Understanding Neuromyelitis Optica and Neuromyelitis Optica Spectrum Disorder: NMO-101

March 13, 2015

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About Our Guest Speakers

Brian_ Weinshenker

Dr. Brian Weinshenker

Dr. Weinshenker is a Professor of Neurology at the Mayo Clinic in Rochester, MN. Dr. Weinshenker has several interests related to inflammatory demyelinating diseases of the central nervous system (CNS).

Dr. Weinshenker has investigated classification and treatment of fulminant demyelinating diseases of the CNS. He has developed diagnostic criteria and characterized the natural history of neuromyelitis optica (Devic’s disease, NMO). Along with Dr. Vanda Lennon, he is evaluating the clinical significance of an antibody biomarker, NMO-IgG that is highly specific and moderately sensitive for NMO along with other restricted types of inflammatory demyelination including longitudinally extensive transverse myelitis and recurrent optic neuritis. He has conducted a randomized, sham-controlled trial of plasma exchange in fulminant demyelinating disease and showed that it can salvage neurological function in patients who have severe deficits refractory to corticosteroid therapy.

He has characterized the natural history of multiple sclerosis in a series of papers based on an evaluation of a large population- and clinic-based series in London, Ontario. This work has facilitated the design and interpretation of clinical trials to evaluate new treatments for MS.

Sean_PittockDr. Sean Pittock

Sean J. Pittock, M.D., is a Professor of Neurology and Director of the Neuroimmunology Laboratory at Mayo Clinic. Dr. Pittock has played a central role in Mayo Clinic’s studies of the first serological marker for a demyelinating disorder of the human central nervous system, NMO-IgG. His continuing analyses of the accompaniments of this important new antibody complement the clinical criteria proposed for NMO diagnosis. Furthermore, Dr. Pittock’s clinical, imaging, and serological correlative studies are providing the foundation for future investigation of the basic immunological mechanisms that cause NMO. His study entitled “Bench-to-Bedside Investigation of Aquaporin-4 Autoimmunity” is an individualized translational medicine approach aimed at the development of laboratory-based tools that can better diagnose and predict outcome in NMO. Dr. Pittock is also the principal investigator of an Alexion-funded open label trial of Eculizumab in NMO. In 2006, he set up the “Autoimmune Neurology Clinic” in the Division of MS and Autoimmune Neurology, which interacts closely with the Neuroimmunology Laboratory and has allowed the development of a unique translational practice extending the laboratory’s serological findings directly to the bedside. This new 21st century subspecialty addresses diagnosis and treatment of organ-specific autoimmune disorders that target the central and peripheral nervous systems.