“Now that we have identified SOX10 as an initiator of myelination, we can work on developing a viral or pharmaceutical approach to inducing it in MS patients,” says Fraser J. Sim, PhD, assistant professor and senior author of the paper.
Transcription factors are proteins or molecules that bind to DNA and alter which genes are turned on, or expressed.
“If we could create a drug that would switch on SOX10, that would be therapeutically important,” Sim explains.
Removing Barriers to MS Stem Cell Therapy
Targeting SOX10 offers hope for a viable stem cell treatment for MS.
Long seen as having dramatic potential for treating MS, stem cell therapy has been impractical largely due to the time needed to produce the necessary oligodendrocyte cells.
“Today, it could take up to a year to generate enough cells to treat a single MS patient,” Sim explains.
The lengthy process involves producing pluripotent stem cells from skin or blood cells, then generating neural progenitor cells, which must then undergo differentiation to oligodendrocyte progenitors.
Although neural progenitor cells also can produce myelin, they do so poorly and may cause undesirable outcomes in patients.
“Ideally, we’d like to get directly to oligodendrocyte progenitors,” says Sim. “The new results are a stepping stone to the overall goal of being able to take a patient’s skin cells or blood cells and create from them oligodendrocyte progenitors,” he says.
Only SOX10 Makes the Switch
Using fetal (not embryonic) brain stem cells, the UB researchers searched for transcription factors that are switched on in oligodendrocyte progenitor cells, but are absent in neural progenitor cells.
They asked: “Could we use one of these transcription factors to turn the neural progenitor cell into an oligodendrocyte progenitor cell?”
To find out, the research team looked at characteristics such as mRNA expression, protein and whole-gene expression as well as functional studies.
“We narrowed it down to 10 transcription factors made exclusively by oligodendrocyte progenitor cells,” says Sim.
“Of those, only SOX10 was able to make the switch from neural progenitor to oligodendrocyte progenitor cell.”
Potential to Stall MS at Earlier Stage
The researchers also found that SOX10 could expedite the transformation from oligodendrocyte progenitor cell to differentiation as an oligodendrocyte.
“That’s tantalizing,” says Sim, “because one of the biggest problems with MS is that cells get stuck in between these steps.”
“First the immune system attacks the brain, but the brain can’t repair itself effectively,” explains Sim.
“If we could boost regeneration by facilitating formation of oligodendrocytes from progenitor cells, then we might be able to keep patients in the relapsing remitting stage of MS — a far less burdensome stage than the later, progressive stage.”