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Skin cells may help repair nerve damage in Multiple Sclerosis patients

A personalized treatment for multiple sclerosis may be one step closer, thanks to a new study that reveals how a person’s own skin cells could be used to repair the nerve damage that the disease causes.

Led by scientists at the University of Cambridge in the United Kingdom, the study took skin cells from adult mice with multiple sclerosis (MS) and then reprogrammed them into neural stem cells (NSCs).

These “induced neural stem cells” (iNSCs) were transplanted into the rodents’ cerebrospinal fluid.There, they reduced inflammation and repaired damage to the central nervous system (CNS). Lead study author Dr. Stefano Pluchino, of the Department of Clinical Neurosciences at the University of Cambridge, and team believe that their strategy could offer a promising treatment for MS and other neurological diseases.

The researchers recently reported their findings in the journal Cell Stem Cell.

Researchers have turned their attention toward iNSCs, or NSCs that can be developed by reprogramming adult skin cells. Importantly, since these cells would be derived from the patients themselves, the risk of an immune system attack would be significantly reduced. To test whether iNSCs could be a feasible treatment option for MS, Dr. Pluchino and his colleagues tested them on adult mice that had been genetically engineered to develop the condition. The team took cells from the skin of the mice and reprogramed them into NSCs, effectively making iNSCs. Next, the team transplanted these iNSCs into the cerebrospinal fluid of the mice.

The researchers found that this led to a reduction in levels of succinate, which is a metabolite that the team found is increased in MS. This increase prompts microglia — a type of glial cell found in the CNS — to trigger inflammation and cause nerve damage. By reducing succinate levels, the iNSCs reprogrammed the microglia — which, in turn, reduced inflammation and brain and spinal cord damage in the mice. Of course, human clinical trials are needed before iNSCs can be considered as a suitable treatment for MS, but this latest study certainly shows promise.

“This is particularly promising,” Dr. Pluchino adds, “as these cells should be more readily obtainable than conventional neural stem cells and would not carry the risk of an adverse immune response.”

Susie

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