A growing body of research by multiple sclerosis (MS) investigators at the University at Buffalo and international partners is providing powerful new evidence that the brain’s gray matter reflects important changes in the disease that could allow clinicians to diagnose earlier and to better monitor and predict how the disease will progress.
This 3D view shows a composite of the thalamus of healthy controls (outlined in red) and MS patients (magenta). The whole thalamus is generally smaller in MS due to atrophy, and is also shifted (as seen in blue) slightly beyond the position of the normal thalamus due to atrophy of other parts of the brain.
Over the past three years, the UB researchers and their partners around the world, supported by an active fellowship program at UB’s Buffalo Neuroimaging Analysis Center (BNAC), have published journal papers and given presentations demonstrating that the thalamus region, in particular, is key to a host of issues involving MS.
“The thalamus is providing us with a new window on MS,” says Robert Zivadinov, MD, PhD, UB professor of neurology, BNAC director and leader of the research team. “In our recent studies, we have used large datasets to investigate the evolution of atrophy of the thalamus and its association with clinical impairment in MS, starting with the earliest stages of the disease. The location of the thalamus in the brain, its unique function and its vulnerability to changes wrought by the disease make the thalamus a critical barometer of the damage that MS causes to the brain.”
Zivadinov and UB professor of neurology Ralph Benedict discuss the new research in a video at (http://youtu.be/QhsaHeBjZrA).
At the annual meeting of the American Academy of Neurology today, Zivadinov will discuss a study he performed in collaboration with colleagues from Charles University in Prague. The study found that atrophy of the thalamus, determined with MRI, can help identify which patients with clinically isolated syndrome (CIS), a patient’s first episode of MS, are at risk for developing clinically definite MS. Such a tool would be immensely helpful to clinicians, Zivadinov notes.
“This study, which included more than 200 patients, shows that thalamic atrophy is one of the most important predictors of clinically definite MS,” says Dana Horakova, MD, PhD, the principal investigator at Charles University.
“Therefore, based on these findings, we think MRI should be used to determine which patients are at highest risk for a second attack,” explains Zivadinov.
MS is traditionally viewed as a disease of the brain’s white matter, in which myelin, the fatty material surrounding neurons that allows them to signal effectively, is gradually destroyed. The UB researchers are now revealing how the thalamus and other parts of the brain’s gray matter, play a key role as well.
Central to a wide variety of neurologic functions, the thalamus is involved in motor and sensory function, the regulation of sleep and wakefulness, memory, emotion, consciousness, awareness and attention. It functions as a kind of relay center in the brain, taking in sensory information and sending it to the cerebral cortex; it also processes information coming from the cortex.
Another study, which the UB researchers conducted in collaboration with Stavanger University Hospital in Norway, is the first to look at the evolution of thalamic atrophy over a 10-year period in MS patients. Results also will be presented at the AAN meeting.
This study of 81 patients found that atrophy in the cortex and subcortical deep grey matter, including the thalamus, was significantly related to patients’ declining cognitive abilities. “We found that cognitive dysfunction appears early in the course of MS and that thalamic atrophy plays a central role in predicting cognitive deterioration over the long-term,” says Zivadinov.
In a review paper published earlier this year in Neurology, Zivadinov and co-authors note that gray matter injury can not only be detected in the disease’s earliest stages but that this injury is associated with a wide range of symptoms from cognitive decline and motor deficits to fatigue and chronic pain.
The UB findings reveal that atrophy of the thalamus, determined through routine magnetic resonance imaging (MRI), can be an important tool in detecting, evaluating and predicting the course of MS in children and adults; it also may become a valuable method of evaluating new MS treatments.
Loss of thalamic volume and its tissue integrity can also predict cognitive impairment in MS patients, according to a study recently published in Multiple Sclerosis Journal led by UB neurology professor Ralph Benedict in collaboration with Jeroen JG Geurts, PhD, from VU University Medical Center in Amsterdam, the Netherlands.
Research currently in press by the UB team and performed in collaboration with colleagues from Charles University in Prague also was the first prospective, longitudinal study to investigate and find associations between grey matter atrophy and physical disability progression in patients with relapsing-remitting MS, the most common and most disabling type of MS.
The five-year study, which covered 180 patients, also found that thalamic atrophy has p0tential as a way to evaluate novel therapies for MS, according to Eva Havrdova, MD, PhD, principal investigator.
“Since progressive pathology of the thalamus has been shown in all different MS disease types, including in pediatric MS patients, we must look at the thalamus as a biomarker for assessing new therapies,” says Zivadinov. “Measurement of thalamic atrophy may become an ideal MRI outcome for MS clinical trials.
“Atrophy in MS patients happens in the thalamus more rapidly than in other brain structures,” Zivadinov continues. “It is detectable very early in the disease and it is less affected by fluid shifts in the brain, an effect of anti-inflammatory drugs used in MS. This feature in particular, makes thalamic atrophy an ideal candidate for assessing novel therapies.”
These findings, says Zivadinov, are just the beginning. “Until now, existing information about thalamic involvement in MS has stemmed mainly from neuropathologic and neuroimaging studies with a limited number of subjects that contain no clear practical implications for clinicians. The team at UB, of researchers and fellows, together with our global partners, is planning to undertake larger, longitudinal studies in order to comprehensively determine how best to apply these very promising findings.”
The BNAC, part of the UB Department of Neurology, is located in the Buffalo General Medical Center on the Buffalo Niagara Medical Campus.
UB co-authors with Zivadinov on these studies are: Ralph Benedict, Bianca Weinstock-Guttman, Murali Ramanathan, Michael G. Dwyer and Niels Bergsland. Co-authors at VU University Medical Center are Jeroen JG Geurts, Hanneke E Hulst and Menno M Schoonheim; at Charles University in Prague: Dana Horakova, Eva Havrdova, Michaela Tyblova, Zdenek Seidl, Manuela Vaneckova, Jan Krasensky and Tomas Kalincik.
Other co-authors are Alireza Minagar, Louisiana State University; Michael H. Barnett, University of Sydney, Australia; Daniel Pelletier, Yale University; Mohamad Ali Sahraian, Tehran University of Medical Sciences; Istvan Pirko, the Mayo Clinic; Elliott Frohman, UT Southwestern Medical Center; Cecilie Jacobsen, Turi O Dalaker, Elisabeth Farbu, Jan Petter Larsen and Kirsten Lode of Stavanger University Hospital; and Kjell-Morten Myhr and Harald Nyland, Haukeland University Hospital.Media Contact Information
Ellen Goldbaum | EurekAlert!
World first: Massive thrombosis removed during early pregnancy
20.07.2017 | Universitätsspital Bern
Therapy of preterm birth in sight?
19.07.2017 | Universitätsspital Bern
Physicists have developed a new technique that uses electrical voltages to control the electron spin on a chip. The newly-developed method provides protection from spin decay, meaning that the contained information can be maintained and transmitted over comparatively large distances, as has been demonstrated by a team from the University of Basel’s Department of Physics and the Swiss Nanoscience Institute. The results have been published in Physical Review X.
For several years, researchers have been trying to use the spin of an electron to store and transmit information. The spin of each electron is always coupled...
What is the mass of a proton? Scientists from Germany and Japan successfully did an important step towards the most exact knowledge of this fundamental constant. By means of precision measurements on a single proton, they could improve the precision by a factor of three and also correct the existing value.
To determine the mass of a single proton still more accurate – a group of physicists led by Klaus Blaum and Sven Sturm of the Max Planck Institute for Nuclear...
The research team of Prof. Dr. Oliver Einsle at the University of Freiburg's Institute of Biochemistry has long been exploring the functioning of nitrogenase....
A one trillion tonne iceberg - one of the biggest ever recorded -- has calved away from the Larsen C Ice Shelf in Antarctica, after a rift in the ice,...
Physics supports biology: Researchers from PTB have developed a model system to investigate friction phenomena with atomic precision
Friction: what you want from car brakes, otherwise rather a nuisance. In any case, it is useful to know as precisely as possible how friction phenomena arise –...
21.07.2017 | Event News
19.07.2017 | Event News
12.07.2017 | Event News
21.07.2017 | Earth Sciences
21.07.2017 | Power and Electrical Engineering
21.07.2017 | Physics and Astronomy