# Deep gray matter iron and disease progression in multiple sclerosis

> **NIH NIH R01** · STATE UNIVERSITY OF NEW YORK AT BUFFALO · 2021 · $496,397

## Abstract

PROJECT SUMMARY
Tissue loss in the thalamus is one of the earliest imaging hallmarks of multiple sclerosis. However, the current
inability to study tissue alterations non-invasively on the cellular and molecular level in the different sub-regions
of the deep gray matter, which fulfill distinct functional roles, represents a critical barrier for understanding and
targeting biological mechanisms that may precede or interact with neurodegeneration. Magnetic resonance
imaging of magnetic tissue susceptibility represents a unique window through which tissue iron can be
assessed clinically. Iron is an essential co-factor in various biochemical pathways. Its deprivation from glial
cells in the normal-appearing white matter is a pathological hallmark of multiple sclerosis that has been
implicated in neuronal injury. It was recently observed that the thalamus of patients with multiple sclerosis
shows a progressive decline in magnetic susceptibility. Other research suggests that a similar phenomenon
may exist in other deep gray matter regions. A critical need exists to confirm and validate this observation be-
cause deep gray matter injury is strongly linked to the progression of disability. The overall objective of the
proposed research is to determine whether disease progression is linked to iron-related oligodendroglia
dysfunction in the deep gray matter. The central hypothesis is that declining oligodendroglial iron availability, as
manifested on magnetic resonance imaging, is an independent biological correlate of disease progression that
occurs throughout the brain. The rationale for the proposed research is that a link between iron loss over time
and disease progression will cause a paradigmatic shift in our understanding of the role of iron for neurodegen-
eration away from the toxicity of excess iron toward an insufficient availability of iron for critical biochemical
pathways. The project will pursue the following specific aims to achieve the objective: 1) Determine the associ-
ation between disease progression and magnetic resonance imaging markers of brain iron homeostasis. 2)
Identify the cellular and molecular substrate of magnetic resonance imaging markers of brain iron. Upon com-
pletion of these aims, the expected outcome is to have determined that oligodendroglia iron is reduced in the
chronic disease phase and that the progression to this state is linked to a worsening in disability. In particular,
the research is expected to have determined a generalizable model of the evolution of imaging markers over
time in patients relative to controls; cellular and molecular underpinnings of the imaging markers; and how im-
aging markers of iron are linked to neurodegeneration and injury in the white matter. These contributions are
expected to be significant because the evidence of a link between clinical disability and loss of oligodendroglial
iron in the gray matter as well as the availability of an imaging marker to assess this phenomenon will a...

## Key facts

- **NIH application ID:** 10299215
- **Project number:** 1R01NS114227-01A1
- **Recipient organization:** STATE UNIVERSITY OF NEW YORK AT BUFFALO
- **Principal Investigator:** Ferdinand Schweser
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $496,397
- **Award type:** 1
- **Project period:** 2021-07-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10299215

## Citation

> US National Institutes of Health, RePORTER application 10299215, Deep gray matter iron and disease progression in multiple sclerosis (1R01NS114227-01A1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10299215. Licensed CC0.

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