Scientists have discovered that a specific brain cell known
as a 'projection neuron' has a central role to play in the
brain changes seen in multiple sclerosis (MS). The research,
published today in Nature, shows that projection neurons are
damaged by the body's own immune cells, and that this damage
could underpin the brain shrinkage and cognitive changes
associated with MS. These new findings provide a platform
for specific new MS therapies that target damaged brain
cells to be developed. Multiple sclerosis is a disease of
the brain and the spinal cord that affects over two million
people worldwide. The potential symptoms of MS are wide
ranging and can include problems with vision, movement and
cognitive abilities. Previous research has shown that a
brain region called the cortex shrinks over time in MS
patients, known as cortical atrophy. The processes driving
this cortical shrinkage have, until now, been unclear. In a
new study researchers used post-mortem human brain samples
from MS patients to study a wide range of cell types
implicated in the disease, and compared their findings to
brain samples donated from people that did not have MS. In
healthy people, these projection neurons are involved in
communicating information between different areas of the
brain. It is therefore possible that the damage to these
cells can affect cognitive abilities in MS patients.
Moreover, the loss of this particular cell types helps
explain why brains of MS patients shrink over time -- the
more cells that are damaged and lost, the less space the
brain takes up. The researchers also showed that immune
cells in the brains of MS patients were targeting projection
neurons and causing cell stress and damage. Lead researcher
said that these new techniques have wide applicability in
the understanding of human neurodevelopmental and
neurological disorders and are providing new insight into
not only MS, but also autism spectrum disorder.
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