Benzon Symposium No. 49

 

Multiple Sclerosis:

Genetics, Pathogenesis and Therapy

Copenhagen, August 18-22, 2002

 

 

Organizing committee:

Arne Svejgaard (Copenhagen), Alastair Compston (Cambridge), Rikard Holmdahl (Lund), Per Soelberg Sørensen (Copenhagen), Lars Fugger (Århus)

 

 

Synopsis

 

Benzon Symposium No. 49 is devoted to multiple sclerosis (MS). It is a chronic neurologic disease characterized by demyelination in the brain and spinal cord giving rise to a broad spectrum of neurological symptoms including paralyses and impaired sensory functions, which eventually leads to complete disability in about half of the cases. MS affects 1:100,000 and is the most common cause of disability in young adults. The etiology of MS is unknown, but genetic factors are clearly involved as evidenced by the association between MS and certain factors of the HLA system, i.e. the major histocompatibility complex. However, it is probably a polygenic disorder because studies of affected sib pairs indicate that non-HLA genes are also involved in the pathogenesis. Indeed, MS appears to be a multifactorial condition since environmental factors also seem to play a role. The HLA involvement supports the assumption that MS is an autoimmune disorder.

Present research in MS involves a variety of scientific fields: neurology, neurophysiology, epidemiology, genetics, molecular biology, immunology, and microbiology. Experimental studies in animals play an increasing role; in particular, the development of humanized murine models of MS is expected to provide powerful opportunities for the development of new therapeutic strategies.

The symposium brings together scientist from each of the above fields to obtain an updated picture of the possible causes and therapies of multiple sclerosis.

 

 

Invited speakers

Giancarlo COMI - Alastair COMPSTON - George C. EBERS - 
Joan GOVERMAN - David A. HAFLER - Rikard HOLMDAHL - 
Vijay K. KUCHROO - Juan. J. LAFAILLE - Hans LASSMANN - 
Roland MARTIN - Gianvito MARTINO - D. H. MILLER - 

Stephen D. MILLER -
John H. NOSEWORTHY - Tomas OLSSON -
Cedric S. RAINE -
Neil RISCH - Moses RODRIGUEZ - 
Jonathon D. SEDGWICK - Lawrence STEINMAN - 
Jack L. STROMINGER - Howard L. WEINER -
Hartmut WEKERLE -
Jerry S. WOLINSKY - David C. WRAITH

 

 

 

 

Scientific Programme

 

Arne Svejgaard: Introduction

 

Session I - Multiple Sclerosis: The disease

Chairmen: John H. Noseworthy & Per Soelberg Sørensen

 

John H. Noseworthy: General Clinical Introduction

D. H. Miller: Application of cerebral magnetic resonance techniques to observe in vivo pathology and elucidate the natural history of multiple sclerosis

Cedric S. Raine: The expanding MS lesion: novel pathogenetic mechanisms

Hans Lassmann: Heterogeneity og pathogenetic pathways in multiple sclerosis: pathological evidence and clinical implications

Morten Blinkenberg: Cortical cerebral metabolism correlates with MRI lesion load and cognitive dysfunction in MS (Poster No. I-1)

Hanne Flinstad Harbo: A genome-wide linkage disequilibrium screen in Scandinavian multiple sclerosis patients shows association with chromosome regions at 1q (D1S1601) and 11q (D11S1986) (Poster No. II-5)

Jenny Karlsson: Studies of Quantitative Trait Loci (QTL’s) on chromosome 15 that control susceptibility to murine models of human inflammatory disorders  (Poster No. II-7)

Eva Åkesson: A study of 432 sibling-pairs with multiple sclerosis showing suggestive linkage in regions on chromosome 10 (Poster No. II-12)

 

Session II - Genetics

Chairmen: George C. Ebers & Alastair Compston

 

George Ebers: Family studies in Multiple Sclerosis

Alastair Compston: Genetic Analysis of Multiple sclerosis in EuropeanS (GAMES)

Neil Risch: Search for genetic determinants

Poster session (Posters Nos. I-1-11; II-1-15)

 

Session III - Pathogenesis

Chairmen: Gianvito Martino & Lars Fugger

 

Lars Fugger: A functional and structural basis for T cell receptor crossreactivity in multiple sclerosis

Hartmut Wekerle: Immune responses in the brain

Lawrence Steinman: Large Scale Transcriptional and Proteomic Analysis of MS Tissue Yields New Targets for Therapy

Roland Martin: Autoreactive T cells in MS - their role in the induction or relapses and pathogenesis of disease

Bente Finsen: Remyelination is not a simple recapitulation of primary myelination (Poster No. III-4)

Andreia Gomes: Apoptosis Mediators CD95, CD95L and cFLIP are upregulated in peripheral blood mononuclear cells in Relapsing-Remitting Multiple Sclerosis (Poster No. III-6)

Finn Sellebjerg: CD4 T cell activation correlates with disease stage in early multiple sclerosis (Poster No. III-8)

Guus Wolswijk: Changes in the Paranodal Region of Myelinated Axons in Chronic Multiple Sclerosis (Poster No. III-11)

David A. Hafler: CD4+CD25+ regulatory T cells in patients with multiple sclerosis

 

Session IV - Animal models I

Chairmen: Hartmut Wekerle & Rikard Holmdahl

 

15:20-15:45 Rikard Holmdahl: Genetics of EAE

16:00-17:30 Poster session (Posters Nos. III-1-12)

 

Session IV - Animal models II

Chairmen: Hartmut Wekerle & Rikard Holmdahl

 

Vijay K. Kuchroo: Autoimmune T cell response to myelin antigens: Induction, regulation and tuning

Tomas Olsson: Genetics and pathogenesis of rat neuroinflammation; MOG induced EAE and experimental neurodegeneration

Joan Goverman: MBP-Specific TCR Transgenic Mouse Models: Multiple mechanisms of Tolerance, Immunoregulation and Autoimmune Disease

Juan J. Lafaille: Regulatory T Cells in mice

Bent A. ‘t Hart: Experimental autoimmune encephalomyelitis; a new multiple sclerosis model for therapy development (Poster No. IV-4)

Yu-Min Huang: Therapeutic potential of IFN-g-modified dendritic cells (IFN-g-DC) in acute and chronic experimental allergic encephalomyelitis (EAE) (Poster No. IV-7)

Robert Weissert: Prevention of experimental autoimmune encephalomyelitis by a nonapeptide totally unrelated to the encephalitogen (Poster No. IV-13)

Shahram Lavasani: CD1 gene regulates chronicity of CNS inflammation in experimental autoimmune encephalomyelitis (EAE) (Poster No. IV-14)

 

Session V - Tolerance I

Chairmen: Jack L. Strominger & Lars Fugger

 

Jonathon D. Sedgwick: Inhibition of inflammation: Activating and inhibitory receptor-mediated regulation of microglia and myeloid cell function

Stephen D. Miller: Molecular mechanisms of initiation and immunoregulation of virus-induced autoimmune disease

Poster session (Posters Nos. IV-1-20)

 

Session V - Tolerance II

Chairmen: Howard L. Weiner & Arne Svejgaard

 

Howard L. Weiner: Oral tolerance

David C. Wraith: Immune Regulation in MS and EAE

 

Session VI - Other immune therapies

Chairmen: Giancarlo Comi & Per Soelberg Sørensen

 

Jerry S. Wolinsky: Currently approved immunomodulators: Status Report

Moses Rodriguez: Myelin repair with the use of human monoclonal antibodies

Arthur A. Vandenbark: TCR-specific T cells possess Treg activity (Poster No. V-3)

Hanspeter Waldner: Role of antigen presenting cells in self-tolerance and genetic resistance of EAE (Poster No. V-4)

Signe Humle Jørgensen: Treatment of experimental autoimmune encephalomyelitis with intravenous immunoglobulin (Poster No. VI-4)

S.J.Karlik: Further evidence for very long-term efficacy in interferon beta1b in relapsing remitting patients (Poster No. VI-6)

Jack L. Strominger: Novel synthetic amino acid copolymers that inhibit autoantigen-specitic T cell responses and suppress experimental autoimmune encephalomyelitis

Poster session (Posters Nos. V-1-7; VI-1-8)

 

 

For abstracts click here