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Combined treatment with atorvastatin and minocycline suppresses severity of EAE

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Medical Update Memo
April 3, 2008

SUMMARY

Using an animal model of MS called experimental autoimmune encephalomyelitis (EAE), this study investigates whether atorvastatin, a drug currently used to lower cholesterol, and minocycline, an antibiotic, have potential as neuroprotective agents when used in combination.

DETAILS

An approach to improve MS treatment is to identify a rational combination of new medications or existing therapies that impact different aspects of the disease process. Statins are effective in the treatment of MS animal models and are promising candidates for future treatment. Minocycline ameliorates clinical severity of experimental autoimmune encephalomyelitis (EAE) and exhibits several anti-inflammatory and neuroprotective activities. Both of these drugs are available as oral compounds.

In this study, Italian researchers from Florence , tested whether the combination of these two drugs could produce beneficial effects in EAE mice immunized with myelin oligodendrocyte protein (MOG). Their findings show that combined treatment, compared to using the medications alone, resulted in a significant reduction in disease severity, in both the acute and chronic phases of the disease, along with attenuation of inflammation, demyelination and axonal loss. Stereological analysis revealed that the combined treatment significantly guarded against neuroinflammation and neurodegeneration. Moreover, a significant suppression of anti-MOG antibody production in animals treated with the two medications was found. In conclusion, the findings suggest that this combination of drugs may be neuroprotective and may help to suppress the severity of EAE. Furthermore, this pharmacological approach appears to be promising as a future therapeutic strategy to control MS.

Here in Canada, clinical researchers in Calgary and 13 other Canadian centres will be taking an in-depth look at minocycline after initial studies have shown promising results. A new $4 million multi-centre clinical trial involving 200 participants from across Canada is being funded through the MS Society’s related MS Scientific Research Foundation. For more information on work being done with minocycline please see:

www.mssociety.ca/en/research/medmmo_20080402.htm

www.mssociety.ca/en/releases/nr_20071025.htm

ASK MS Information System Code: 1.4.2.bb

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The Multiple Sclerosis Society of Canada is an independent, voluntary health agency and does not approve, endorse or recommend any specific product or therapy, but provides information to assist individuals in making their own decisions.

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