Two Kinds of Multiple Sclerosis Two Kinds of Multiple Sclerosis By tscott Source: Stanford School of Medicine (http://med.stanford.edu) By Bruce Goldman, Science Writer, Office of Communication & Public AffairsStanford University School of Medicine There may be two distinct versions of multiple sclerosis, a study in both animal models and human blood samples suggests. Whats more, a patients responsiveness to the most popular first-line drug for this episodic and all-too-often recurring autoimmune condition seems to depend on which version that patient has. If these findings are confirmed in larger human studies and by other laboratories, people with multiple sclerosis might someday be able to take a simple blood test to see whether they are likely to respond to treatment with the standard multiple-sclerosis therapy, said senior study author Lawrence Steinman, MD, the George A. Zimmerman Professor of Neurology and Neurological Sciences at the Stanford University School of Medicine. Public health may benefit, too, Steinman said, as the cost savings from being able to predict in advance which patients will benefit from beta-interferon, a costly bioengineered drug whose global sales come to some $4 billion a year, could be considerable. Beta-interferons overall efficacy is only fair, he said, with perhaps half of all multiple-sclerosis patients experiencing an average one-third reduction in recurrences. Plus, its discomfiting side effects flulike symptoms can make compliance an issue for patients, especially given the drugs iffy efficacy. Many nerve cells in mammalian brains and peripheral tissues must convey electrochemical impulses over great distances, and quickly. Long, wirelike projections that transmit these cells signals to other nerve or muscle cells are coated by myelin, a natural substance whose insulating properties sustain the impulses strength and increase their speed. Multiple sclerosis is triggered when, for reasons that are not yet clear, immune cells called T cells attack the myelin sheathing, causing symptoms including paralysis and blindness. The condition affects 400,000 people in the United States, according to the National Multiple Sclerosis Society. A few years ago while still a PhD student at the University of Alabama, the studys first author, Robert Axtell, had shown that, as in people with multiple sclerosis, beta-interferon can reverse paralysis in mice with EAE. But it turns out that EAE can be induced by two different autoimmune pathways, characterized by different patterns of secretion by T cells. Like nerve cells, immune cells also communicate with one another across long distances, but they accomplish this through various chemicals called cytokines that they secrete into the blood. Immune cells on the receiving end of a cytokine signal may respond quite differently, depending on the particular type of cytokine to which they are exposed. Two cytokines called gamma-interferon and IL-17, for example, tend to induce the kinds of inflammatory immune-system arousal that can trigger multiple sclerosis. Axtell (now a postdoctoral scholar in Steinmans lab), Steinman and their colleagues were able to induce two superficially similar forms of EAE in mice by directing the myelin-attacking T cells to predominantly secrete either gamma-interferon or IL-17, respectively. The researchers found that beta-interferon improved the condition of animals whose EAE had been induced by gamma-interferon-secreting T cells, but exacerbated symptoms in those whose EAE had been induced by IL-17-secreting T cells. Intrigued, the investigators turned to humans. Another postdoctoral scholar in the Steinman lab, Brigit deJong, MD, the studys second author, had previously been involved in research in Amsterdam in which multiple-sclerosis patients were treated with beta-interferon and meticulously followed up. The Stanford group obtained blood samples taken from 26 of these patients both before and about two years after the initiation of treatment. Without knowing which samples came from patients who had responded well or poorly to beta-interferon treatment, they went about measuring IL-17 levels in those samples. Eventually, patients follow-up histories were revealed to the researchers and their measured IL-17 levels were paired with their post-treatment progress. A clear pattern emerged. Measurements of a particular variety of IL-17, called IL-17F, clustered at either very high or very low levels in individual patients blood. Those with very low detectable blood levels of IL-17F responded well to beta-interferon treatment, experiencing no relapses or instances of required steroids (to quickly shut down a malfunctioning immune system). But patients with very high IL-17F levels about one out of three subjects responded poorly by the same criteria. In fact, said Steinman, there is some evidence that beta-interferon actually worsened these patients conditions. Steinman cautioned that the results need to be confirmed in larger patient groups, in his lab as well as in others. But, he said, I think this has the potential to transform the way we take care of people with multiple sclerosis. He said a simple, already available blood test could spare many patients the inconvenience and side effects and spare the health-care system the expense of a drug that most likely wont do any good. The other side of the coin is that beta-interferon, if its given only to those who are predisposed to respond to it, could turn out to be a far better drug than we ever imagined. Although Steinman and his colleagues do not stand to benefit in any direct way from this work, Stanford Universitys Office of Technology Licensing has filed a patent application on the use of the blood test. Earlier work by Steinman, proceeding from animal models to clinical trials, led to the development of another blockbuster multiple-sclerosis drug, natalizumab, marketed under the trade name Tysabri. Several other scientists from Stanford and elsewhere co-authored the Nature Medicine study, which was funded by the National Multiple Sclerosis Society. Axtells former PhD advisor, Chander Raman, PhD, of the University of Alabama-Birminghams Department of Medicine shares senior authorship with Steinman. More information about Stanfords Department of Neurology and Neurological Sciences, which supported the work, is available at http://neurology.stanford.edu/. Note: This article was shared with permission from Stanford School of Medicine and was originally published at http://med.stanford.edu/ism/2010/march/sclerosis.html. Copyright Stanford University School of Medicine Office of Communication & Public Affairs. This entry was posted on Tuesday, April 6th, 2010 at 6:50 am and is filed under News Alerts, Studies. You can follow any responses to this entry through the RSS 2.0 feed.