MS develops when a person’s immune system attacks the insulating sheath around nerve fibres in the brain and spinal cord. Although great advances have been made in the treatment of early stage MS, many patients develop progressive disease which is largely untreatable with current medications. Dr Dwyer, a clinician currently receiving advanced training in neurology, will undertake a postgraduate scholarship to better understand the function of MERTK, a protein that is strongly implicated in the development of progressive MS.
This project will examine the involvement of MERTK in the innate immune system, by looking at laboratory models of MS where the MERTK gene has been switched off but all other genes remain functional. This will allow Dr Dwyer to determine the effect of MERTK on particular innate immune cells within the brain and spinal cord (known as microglia) and in the blood (the dendritic cells). By examining the severity of disease in these models both clinically and under the microscope, this will allow him to determine the role of MERTK in MS.
These findings will be used to develop a strategy for a new treatment option based on MERTK for MS. As a step towards this treatment development, Dr Dwyer will also look at the characteristics of particular cell types in people who have high or low activity of MERTK in their immune systems. The development of new treatment options is needed to ensure all people with MS receive a treatment which is effective for them.
The first stage of Dr Dwyer’s research scholarship investigated the role of the MERTK protein in two different immune cell types in a laboratory model of MS. In an interesting new finding, Dr Dwyer has identified that in mice with the MERTK gene removed, male mice have earlier onset of disease and more severe disease and disability than the female mice. This is now being examined further under the microscope and we await these findings with great interest.
The second part of the study is comparing people with high and low levels of MERTK in particular immune cells. Scientific protocols for the isolation, storage and analysis of blood cells from people with MS and people without MS have been established and the technical skills to undertake this analysis have been developed. Dr Dwyer needs to recruit 30 people with MS and 30 healthy people to make this study meaningful. At the end of the first year, Dr Dwyer has recruited 27 patients experiencing MS relapse and 15 people without MS as a comparator. Samples are taken during relapse and then three months later during remission. While early samples have now been analysed, it is too early to identify meaningful change until full recruitment is complete.
It is hoped that this work will lead to a better understanding of the role MERTK in progressive MS and ultimately lead to the development of new treatment options to ensure all people with MS receive a treatment which is effective for them.
Updated: 20 April 2018
Updated: 01 February, 2017