Multiple sclerosis
is an autoimmune disease in which the immune system
targets the myelin sheaths that surround nerve fibers.
The myelin sheaths work like the insulation surrounding
an electrical wire, allowing the nerve fibers to transmit
information throughout the body. When the immune system
attacks the myelin sheath it damages small areas of
tissue. These damaged areas are called "lesions". The
lesions are effectively gaps over which signals cannot
be transmitted, resulting in a wide range of neurological
symptoms including loss of sensation and mobility, loss
of vision, interference with mental processes, and,
in extreme cases, death.
The approaches that TPIMS investigators are taking
in their multiple sclerosis research are similar to
the approaches used in Type I diabetes research. Specifically,
the research focuses on understanding why the immune
system attacks and destroys the myelin sheath (Kumar,
Sercarz), and designing and testing strategies to
re-educate the immune system so that it recognizes
the myelin sheath tissue as self (Kumar,
Houghten,
Pinilla, Sercarz,
Wilson).
For many years research in the Davies
laboratory has focused on understanding that part
of the immune system that actively prevents diseases
like type I diabetes and multiple sclerosis in healthy
individuals. The idea is that if we understand how
the body normally works to prevent these diseases
we should be able to replace or enhance these characteristics
in patients with disease in order to either, reverse
ongoing disease, or, prevent the progress of disease
in individuals who are in the early stages of disease,
or, inhibit the development of a disease in individuals
who have a family history of that disease, and are
therefore considered, "at risk." Recently, the Davies
group has identified a way of enhancing a characteristic
in the body that is linked to protection from type
I diabetes. Current work focuses on how this protective
characteristic can be controlled.
Rheumatoid Arthritis
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