Multiple Sclerosis International Federation

 
 
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  Timeline

1421First documented case of MS; St. Lidwina of Schiedam
1860-70First studies of myelin and glial cells in brain tissue
1868First correlation of MS clinical symptoms with central nervous system pathology; disease named "Sclerose en plaques" by Jean Martin Charcot
1869First attempts to treat MS with gold chloride, zinc, sulfate, silver nitrate, strychnine and electrical stimulation (by Charcot)
1928Discovery that myelin is produced by oligodendrocyte glial cells
1933Acute experimental allergic encephalomyelitis (EAE) developed as model for MS
1936Discovery that lymphocytes are involved in immune function
1943First detailed description of the composition of myelin
1950First studies of prevalence of MS in the US
1954-55First well defined MS diagnostic criteria (clinical and laboratory) and development of quantitative disability scoring techniques
1963First understanding of familial susceptibility to MS
1969Completion of first controlled clinical trial for intramuscular ACTH in acute attacks of MS; shows more rapid recovery from attacks than would happen without ACTH
1970Discovery of different classes of T-lymphocytes: T-helper cells, T-suppressor cells, etc.
1972Negative results from attempts to find specific viruses in MS brain, cerebrospinal fluid and blood
1978First use of monoclonal antibodies to identify specific T-lymphocyte sub-types
1981Identification of oligodendrocytes in MS brain with capability for regeneration of myelin
1981Consensus on the essential role of double-blind, placebo controlled clinical trials for new therapeutic agents in MS
1982First use of MRI to image lesions in living patients
1983First report of temporary control of chronic- progressive MS with the immunosuppressive drug, Cytoxan (widely disputed throughout decade)
1984First modern documentation of cognitive problems in MS
1985First association of HTLV-I retroviruses with MS (later disproved)
1988First demonstration, using MRI, that there is significant lesion activity in MS brain, even when the disease is clinically quiescent
1988First quality studies identifying possible prognostic factors for MS disability early in disease
1988Protection from EAE by monoclonal antibodies against T-cell sub-types
1989Increased knowledge of genetic factors that control T-cell function and T-cell receptor structure
1989Initiation of pilot clinical studies of specific monoclonal antibodies against T-cell sub-types in chronic progressive MS
1980's-1990'sUndertaking of many well designed clinical trials, in 1980-1990's pilot or definitive studies: copolymer I pilot study for relapsing/remitting disease (possible efficacy seen); copolymer I studies for chronic progressive disease (no efficacy); cyclosporine A (slight efficacy with significant toxicity); alpha and beta interferons (possible efficacy; continuing studies underway); 4 Aminopyridine and 3,4 Diaminopyridine (possible efficacy for symptomatic improvement); use of oral myelin to initiate tolerance (possible efficacy); and others
1990-91Successful transplantation of myelin-making oligodendrocytes into myelin deficient mice, resulting in production of new myelin
1990-92Development of techniques to identify specific T-cell receptor usage in MS brain and blood that may lead to disease; application of this knowledge to specific treatment approaches using specific peptides


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