Multiple Sclerosis and ALS

Does the environment around us contributes to development of MS and ALS through interaction with the immune system? We perform epidemiological and immunological studies in collaboration with world-leading experts. By using unique population-based datasets for environmental exposures and case ascertainment, we explore the impact of lifestyle factors, and how differences in immune regulation appear many years before disease development. We have access to clinical data and patient material from a large cohort of patients with ALS and MS and combine in silico and in vitro experiments to characterize regulation of immune responses within the central nervous system against microbes and autoantigens. We are also deeply involved in clinical trials and initiated a national study on the genetic epidemiology of ALS in Norway.

Multiple Sclerosis and ALS

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Research interests

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JPND/Horizon 2020-funded project including patients with pre-demented Alzheimer’s disease to find biomarkers for small vessel damage in the brain.

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Highlighted work

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2024

ACHE

AcuteHeadache Evaluation Study. (PIEspen Saxhaug Kristoffersen). Funding by Ahus.

2023

MultiHead

Multidisciplinary HeadacheTreatment. (PI Kjersti Grøtta Vetvik). Effect of headache treatment in amultidisciplinary team on headache burden and work participation. A cooperationwith the Norwegian Labour and welfare administration (NAV).

2024

Resolution

(PI Christofer Lundqvist) –Treatmentwith Eptinezumab in medication overuse headache. Sponsor Lundbeck AS.

2024

CandMig

PIChristofer Lundqvist). Candesartan for migraine. CandMig III:Kandesartan som forebyggende medisin ved hyppig migrene - Cristin. Fundedby Klinbeforsk.

2023

BioCer

(PIEspen Saxhaug Kristoffersen). Home-basedbiofeedback as a migraine treatment. Funded by the Norwegian Headache researchcenter (NorHead) and Nordic Brain tech.

www.biocer.no

Publications

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Ongoing project and clinical studies

“Disease mechanisms in multiple sclerosis and other inflammatory diseases of the central nervous system”
Funded by Norwegian South-Eastern Health Authority and Research council of Norway

“Environmental risk factors for amyotrophic lateral sclerosis”.
Funding from ALS Norway, University of Oslo, Akershus University Hospital

“Mesenchymnal stem cells in amyotrophic lateral sclerosis”.
Funding from Norwegian Research Council and Norwegian South-Eastern healthg Authority

“To B or not to B: Defining pathogenic B cells in multiple sclerosis”
Funding by Norwegian South-Eastern health Authority

“T follicular helper cells as disease-drivers in multiple sclerosis”
Funding by Norwegian South-Eastern health Authority

RAM-MS - RCT on hematopoetic stem cells in MS –  Sponsor Helse Bergen.

SMART MS - RCT on mesenchymal stem cells in MS - Sponsor Helse Bergen

OVERLOR-MS - RCT on B cell depletion therapy in MS – Sponsor Helse Bergen.

NO-ALS and NO-ALS extension study – Sponsor Helse Bergen

Highlighted work

Premorbidlipid levels and long-term risk of ALS - a population-based cohort study.

Vaage A, Holmøy T, Stigum H, Meyer HE,Nakken O. Amyotrophl Lat Scler 2023, in press.


Tuberculin responses after BCGvaccination predict amyotrophic lateral sclerosis risk.

Nakken O, Vaage AM, StigumH, Heldal E, Meyer HE, Holmøy T. BrainBehav Immun Health. 2023. PMID: 38033614

 

Strong tuberculin responseafter BCG vaccination is associated with low multiple sclerosis risk: apopulation-based cohort study.

Nakken O, Holmøy T, Stigum H, Myhr KM, Dahl J,Heldal E, Meyer HE. Int J Epidemiol. 2022. PMID: 35278068

 

Association of Body Mass Index inAdolescence and Young Adulthood and Long-term Risk of Multiple Sclerosis: APopulation-Based Study.

Høglund RAA, Meyer HE, Stigum H, Torkildsen Ø,Grytten N, Holmøy T, NakkenO.  Neurology. 2021. PMID:34697245

 

High BMI is associated withlow ALS risk: A population-based study.

Nakken O, Meyer HE, StigumH, Holmøy T. Neurology. 2019. PMID 31243073

 

Stereotyped B-cell responsesare linked to IgG constant region polymorphisms in multiple sclerosis.

Lindeman I, Polak J, QiaoSW, Holmøy T, Høglund RA,Vartdal F, Berg-Hansen P, Sollid LM, Lossius A. Eur J Immunol. 2022. PMID35094395

 

CD4+ T Cellsin the Blood of MS Patients Respond to Predicted Epitopes From B cell ReceptorsFound in Spinal Fluid.
Høglund RA, Bremel RD, Homan EJ, TorsetnesSB, Lossius A, Holmøy T. PMID 32328067

 

Selective intrathecalenrichment of G1m1-positive B cells in multiple sclerosis.

Lossius A, Tomescu-BaciuA, Holmøy T, Vedeler CA,Røsjø E, Lorentzen ÅR, Casetta I, Vartdal F. Ann Clin Transl Neurol. 2017 PMID 29046884

Infrastructure

Ahus EpiGen Labs: Investigation of human immune cells have been depended heavily on the EpiGen facilities at Ahus, allowing patient material to be collected in close proximity to in- and outpatient clinics, and immediately be processed, prepared and analysed. EpiGen offers cell-laboratories, flow cytometers and facilities for advanced molecular biology, as well as biobank facilities.

Regional core facilities: Methods extending beyond the capabilities of the local labs have been outsourced to regional core facilities of localized in Oslo University hospital and University of Oslo

MS biobank: As part of the project “Disease mechanisms in multiple sclerosis and other inflammatory diseases of the central nervous system”, we have collected a comprehensive biobank of cells and spinal fluid from patients with relevant diseases. The biobank is currently located at, and is organized in collaboration with Andreas Lossius, ass. Prof. at University of Oslo.

Health registries: The work on epidemiology is performed in collaboration with national, administrative/compulsory registries like including Norwegian Patient registry, Cause of Death Registry, Norwegian prescription database.

Research outpatient clinic: Ahus provides an in-house research outpatient clinic, that is utilized in our clinical trials to facilitate quick and easy inclusion and follow-up of our patients.

Societal contribution

The head Trygve Holmøy is fagansvarlig for “MS rapporten”, an annual report by the Norwegian MS association. We continuously work to improve the standard of care for MS and ALS patients locally and nationally, often in collaboration with the MS association or other regional hospitals.

Members

Leader

Trygve Holmøy

Trygve Holmøy

MD, PhD

Professor

Associate Professor

No researchers

Researchers

No researchers

Post.doc.

Egil Røsjø

Egil Røsjø

MD, PhD

Post.doc.

Gorm Pihl-Jenssen

Gorm Pihl-Jenssen

MD, PhD

Post.doc.

Ola Nakken

Ola Nakken

MD, PhD

Post.doc.

Rune A. Aa. Høglund

Rune A. Aa. Høglund

MD, PhD

Post.doc.

PhD Students

Anders Myhre Vaage

Anders Myhre Vaage

MD

PhD student

Doctors in research

Andreas Lossius

Andreas Lossius

MD, PhD

Doctor in research

Other

No other roles.

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