Gene flaw link to MS drug failure

Posted: Published on July 9th, 2012

This post was added by Dr Simmons

9 July 2012 Last updated at 02:37 ET

Scientists have identified why a once-promising class of drugs do not help people with multiple sclerosis.

An Oxford University team say a genetic variant linked to MS means the drugs which work for patients with other autoimmune diseases will not work for them.

The team, writing in Nature, say the drugs can actually make symptoms worse.

Experts say the work shows how a person's genetic make-up could affect how they responded to treatment.

The drugs, called anti-TNFs, work for patients with rheumatoid arthritis and inflammatory bowel disease, but they have not done so for patients with MS and researchers were unsure why.

The Oxford University team looked at one particular genetic variant, found in a gene called TNFRSF1A, which has previously been associated with the risk of developing MS.

The normal, long version of the protein sits on the surface of cells and binds the TNF signalling molecule, which is important for a number of processes in the body.

But the team discovered the variant caused the production of an altered, shortened version which "mops up" TNF, preventing it from triggering signals - essentially the same thing that TNF blocking drugs do.

In the future, this could help ensure that people with MS are offered drug treatments that are most likely to work for them

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Gene flaw link to MS drug failure

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