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Dr. Peter Rieckmann * MD (University of Göttingen, Germany), FRCPC (Neurology) * Professor, Medicine (Neurology) Position: Professor, Medicine (Neurology); Multiple Sclerosis Society of Canada Research Chair; Director of the MS Program for UBC and VCH Email: [email protected] Address: Brain Research Centre & Division of Neurology, UBC Hospital, 2211 Wesbrook Mall, Rm. S113-116, Vancouver, BC V6T 2B5 Tel.: 604-822-7403 or 604-827-3111 (Secretary) Research Description: My research is focussed on the pathophysiology of multiple sclerosis and related diseases of the central nervous system (CNS). This includes regulation of immune cells, functional aspects of the blood brain barrier and extended phenotype/genotype interaction during the course of disease. Multiple sclerosis is still a leading course for permanent disability in young adults. An imbalance of auto-aggressive immune reactions and impaired endogenous repair mechanisms is one likely explanation, but we still do not completely understand the relevant components and their interactions in this scenario. Studying disease modifying genes in MS we identified co-stimulatory molecules, like CTLA-4 and PD-1 as potential candidates having an impact on the course of the disease. The neurotrophic factor, CNTF, was demonstrated to be associated with better recovery after attacks and in the EAE model was associated with better outcome and less axonal damage. Currently, our research is orchestrated around the blood brain barrier - the important interphase between immune system and CNS. We have identified specific genes in cerebro-endothelial cells as mediators of immune cell migration and potential modulator of regenerative processes within the brain. Current research projects involve: - Adhesion molecules and tight junction proteins involved in transendothelial migration of immune cells - Genetic control of axonal damage in multiple sclerosis - Stimulation of endogenous repair mechanisms in multiple sclerosis - Cost of illness and social situation of MS patients Key words: Multiple Sclerosis, neuroimmunology, blood brain barrier, stem cells, regeneration Selected References: Mäurer, M., Loserth, S., Kolb-Mäurer, A., Ponath, A., Wiese, S., Kruse, N., Rieckmann, P. A polymorphism in the human cytotoxic T-lymphocyte antigen 4 (CTLA-4) gene (exon 1 +49) alters Tcell activation Immunogenetics 54: 1-8, 2002. Mäurer M, Ponath A, Kruse N, Rieckmann P. CTLA4 exon 1 dimorphism is associated with primary progressive multiple sclerosis. J. Neuroimmunol. 131, 213-215, 2002. Gieß, R., Mäurer, M., Gold, R., Toyka, K.V., Sendtner, M., Rieckmann, P. A null mutation in the CNTF gene is associated with early onset of multiple sclerosis Arch. Neurol 59, 407-409, 2002. Kallmann B, Wagner S, Hummel V, Buttmann M, Bayas A, Tonn JC, Rieckmann P. Characteristic gene expression profile of human cerebral endothelial cells. FASEB Journal 16, 589-591, 2002. Linker R, Mäurer M, Gaupp S, Martini R, Holtmann B, Giess R, Rieckmann P, Lassmann H, Toyka KV, Sendtner M, Gold R. CNTF is a major protective factor in demyelinating CNS disease: a neurotrophic cytokine as modulator in neuroinflammation. Nature Med. 8, 620-624, 2002. Bayas A, Hummel V, Kallmann B, Karch C, Toyka KV, Rieckmann P. Human cerebral endothelial cells are a potential source for bioactive BDNF. Cytokine 19, 55-58, 2002. Bayas A, Kruse N, Moriabadi N, Weber F, Hummel V, Wohlleben G, Gold R, Toyka KV, Rieckmann P. Modulation of cytokine mRNA expression by brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) in human immune cells. Neurosci. Lett. 335, 155-158, 2003. Flachencker P, Rieckmann P. Health outcomes in multiple sclerosis. Curr. Opin. Neurol. 17: 257-261, 2004. Kroner A, Mehling M, Hemmer B, Toyka KV, Mäurer M, Rieckmann P, Wiendl H. A regulatory polymorphism in the Programmed Death 1 Gene (PD-1) impairs counterinhibition of T cell activation and is associated with disease progression in Multiple Sclerosis. Ann. Neurol. 58, 50-57, 2005. Ruprecht K, Obojes K, Wengel V, Gronen F, Kim KS, Perron H, Schneider-Schaulies J, Rieckmann P. Regulation of human endogenous retrovirus-W protein expression by herpes simplex virus type 1: Implications for the pathogenesis of multiple sclerosis. J. Neurovirol. 12; 65-72, 2006. Gronen F, Ruprecht K, Weissbrich B, Klinker E, Kroner A, Hofstetter HH, Rieckmann P.Frequency analysis of HLA-B7-restricted Epstein-Barr virus-specific cytotoxic T lymphocytes in patients with multiple sclerosis and healthy controls. J Neuroimmunol. 180; 185-92, 2006. Buttmann M, Lorenz A, Weishaupt A, Rieckmann P. Atorvastatin partially prevents an inflammatory barrier breakdown of cultured human brain endothelial cells at a pharmacologically relevant concentration. J Neurochem. 102; 1001-8, 2007