Pathways to protecting and repairing the central nervous system

Associate Professor Kaylene Young

Menzies Institute for Medical Research

February 2022

specialisation: Neurobiology

focus area: A cure via repair and regeneration

funding type: Fellowship

project type: Investigator Led Research

Summary

Multiple sclerosis (MS) is a complex autoimmune and neurodegenerative disease with no clear cause and no known cure. People with MS indicate that their greatest unmet need is new treatments to protect and repair the brain and spinal cord.

Professor Kaylene Young leads a multidisciplinary team of laboratory scientists, clinicians, biostatisticians, epidemiologists, geneticists, MS advocates and people living with MS, representing diverse experiences and vital perspectives to bridge the gap between MS research and practice. Their goal is to carry out laboratory research to identify signalling pathways that lead to the development of MS, learn how brain circuit function is impacted by MS, and design and translate treatments to protect and repair the brain. For this project:

  1. The team will work with clinicians to progress their first potential myelin replacement therapy through a phase II clinical trial and evaluate its efficacy in people with MS.
  2. Using laboratory models, advanced microscopy, behavioural analyses, and electrophysiology, they will investigate how myelin loss and replacement impact brain function.
  3. They will study families with an unusually high incidence of MS, which may render clues as to MS associated genetics. The team will then use induced pluripotent stem cells to characterise the impact of rare, family-specific genetic variants on cell behaviour.

Progress

Over the past year, Professor Young and her team recruited more than 100 people with MS into their phase II trial to examine the effects of transcranial magnetic stimulation (TMS) on MS symptoms and MRI brain scans. Data analysis has commenced, and the complete results of the trial will be released later in 2025.

The team also continued with their preclinical study, finding that nerve cells become increasingly more sensitive to stimulation following myelin loss. Excessive stimulation, in turn, can lead to nerve cell death. This may explain how myelin loss leads to loss of nerve cells and the progression of MS. Additionally, the team found that remyelination reversed this effect, returning the nerve cells to normal. Thus, treatments that restore myelin could help protect nerves.

Over the next 12 months, Professor Young and her team will continue analysing a laboratory model to understand what gene changes do to different cell types and how they can influence MS disease processes.

publications

  • Fletcher, J. L., & Young, K. M. (2024). Do oligodendrocytes regulate axonal glucose uptake and consumption?. Trends in neurosciences, 47(8), 569–570. https://doi.org/10.1016/j.tins.2024.06.001
  • Stevens, N., Ezegbe, C., Fuh-Ngwa, V., Makowiecki, K., Zarghami, A., Nguyen, P. T., Sansom, J., Smith, K., Laslett, L. L., Denham, M., Cullen, C. L., Barnett, M. H., Hinder, M. R., Breslin, M., Young, K. M., & Taylor, B. V. (2024). A phase II trial examining the safety and preliminary efficacy of repetitive transcranial magnetic stimulation (rTMS) for people living with multiple sclerosis. Trials, 25(1), 598. https://doi.org/10.1186/s13063-024-08425-x
  • Cashion, J. M., Brown, L. S., Morris, G. P., Fortune, A. J., Courtney, J. M., Makowiecki, K., Premilovac, D., Cullen, C. L., Young, K. M., & Sutherland, B. A. (2025). Pericyte ablation causes hypoactivity and reactive gliosis in adult mice. Brain, behavior, and immunity, 123, 681–696. https://doi.org/10.1016/j.bbi.2024.10.014
  • Nguyen, P. T., Zarghami, A., Makowiecki, K., Stevens, N., Ezegbe, C., Kyle, K., Wang, C., Ly, L., De La Rue, K., Hinder, M. R., Johnson, L., Rodger, J., Cooper, S., Cullen, C. L., Barnett, M., Young, K. M., & Taylor, B. V. (2024). Low-intensity repetitive transcranial magnetic stimulation is safe and well tolerated by people living with MS – outcomes of the phase I randomised controlled trial (TAURUS). Multiple sclerosis journal – experimental, translational and clinical, 10(2), 20552173241252571. https://doi.org/10.1177/20552173241252571
  • Ricci, Raphael and Fletcher, Jessica L. and Makowiecki, Kalina and Pepper, Renee E. and Fortune, Alastair and Cullen, Carlie L. and Connelly, William M. and Charlesworth, Jac and Blackburn, Nicholas B. and Pitman, Kimberley A. and Young, Kaylene M., Gluk4-Containing Kainate Receptors Regulate Synaptic Communication in the Motor Cortex and Reduce Axon Degeneration in Adult Mice. Available at SSRN: https://ssrn.com/abstract=4740157 or http://dx.doi.org/10.2139/ssrn.4740157
  • Nguyen, P. T., Makowiecki, K., Lewis, T. S., Fortune, A. J., Clutterbuck, M., Reale, L. A., Taylor, B. V., Rodger, J., Cullen, C. L., & Young, K. M. (2024). Low intensity repetitive transcranial magnetic stimulation enhances remyelination by newborn and surviving oligodendrocytes in the cuprizone model of toxic demyelination. Cellular and molecular life sciences : CMLS, 81(1), 346. https://doi.org/10.1007/s00018-024-05391-0
  • King, N. E., Courtney, J. M., Brown, L. S., Fortune, A. J., Blackburn, N. B., Fletcher, J. L., Cashion, J. M., Talbot, J., Pébay, A., Hewitt, A. W., Morris, G. P., Young, K. M., Cook, A. L., & Sutherland, B. A. (2024). Induced pluripotent stem cell derived pericytes respond to mediators of proliferation and contractility. Stem cell research & therapy, 15(1), 59. https://doi.org/10.1186/s13287-024-03671-x
  • Reale, L. A., Dyer, M. S., Perry, S. E., Young, K. M., Dickson, T. C., Woodhouse, A., & Blizzard, C. A. (2023). Pathologically mislocalised TDP-43 in upper motor neurons causes a die-forward spread of ALS-like pathogenic changes throughout the mouse corticomotor system. Progress in neurobiology, 226, 102449. https://doi.org/10.1016/j.pneurobio.2023.102449
  • Cashion, J. M., Young, K. M., & Sutherland, B. A. (2023). How does neurovascular unit dysfunction contribute to multiple sclerosis?. Neurobiology of disease, 178, 106028. https://doi.org/10.1016/j.nbd.2023.106028
  • Makowiecki, K., Stevens, N., Cullen, C. L., Zarghami, A., Nguyen, P. T., Johnson, L., Rodger, J., Hinder, M. R., Barnett, M., Young, K. M., & Taylor, B. V. (2022). Safety of low-intensity repetitive transcranial magneTic brAin stimUlation foR people living with mUltiple Sclerosis (TAURUS): study protocol for a randomised controlled trial. Trials, 23(1), 626. https://doi.org/10.1186/s13063-022-06526-z
  • Fortune, A. J., Taylor, B. V., Charlesworth, J. C., Burdon, K. P., Blackburn, N. B., Fletcher, J. L., Mehta, A., & Young, K. M. (2022). Generation and characterisation of four multiple sclerosis iPSC lines from a single family. Stem cell research, 62, 102828. https://doi.org/10.1016/j.scr.2022.102828
  • Fortune, A. J., Fletcher, J. L., Blackburn, N. B., & Young, K. M. (2022). Using MS induced pluripotent stem cells to investigate MS aetiology. Multiple sclerosis and related disorders, 63, 103839. https://doi.org/10.1016/j.msard.2022.103839
  • Zhen, Y., Cullen, C. L., Ricci, R., Summers, B. S., Rehman, S., Ahmed, Z. M., Foster, A. Y., Emery, B., Gasperini, R., & Young, K. M. (2022). Protocadherin 15 suppresses oligodendrocyte progenitor cell proliferation and promotes motility through distinct signalling pathways. Communications biology, 5(1), 511. https://doi.org/10.1038/s42003-022-03470-1

lead investigator

total funding

$650,000

start year

2022

duration

5 years

STATUS

Current project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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Pathways to protecting and repairing the central nervous system