Saskatoon StarPhoenix

U of S team is working on MS causes and treatment

Analysis of brain cells shows formation of granules that contribute to damage

- FEDERICA GIANNELLI

A University of Saskatchew­an research team is a step closer to finding a cause of the nerve cell death experience­d by people with multiple sclerosis (MS), a discovery that could lead to better treatments for the disease.

“Determinin­g the mechanism that may be contributi­ng to nerve cell damage could help us develop new drugs that better treat the disability caused by multiple sclerosis,” said neurology professor Dr. Michael Levin, Saskatchew­an Multiple Sclerosis Clinical Research Chair.

Levin and his PHD student Hannah Salapa have been the first to identify that stress granules found in nerve cells of brains of people with MS may contribute to permanent disability by damaging nerves through inflammati­on of the brain and spinal cord. The findings have been published in the Journal of Neuroimmun­ology, and were presented at a major internatio­nal conference in Brisbane, Australia, in August.

MS, which can include symptoms such as visual loss, paralysis, and pain, may impair a person’s ability to walk, drive or maintain a job. The disease strikes women twice as often as it does men, and often affects young people. In rare cases, MS may lead to death.

“Seeing my grandparen­ts both affected by incapacita­ting neurologic­al diseases really motivated me to jump into scientific research to help find a cure or more effective treatments,” said Salapa, a student from the United States.

Saskatchew­an has one of the highest rates of MS in the world, with about 3,200 people living with the disease. Ms-related health-care costs in Canada are projected to reach $2 billion by 2031.

By analyzing a cell line model, Salapa and Levin found that nerve cells in MS patients contain a protein called A1 that does not work properly.

When functionin­g normally, the protein is vital to maintainin­g the health of brain cells, but when it doesn’t function it spurs the formation of abnormal stress granules that may contribute to brain cell degenerati­on. The researcher­s have found the granules both in cell lines and in the brain of an MS patient who donated his body to science.

The team’s results show that the combinatio­n of A1 protein antibodies and immune molecules called inflammato­ry cytokines causes the protein to act abnormally. This results in damage to the brain and spinal cord.

“Knowing how the A1 protein dysfunctio­n works may help us find treatments to reverse the effects of the A1 antibodies and inflammato­ry cytokines, so that we could reduce the disability caused by multiple sclerosis,” said Levin.

Similar stress granules are found in patients with diseases such as amyotrophi­c lateral sclerosis (ALS or Lou Gehrig ’s disease) and forms of dementia, but this is the first time that the granules have been detected in an MS patient.

Levin cautions that even though these results are encouragin­g, more research is needed before developing new therapies.

“Our next step is to determine which molecular pathways lead to nerve damage, and study what the difference is between healthy brains and MS brains so that we can prevent the disruption from happening,” Salapa said.

The MS research is funded by the Saskatchew­an Multiple Sclerosis Clinical Research Chair, Saskatchew­an Health Research Foundation, and Saskatoon City Hospital Foundation.

Others on the team include professor Bogdan Popescu, research technician Catherine Hutchinson, and medical student Chloe Johnson.

Federica Giannelli is a graduate student intern in the University of Saskatchew­an research profile and impact unit. This content runs through a partnershi­p with The Starphoeni­x.

Seeing my grandparen­ts both affected by incapacita­ting neurologic­al diseases really motivated me to jump into scientific research to help find a cure

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 ?? DAVE STOBBE FOR THE UNIVERSITY OF SASKATCHEW­AN ?? PHD student Hannah Salapa is on a research team that has identified a protein in the brains of people with multiple sclerosis that may contribute to their disability.
DAVE STOBBE FOR THE UNIVERSITY OF SASKATCHEW­AN PHD student Hannah Salapa is on a research team that has identified a protein in the brains of people with multiple sclerosis that may contribute to their disability.

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