Preclinical Models of Multiple Sclerosis: Advantages and Limitations Towards Better Therapies

Alessandro Didonna1

  • 1University of California San Francisco, Department of Neurology, 675 Nelson Rising Lane, San Francisco, CA 94158, USA. Alessandro.Didonna@ucsf.edu.

Insights

Multiple sclerosis (MS) research faces challenges due to unknown causes and lack of natural animal models. This review examines experimental autoimmune encephalomyelitis (EAE) and other models for their utility in understanding MS and developing therapies.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Multiple sclerosis (MS) is a central nervous system (CNS) disease with complex pathophysiology including inflammation, demyelination, and axonal injury.
  • The unknown etiology and lack of naturally occurring animal models complicate preclinical studies for MS.
  • Existing experimental models have limitations in fully recapitulating MS hallmarks.

Purpose of the Study:

  • To review and critically evaluate current in vivo models used for studying multiple sclerosis (MS).
  • To assess the potential of each model in mimicking MS and translating findings to patient therapies.
  • To explore the role of new genomic technologies in improving existing MS models.

Main Methods:

  • Review of established experimental autoimmune encephalomyelitis (EAE) model.
  • Characterization of alternative CNS demyelination models (viral infection, neurotoxin administration).
  • Discussion of the strengths and limitations of each model in relation to MS pathology.

Main Results:

  • Experimental autoimmune encephalomyelitis (EAE) is widely used but does not capture all MS features.
  • Viral and neurotoxin-induced models offer insights into immune function but have limitations in MS relevance.
  • The distance of these models from natural MS can lead to misinterpretation of data.

Conclusions:

  • No single experimental model perfectly replicates MS, necessitating careful interpretation of results.
  • Each model provides valuable, albeit imperfect, insights into neuroinflammation and demyelination.
  • Genomic technologies hold promise for enhancing the accuracy and translatability of MS preclinical models.