http://news.bbc.co.u...lth/2462005.stm
Thursday, 14 November, 2002, 07:49 GMT
Row over cause of multiple sclerosis (excerpts)
Multiple sclerosis attacks the nerves
A group of scientists have provoked controvers
It has long been thought MS is the result of immune system cells attacking and destroying the myelin protein which sheaths nerves, and helps them transmit signals.
However, New Scientist magazine reports that this view has been challenged by three neurologists.
They argue that MS is caused when support cells called astrocytes malfunction - perhaps as a result of genetic and environmental triggers.
Peter Behan and Abhijit Chaudhuri, at the University of Glasgow, and Bart Roep, of the Leiden University Medical Centre, say the autoimmune theory of MS is based on inaccurate conclusions drawn from animal experiments carried out in some cases in the 19th century.
Brain tissue
Researchers discovered that if they injected nerve or brain tissue into an animal, its immune system would attack the nervous system.
They called this experimental allergic encephalomyelitis (EAE), and decided the same process was responsible for MS. All subsequent treatments have been based on this theory.
But the neurologists say EAE is completely different from MS.
Dr Behan said: "There are huge differences, and they've been skipped over.
"For instance, EAE either kills animals or leaves them with permanent disabilities. It doesn't come and go like MS."
Animals with EAE also suffer severe nerve inflammation, whereas in MS inflammation is usually mild, if present at all.
The neurologists believe the key to MS lies with malfunctioning astrocytes, cells that support and nourish nerve cells.