Related Experiment Video
Updated: May 26, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Evolution of MS lesions to black holes under DNA vaccine treatment
Athina Papadopoulou1, Stefanie von Felten, Stefan Traud
1Department of Neurology, University Hospital Basel, Petersgraben, Basel, Switzerland. papadopouloua@uhbs.ch
Abstract:
Persistent black holes (PBH) are associated with axonal loss and disability progression in multiple sclerosis (MS). The objective of this work was to determine if BHT-3009, a DNA plasmid-encoding myelin basic protein (MBP), reduces the risk of new lesions becoming PBH, compared to placebo, and to test if pre-treatment serum anti-MBP antibody levels impact on the effect of BHT-3009 treatment. In this retrospective, blinded MRI study, we reviewed MRI scans of 155 MS patients from a double-blind, randomized, phase II trial with three treatment arms (placebo, 0.5 and 1.5 mg BHT-3009). New lesions at weeks 8 and 16 were tracked at week 48 and those appearing as T1-hypointense were classified as PBH. A subset of 46 patients with available pre-treatment serum anti-MBP IgM levels were analyzed separately. Overall, there was no impact of treatment on the risk for PBH. However, there was a significant interaction between anti-MBP antibodies and treatment effect: patients receiving 0.5 mg BHT-3009 showed a reduced risk of PBH with higher antibody levels compared to placebo (p < 0.01). Although we found no overall reduction of the risk for PBH in treated patients, there may be an effect of low-dose BHT-3009, depending on the patients' pre-treatment immune responses.
Insights
BHT-3009 did not overall reduce persistent black holes (PBH) in multiple sclerosis (MS). However, low-dose BHT-3009 may reduce PBH risk in patients with higher anti-myelin basic protein (MBP) antibody levels.
Area of Science:
- Neuroimmunology
- Magnetic Resonance Imaging (MRI)
Background:
- Persistent black holes (PBH) are linked to axonal damage and disability in multiple sclerosis (MS).
- Understanding factors influencing PBH formation is crucial for MS management.
Purpose of the Study:
- To evaluate if BHT-3009, a DNA plasmid encoding myelin basic protein (MBP), affects the risk of new MS lesions becoming PBH.
- To investigate if pre-treatment anti-MBP antibody levels modify BHT-3009's effect on PBH development.
Main Methods:
- Retrospective analysis of MRI scans from 155 MS patients in a Phase II trial.
- New lesions were tracked for PBH conversion at 48 weeks.
- Subgroup analysis of 46 patients with pre-treatment anti-MBP IgM levels.
Main Results:
- No significant overall reduction in PBH risk was observed with BHT-3009 treatment.
- A significant interaction was found: 0.5 mg BHT-3009 reduced PBH risk in patients with higher pre-treatment anti-MBP IgM levels (p < 0.01).
Conclusions:
- BHT-3009 did not demonstrate an overall effect on preventing PBH formation in MS.
- Low-dose BHT-3009 may offer a reduced risk of PBH in a subset of MS patients with specific pre-existing immune responses (anti-MBP antibodies).
Related Concept Videos
Detection of Black Holes
Their closest cousins are neutron stars, which are composed almost entirely of neutrons packed against each other, making them extremely dense. A neutron star has the same mass as the Sun but its diameter is only a few kilometers. Therefore, the escape velocity from their surface is close to the speed of light.
Not until the 1960s, when the first neutron...
Viral Mutations
Skin Cancer
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Mismatch Repair
The Mutator Protein Family Plays a Key Role in DNA Mismatch Repair
The human genome has more than 3 billion base pairs of DNA per cell. Prior to cell division, that vast amount of genetic...
Multiple Sclerosis l: Introduction
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...

