced dramatic

results in disease activity.

Over the past ten years, 100 worsening

relapsing-remitting MS patients were given initial

mitoxantrone induction therapy for six months, with

mitoxantrone combined with methylprednisolone

administered intravenously on a monthly schedule. The

annual relapse rate decreased significantly from 3.20

during the 12 months preceding mitoxantrone onset to

0.30 during the first year following induction onset,

corresponding to a reduction of nearly 90 percent that

was maintained for more than five years. The

percentage of relapse-free patients was 76 percent at

one year of follow-up, and was maintained at 64

percent, 45 percent, and 43 percent at years two,

three and four, respectively, with a median time to

the first relapse of 2.8 years.

"The clinical benefit and reduction of disease

activity supports our belief that mitoxantrone, as

administered in this study, may be an effective

induction treatment before initiating other long-term

disease modifying therapies for worsening

relapsing-remitting MS patients," commented study

author Emmanuelle Le Page, MD.

###

The American Academy of Neurology, an association of

18,000 neurologists and neuroscience professionals, is

dedicated to improving patient care through education

and research.

For more information about the American Academy of

Neurology, visit its web site at http://www.aan.com.

EDITORS NOTE: Dr. Le Page will present the research at

the American Academy of Neurology's 54th Annual

Meeting in Denver, Colo., during a poster presentation

on Wednesday, April 17, 2002 at 7:30 a.m. in Exhibit

Hall C of the Colorado Convention Center. He will be

available to answer media questions from 3:00 p.m. -

4:00 p.m. on Wednesday, April 17th in the AAN Media

Room, Lobby C, Room 208 of the Colorado Convention

Center.

For more information contact:

Kathy Stone, 651-695-2763, kstone@aan.com

April 13-20, 303-228-8450

Cheryl Alementi, 651-695-2737, calementi@aan.com

---------------------------------------

http://www.eurekalert.org/pub_releases/2002-02/jhmi-pft020402.php

Protein found that turns off systemic inflammation in

mice



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