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Scooped by
Gilbert C FAURE
March 25, 2018 2:19 PM
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Beer has fueled a lot of bad ideas. But on a Friday afternoon in 2007, it helped two Alzheimer's researchers come up with a really a good one.
A new clinical trial indicates that stem cell transplants can prevent the progression of MS. The transplants also helped to improve the symptoms of patients.
Via Krishan Maggon
Alemtuzumab is a humanized anti-CD52 monoclonal antibody approved in more than 65 countries for the treatment of relapsing–remitting multiple sclerosis (RRMS). Compared wit
Via Krishan Maggon
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Scooped by
Gilbert C FAURE
March 12, 2018 10:50 AM
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The pathogenesis of multiple sclerosis (MS) has not been clarified. In addition to environmental factors; genetic determinants have been implicated in the pathogenesis of MS. Furthermore, endogenous retroviruses (ERV) might play a role in MS. The presence of oligoclonal immunoglobulin in cerebrospinal fluid (CSF) is a typical feature of MS. Recently, genetic polymorphisms in loci on human chromosomes 6, 14 and 18 have been identified as major determinants of CSF antibody levels in MS. The functional relevance of these single nucleotide polymorphisms (SNPs) remains unclear and none of them is located in an open reading frame. In previous studies, we identified ERV sequences in the vicinity of MS associated SNPs. Here, we describe the identification of ERV sequences in the neighborhood of SNPs associated with CSF antibody levels. All of the identified SNPs are located in the vicinity of ERV sequences. One of these sequences has very high homology to a sequence derived from the so-called MS-associated retrovirus (MSRV). Another cluster of three ERV sequences from the immunoglobulin heavy chain locus has retained the typical organization of retroviral genomes. These observations might shed new light on a possible association between ERVs and MS pathogenesis.
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Scooped by
Gilbert C FAURE
March 7, 2018 2:15 PM
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The pathophysiology of drug-resistant pediatric epilepsy is unknown. Flow cytometric analysis of inflammatory leukocytes in resected brain tissues from 29 pediatric patients with genetic (focal cortical dysplasia) or acquired (encephalomalacia) epilepsy demonstrated significant brain infiltration of blood-borne inflammatory myeloid cells and memory CD4+ and CD8+ T cells. Significantly, proinflammatory (IL-17– and GM-CSF–producing) γδ T cells were concentrated in epileptogenic lesions, and their numbers positively correlated with disease severity. Conversely, numbers of regulatory T (T reg) cells inversely correlated with disease severity. Correspondingly, using the kainic acid model of status epilepticus, we show ameliorated seizure activity in both γδ T cell– and IL-17RA–deficient mice and in recipients of T reg cells, whereas T reg cell depletion heightened seizure severity. Moreover, both IL-17 and GM-CSF induced neuronal hyperexcitability in brain slice cultures. These studies support a major pathological role for peripherally derived innate and adaptive proinflammatory immune responses in the pathogenesis of intractable epilepsy and suggest testing of immunomodulatory therapies.
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Scooped by
Gilbert C FAURE
March 4, 2018 11:51 AM
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Review Article from The New England Journal of Medicine — Antibody-Mediated Encephalitis
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Scooped by
Gilbert C FAURE
February 27, 2018 1:22 PM
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Their first epiphanies came during musings over beer, and evolved into a decade of teamwork. Two Harvard researchers explain why they think Alzheimer's disease may be traced to an immunity glitch.
CNS innate immune cells sense pathogen/injury stimuli and co-ordinate inflammatory and tissue repair responses to protect and repair neurologic tissues. The major innate immune cells in the CNS were originally thought to be microglia, infiltrating monocytes and astrocytes but mast cells and innate lymphoid cells are now also known to play important roles. Disbalance in innate immune cells or their function may result in the lack of inflammation resolution, leading to chronic inflammatory maladaptive responses and disease. The study of innate immune cells in the CNS has revealed that innate immune cells regulate the recruitment of immune cells, adaptive immune responses and neuronal regeneration or death. These effects influence Multiple Sclerosis, spinal cord and brain injury recovery, as well as changes in stress and behavioral responses. Understanding how each cell contributes to molecular and cellular processes that impinge on neuroinflammation will be essential to devise strategies to diagnose or treat conditions such as CNS autoimmunity, traumatic brain injury, spinal cord injury, infections, Alzheimer’s disease and cancer among others. This Research Topic will provide a comprehensive overview of our current understanding of the mechanisms that modulate innate immune cell-driven CNS inflammatory/regulatory processes and their impact on CNS inflammatory disease pathogenesis, diagnosis and/or treatment. We seek articles that cover, but are not limited to, the followin
Via Krishan Maggon
BMJ Case Reports 2018; doi:10.1136/bcr-2017-222086 Rare disease CASE REPORT NMDAR (N-methyl-D-aspartate receptor) encephalitis in a patient with MS (multiple sclerosis): a rare and challenging case Sadia Suleman1, Qaiser Javed2 1General Adult Psychiatry, Mersey Care NHS Foundation Trust, Liverpool...
Via Krishan Maggon
Discover the factors that inhibit axon regrowth following CNS injury and the potential therapeutics being developed to overome them
Via Krishan Maggon
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Scooped by
Gilbert C FAURE
February 12, 2018 8:35 AM
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Mol Psychiatry. 2018 Feb 9. doi: 10.1038/s41380-017-0011-3. [Epub ahead of print]
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Scooped by
Gilbert C FAURE
February 11, 2018 10:18 AM
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A person needs immune-suppressive drugs for organ transplants but not typically for transplants in the eye. How come? Like a few other parts of the body, some components of the eye, like the lens, don't have direct acces
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Scooped by
Gilbert C FAURE
February 10, 2018 7:11 AM
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Paraneoplastic neurological syndromes (PNS) are immune-mediated complications of cancer, characterised by relentless progression. The mainstay of PNS treatment is the achievement of tumour remission,1 while immunotherapy provides only little additional benefit.2 3 However, in historical series, immunotherapy was initiated over 6 months after neurological onset and, at that stage, neuronal loss is already extensive and irreversible. Among available immunotherapies, intravenous immunoglobulin (IVIg) has been used in single cases4 and in one retrospective series,3 showing some efficacy when administered timely.4 Based on these findings, we designed a prospective study to assess the efficacy and safety of early IVIg treatment in patients with PNS. ### Study design This prospective, multicentre, non-comparative, phase II clinical study was performed by the ‘Centre de Reference Français des Syndromes Neurologiques Paranéoplasiques’. Written informed consent was obtained from all participants. This trial is registered at ClinicalTrials.gov (NCT02343211). ### Participants Inclusion criteria were: (1) diagnosis of ‘definite’ PNS5; (2) anti-Hu, anti-Yo, or anti-CV2/CRMP5 antibodies in the serum and/or in the cerebrospinal fluid; (3) neurological symptom onset within 6 months; (4) modified Rankin Score (mRS) 2 or 3; (5) neurological deterioration over the last 3 weeks. Exclusion criteria were: (1) other concomitant immunotherapy; (2) absolute contraindications to IVIg (hypersensitivity to IVIg, selective IgA deficiency); (3) thrombophilia; (4) renal insufficiency (creatinine clearance <30 mL/min). ### Interventions Enrolled patients received three cycles of IVIg (Privigen, 2 g/kg, every 4 weeks), followed by an interim evaluation. If the patient was stable or improved according to the primary outcome measure, three additional IVIg cycles were administered. If the patient deteriorated, IVIg was discontinued. Final evaluation was performed at 6 months. The primary endpoint was improvement on the mRS at 3 months …
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Glioblastoma is the most frequent malignant primary brain tumor. In a hierarchical tumor model, glioblastoma stem-like cells (GSC) play a major role in tumor initiation and maintenance as well a
Via Krishan Maggon
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Scooped by
Gilbert C FAURE
March 14, 2018 2:13 PM
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Mediators of Inflammation is a peer-reviewed, Open Access journal that publishes original research and review articles on all types of inflammatory mediators, including cytokines, histamine, bradykinin, prostaglandins, leukotrienes, PAF, biological response modifiers and the family of cell adhesion-promoting molecules.
European Commission Parkinson’s disease (PD) and multiple system atrophy (MSA) are two neurodegenerative disorders and, so far, only treatment of the symptoms is available. European scientists have developed vaccines to reduce severity of the diseases and improve patient function.
Via Krishan Maggon
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Scooped by
Gilbert C FAURE
March 10, 2018 5:41 AM
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Proliferation and activation of microglia in the brain, concentrated around amyloid plaques, is a prominent feature of Alzheimer’s disease (AD). Human genetics data point to a key role for microglia in the pathogenesis of AD. The majority of risk genes for AD are highly expressed (and many are selectively expressed) by microglia in the brain. There is mounting evidence that microglia protect against the incidence of AD, as impaired microglial activities and altered microglial responses to β-amyloid are associated with increased AD risk. On the other hand, there is also abundant evidence that activated microglia can be harmful to neurons. Microglia can mediate synapse loss by engulfment of synapses, likely via a complement-dependent mechanism; they can also exacerbate tau pathology and secrete inflammatory factors that can injure neurons directly or via activation of neurotoxic astrocytes. Gene expression profiles indicate multiple states of microglial activation in neurodegenerative disease settings, which might explain the disparate roles of microglia in the development and progression of AD pathology.
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Scooped by
Gilbert C FAURE
March 6, 2018 1:45 PM
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One of the hallmarks of Alzheimer’s disease is the presence of extracellular diffuse and fibrillar plaques predominantly consisting of the amyloid-β (Aβ) peptide. Apolipoprotein E (ApoE) influences the deposition of amyloid pathology through affecting the clearance and aggregation of monomeric Aβ in the brain. In addition to influencing Aβ metabolism, increasing evidence suggests that apoE influences microglial function in neurodegenerative diseases. Here, we characterize the impact that apoE has on amyloid pathology and the innate immune response in APPPS1ΔE9 and APPPS1-21 transgenic mice. We report that Apoe deficiency reduced fibrillar plaque deposition, consistent with previous studies. However, fibrillar plaques in Apoe -deficient mice exhibited a striking reduction in plaque compaction. Hyperspectral fluorescent imaging using luminescent conjugated oligothiophenes identified distinct Aβ morphotypes in Apoe -deficient mice. We also observed a significant reduction in fibrillar plaque–associated microgliosis and activated microglial gene expression in Apoe -deficient mice, along with significant increases in dystrophic neurites around fibrillar plaques. Our results suggest that apoE is critical in stimulating the innate immune response to amyloid pathology.
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Scooped by
Gilbert C FAURE
February 27, 2018 2:22 PM
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Studies of cerebrospinal fluid (CSF) γδ T cells in children are limited, especially due to the lack of control data. In adults, gamma/delta T cells (TCR‐γδ) residing in the intrathecal space ar
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Scooped by
Gilbert C FAURE
February 23, 2018 2:11 PM
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Chronic inflammatory demyelinating polyneuropathy (CIDP) is a debilitating condition caused by autoimmune demyelination of peripheral nerves. CIDP is associated with increased IL-10, a cytokine with well-described anti-inflammatory effects. However, the role of IL-10 in CIDP is unclear. In this study, we demonstrate that IL-10 paradoxically exacerbates autoimmunity against peripheral nerves. In IL-10–deficient mice, protection from neuropathy was associated with an accrual of highly activated CD4+ T cells in draining lymph nodes and absence of infiltrating immune cells in peripheral nerves. Accumulated CD4+ T cells in draining lymph nodes of IL-10–deficient mice expressed lower sphingosine-1-phosphate receptor 1 ( S1pr1 ), a protein important in lymphocyte egress. Additionally, IL-10 stimulation in vitro induced S1pr1 expression in lymph node cells in a STAT3-dependent manner. Together, these results delineate a novel mechanism in which IL-10–induced STAT3 increases S1pr1 expression and CD4+ T cell migration to accelerate T cell–mediated destruction of peripheral nerves. This article is featured in In This Issue , p.[1531][1] [1]: /lookup/volpage/200/1531
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Scooped by
Gilbert C FAURE
February 21, 2018 2:11 PM
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Baecher-Allan et al. describe their latest understanding of the immunopathogenesis of MS, which is triggered by both genetic and environmental factors. Delineation of the immune process in MS has led to multiple disease-modifying therapies that are in wide use.
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Scooped by
Gilbert C FAURE
February 16, 2018 1:14 PM
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The BRCA1 protein, one of the major players responsible for DNA damage response has recently been linked to Alzheimer’s disease (AD). Using primary fibroblasts and neurons reprogrammed from induced pluripotent stem cells (iPSC) derived from familial
Via Krishan Maggon
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Scooped by
Gilbert C FAURE
February 11, 2018 1:48 PM
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Events Events Calendar Birthdays Discover CME: MS and CNS Neuroimmunology: Advances and Updates Past English (US) · Français (France) · Español · Português (Brasil) · Deutsch Privacy · Terms · Advertising · Ad Choices · Cookies · More Facebook © 2018 MAR 3 CME: MS and CNS Neuroimmunology: Advances...
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Scooped by
Gilbert C FAURE
February 11, 2018 4:05 AM
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Current treatment options for human stroke are limited mainly to the modestly effective infusion of tissue plasminogen activator (tPA), with additional improvement of functional independence an
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