Multiple sclerosis (MS) is a challenging chronic neurological disease in which the immune system repeatedly attacks the myelin sheath in the central nervous system (CNS), resulting in episodic cognitive and motor symptoms that worsen over decades. This lengthy disease period, combined with repetitive symptoms that typically begin in young adulthood, has raised high concern from multiple perspectives — including physical and mental health as well as broader societal impact.
To date, the main line of treatment for MS is centred around the peripheral immune system, whereas the damaged cell population in charge of (re-)generating myelin — namely oligodendroglia (OL) — has had difficulty receiving efficient treatment that facilitates its repairing mechanisms when MS occurs. Interestingly, recent research has made it clear that even under adverse inflammation such as in MS pathology, not all oligodendrocytes succumb: some survive repeated attacks and continue to support neural function. The survivors' identity, however, remains unclear. Therefore, understanding what signatures make which OLs resilient is central to developing better treatments, because if their protective mechanisms could be harnessed, it might be possible to slow or even halt disease progression.
ResilMS (Deciphering SNPs involved in oligodendroglia functional resilience in multiple sclerosis) set out to answer this question by combining advanced genomic technologies with animal models that mimic the relapsing–remitting disease course seen in most patients. The project pursued three main objectives. First, it aimed to generate high-resolution spatial and single-cell transcriptomic maps of oligodendrocytes in MS mouse models, capturing which genes are active in surviving versus damaged cells and in which tissue locations. Second, it sought to link human MS-associated genetic variants — identified through large genome-wide association studies — to the gene-regulatory programmes of oligodendrocytes, thereby connecting population-level genetic risk to cellular-level function. Third, it planned to validate the most promising genetic targets through single-cell CRISPR screens in human oligodendrocytes, testing whether specific variants functionally alter cell behaviour.
By bridging spatial tissue biology, human genetics and functional genomics, ResilMS aimed to produce an integrated picture of oligodendrocyte resilience that could ultimately inform diagnostic and therapeutic strategies for MS.