http://www.nationalmssociety.org/Research-2001Dec28-2.asp
December 28, 2001
Summary:
Researchers report having successfully
treated rats with the MS-like disease EAE with the antibiotic drug minocycline:
Ian D. Duncan, BVMS, PhD, Natalija
Popovic, PhD, and colleagues from University of Wisconsin, Madison and
the Max-Planck Institute of Neurobiology in Germany report on a study in
which they used a common antibiotic, minocycline, to successfully treat
rats with the MS-like disease, EAE. Their findings will appear early in
2002 in the Annals of Neurology but were published online on December 21,
2001.
In this study, the investigators
induced EAE in laboratory rats and then treated them with minocycline,
an antibiotic used to treat acne and other infections. The investigators
found that when the rats were treated before the disease began, the treatment
significantly reduced disease activity. When the rats were treated after
symptoms had already begun, the disease severity was reduced and progression
was stopped.
While minocycline is most commonly
used because of its ability to fight off bacterial infection, the drug
also has wide-ranging immune system-suppressing and immune system-regulating
functions. In a careful analysis of the animals in this study, the investigators
conclude that the drug’s beneficial effects on EAE relate to its ability
to regulate immune responses and inflammation, rather than its ability
to fight bacteria. MS is already known to be treatable by an array of medications
that help regulate immune function, although current treatments are only
modestly effective, and better treatments are needed.
Conclusions:
This is a very interesting study,
indicative of the wide range of substances that are currently being studied
in both animals and humans as potential treatments for MS. While these
results are encouraging, it is important to keep in mind that this study
was done in a rodent model that is similar to, but not identical to, human
multiple sclerosis.
The only way to know whether this
antibiotic would have an impact against human multiple sclerosis is by
conducting well-designed and controlled clinical trials in persons who
have MS. The investigators indicate that an initial-phase human trial is
already in planning stages.
Details: