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Updated: Feb 1, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Expression of Bone Morphogenetic Proteins in Multiple Sclerosis Lesions
Carme Costa1, Herena Eixarch1, Elena Martínez-Sáez2
1Neurology-Neuroimmunology Department, Multiple Sclerosis Centre of Catalonia (Cemcat), Vall d'Hebron Research Institute (VHIR), Vall d'Hebron University Hospital, Barcelona, Spain; Autonomous University of Barcelona, Barcelona, Spain.
Bone morphogenetic proteins (BMPs) are elevated in active multiple sclerosis (MS) lesions, suggesting they play a role in this demyelinating disease. This finding highlights potential therapeutic targets for MS.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Bone morphogenetic proteins (BMPs), part of the transforming growth factor-β superfamily, regulate neurogenesis and glial cell differentiation in the adult brain.
- Dysregulation of BMP signaling may contribute to failed remyelination in multiple sclerosis (MS).
Purpose of the Study:
- To investigate the expression of specific BMPs (BMP-2, BMP-4, BMP-5, BMP-7), their receptor (BMPRII), and downstream signaling molecules (pSMAD1/5/8) in lesions from MS and other demyelinating diseases.
- To correlate BMP expression with inflammatory activity and disease type.
Main Methods:
- Immunohistochemical analysis of BMPs, BMPRII, and pSMAD1/5/8 in 42 MS lesions, 12 acute ischemic lesions, 8 PML lesions, and 10 control CNS tissues.
- Histological classification of lesions based on inflammatory activity.
- Quantification of protein expression and colocalization studies.
Main Results:
- BMP-2, BMP-4, BMP-5, BMP-7, BMPRII, and pSMAD1/5/8 were expressed by various cells, including astrocytes, microglia/macrophages, neurons, and oligodendrocytes within MS lesions.
- Oligodendrocytes expressed BMP-2, BMP-7, and pSMAD1/5/8.
- The expression levels of BMPs, BMPRII, and pSMAD1/5/8 significantly correlated with the inflammatory activity of MS lesions, with more pronounced changes observed in MS compared to other white matter diseases.
Conclusions:
- Bone morphogenetic proteins are upregulated in active MS lesions.
- Increased BMP signaling in MS lesions suggests a potential role in the pathogenesis of multiple sclerosis.
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