Identification of early neurodegenerative pathways in progressive multiple sclerosis
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Identification of early neurodegenerative pathways in progressive multiple sclerosis. / Kaufmann, Max; Schaupp, Anna Lena; Sun, Rosa; Coscia, Fabian; Dendrou, Calliope A.; Cortes, Adrian; Kaur, Gurman; Evans, Hayley G.; Mollbrink, Annelie; Navarro, José Fernández; Sonner, Jana K.; Mayer, Christina; DeLuca, Gabriele C.; Lundeberg, Joakim; Matthews, Paul M.; Attfield, Kathrine E.; Friese, Manuel A.; Mann, Matthias; Fugger, Lars.
In: Nature Neuroscience, Vol. 25, 2022, p. 944-955.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Identification of early neurodegenerative pathways in progressive multiple sclerosis
AU - Kaufmann, Max
AU - Schaupp, Anna Lena
AU - Sun, Rosa
AU - Coscia, Fabian
AU - Dendrou, Calliope A.
AU - Cortes, Adrian
AU - Kaur, Gurman
AU - Evans, Hayley G.
AU - Mollbrink, Annelie
AU - Navarro, José Fernández
AU - Sonner, Jana K.
AU - Mayer, Christina
AU - DeLuca, Gabriele C.
AU - Lundeberg, Joakim
AU - Matthews, Paul M.
AU - Attfield, Kathrine E.
AU - Friese, Manuel A.
AU - Mann, Matthias
AU - Fugger, Lars
N1 - Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2022
Y1 - 2022
N2 - Progressive multiple sclerosis (MS) is characterized by unrelenting neurodegeneration, which causes cumulative disability and is refractory to current treatments. Drug development to prevent disease progression is an urgent clinical need yet is constrained by an incomplete understanding of its complex pathogenesis. Using spatial transcriptomics and proteomics on fresh-frozen human MS brain tissue, we identified multicellular mechanisms of progressive MS pathogenesis and traced their origin in relation to spatially distributed stages of neurodegeneration. By resolving ligand–receptor interactions in local microenvironments, we discovered defunct trophic and anti-inflammatory intercellular communications within areas of early neuronal decline. Proteins associated with neuronal damage in patient samples showed mechanistic concordance with published in vivo knockdown and central nervous system (CNS) disease models, supporting their causal role and value as potential therapeutic targets in progressive MS. Our findings provide a new framework for drug development strategies, rooted in an understanding of the complex cellular and signaling dynamics in human diseased tissue that facilitate this debilitating disease.
AB - Progressive multiple sclerosis (MS) is characterized by unrelenting neurodegeneration, which causes cumulative disability and is refractory to current treatments. Drug development to prevent disease progression is an urgent clinical need yet is constrained by an incomplete understanding of its complex pathogenesis. Using spatial transcriptomics and proteomics on fresh-frozen human MS brain tissue, we identified multicellular mechanisms of progressive MS pathogenesis and traced their origin in relation to spatially distributed stages of neurodegeneration. By resolving ligand–receptor interactions in local microenvironments, we discovered defunct trophic and anti-inflammatory intercellular communications within areas of early neuronal decline. Proteins associated with neuronal damage in patient samples showed mechanistic concordance with published in vivo knockdown and central nervous system (CNS) disease models, supporting their causal role and value as potential therapeutic targets in progressive MS. Our findings provide a new framework for drug development strategies, rooted in an understanding of the complex cellular and signaling dynamics in human diseased tissue that facilitate this debilitating disease.
U2 - 10.1038/s41593-022-01097-3
DO - 10.1038/s41593-022-01097-3
M3 - Journal article
C2 - 35726057
AN - SCOPUS:85132570612
VL - 25
SP - 944
EP - 955
JO - Nature Neuroscience
JF - Nature Neuroscience
SN - 1097-6256
ER -
ID: 312697589