Pathways to protecting and repairing the central nervous system

Professor Kaylene Young

Menzies Institute for Medical Research, TAS

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 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 signaling 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 there are three major goals:

  1. The team will work with clinicians to progress their first potential  therapy for replacement of myelin, the protective coating around the nerves of the brain and spinal cord, that is damaged in MS. They will test this therapy in a phase II clinical trial to evaluate its effectiveness 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 help understand the genetics of MS. The team will then test stem cells from the family members to characterise the impact of rare, family-specific genetic variants on cell behaviour.

Progress

Professor Kaylene Young, Professor Bruce Taylor, and their team have made important progress across their laboratory and clinical research program aimed at understanding MS and developing approaches to protect and repair the brain.

Their phase II multicentre TAURUS2 clinical trial tested whether magnetic brain stimulation (transcranial magnetic stimulation; TMS) could improve symptoms or support repair processes in people with MS. The trial recruited more than 100 people with MS across Australia and has now been completed.

Results showed that the treatment was safe but did not improve clinical disability or magnetic resonance imaging (MRI) measures of disease activity. The team is now carefully reviewing the full trial process to better understand why results seen in the laboratory did not translate into benefits in people with MS. They note that while participants completed 20 treatment sessions over five weeks, these treatments did not occur over weekends. The team are considering whether TMS may need to be delivered over a longer period, and whether it is most effective when given continuously, without breaks in treatment.

Professor Kaylene Young and her team would like to acknowledge and thank the study participants for their time and commitment, as well as the MS lived experience representatives, and the laboratory and clinical research teams for their contributions to this trial.

In parallel to the above research, the team’s laboratory studies have provided new insight into how myelin loss affects nerve cells. Their work shows that loss of myelin can make nerve cells more sensitive to stimulation, which may increase the risk of cell stress and damage. Importantly, restoring myelin reversed these effects in experimental models, returning nerve cell activity closer to normal. These findings support the idea that therapies that repair myelin may help protect nerve cells in MS.

Building on these findings, Professor Kaylene Young and her team will continue investigating the biological processes that drive nerve cell damage and repair in MS.

Outcome

  1. 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
  2. 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
  3. 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, 81(1), 346. https://doi.org/10.1007/s00018-024-05391-0
  4. 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
  5. 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

Updated 31 March 2026 

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