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MS Research Roundup: April 2025

The multiple sclerosis research published in April 2025, explained in plain language. Studies are listed by how much they matter to people living with MS, most first.

The month at a glance

  • 25 studies published this month.
  • Newest study published April 29, 2025.
  • 8 in people, 10 in the lab or in animals, 3 reviews of earlier research.
  • Largest study: 33,303 people.
  • Research from 117 institutions in 30 countries, including the University of California San Francisco, the University of Pennsylvania and University College London.
  • Forms of MS studied: relapsing-remitting (3), secondary progressive (2), primary progressive (1).
  • Of the 3 studies in people that tested a treatment, 3 had mixed results.

Studies published in April 2025

Apr 19, 2025

Stem cell transplant had fewer relapses than MS drugs

Observational study · 621 people with relapsing-remitting MS treated at one London hospital

In a London study of people with relapsing MS, stem cell transplant was linked to fewer flare-ups than Lemtrada or Ocrevus, but similar disability worsening.

Apr 8, 2025

Tolebrutinib slowed disability in secondary progressive MS

Randomized trial · 1,131 people with secondary progressive MS who were not having relapses

In a trial of 1,131 people with secondary progressive MS without relapses, fewer taking tolebrutinib had lasting disability worsening than those taking a placebo.

Apr 8, 2025

Tolebrutinib did not cut MS relapses more than Aubagio

Randomized trial · 1,873 people with relapsing MS

In two trials of relapsing MS, tolebrutinib did not reduce flare-ups more than Aubagio. Disability worsening was less common, but minor bleeding was more common.

Apr 25, 2025

In MS and mice, a blood marker tracked myelin damage

mice and people with MS in two separate groups

A blood marker rose with myelin damage in mice and fell after repair. In two groups of people with MS, it was linked to signs of myelin breakdown.

Apr 25, 2025

AI tool found new MS lesions in written MRI reports

Observational study · people with MS whose MRI reports were in one health system

An AI tool identified new MS lesions in written MRI reports with about 97% accuracy. Researchers also examined scan activity after B-cell drug treatment.

Apr 14, 2025

MS worsening without relapses varies by study rules

Observational study · 33,303 people with MS, most with relapsing-remitting MS

A study of 33,303 people with MS found that rates of worsening without relapses changed with the rules used to measure it. Researchers proposed shared rules.

Apr 8, 2025

Epstein-Barr virus variant linked to MS risk in study

people with MS whose blood, brain, and genetic data were studied

A study linked a version of an Epstein-Barr virus gene to MS risk. It also found changes in virus-related genes in blood and brain samples from people with MS.

Apr 7, 2025

New tool measures MS brain changes in old hospital scans

3,935 people with MS, including people with progressive MS

Researchers tested a new tool on thousands of MS brain scans. It measured lesions and brain shrinkage from older scans that used just one type of image.

Apr 1, 2025

New method sharpened portable MRI scans for people with MS

Observational study · 63 people with MS scanned at two institutions

In a study of 63 adults with MS, a computer method made portable MRI images clearer and closer to standard scans, including when identifying MS lesions.

Apr 1, 2025

COVID-19 Vaccine Questions Remain for People With MS

Review · people with MS, especially those taking immune-changing drugs

A review of COVID-19 and MS discusses concerns about serious illness and vaccine response. It says the best vaccination approach remains unclear for people with MS.

Apr 1, 2025

MS starting after 50 showed less nerve-covering repair

Observational study · 61 people whose MS began after 50 or between 20 and 40

Brain tissue from people whose MS began after 50 showed less evidence of nerve-covering repair than tissue from people whose MS began between ages 20 and 40.

Apr 29, 2025

In mice, loss of an immune switch reduced MS-like relapses

Animal study · mice with an MS-like disease and immune-cell data from people with MS

An immune switch helped drive MS-like disease in mice. Removing it reduced disease, especially at relapse, while human MS data showed a related gene was more active.

Apr 29, 2025

New lab map finds altered immune signals in MS brains

Lab study · brain tissue from people with and without MS, plus lab-grown cells

Researchers mapped inflammation-related substances in MS brain tissue and found differences in lesions. A separate test added one substance to lab-grown cells.

Apr 25, 2025

In mice, cell clusters kept MS-like inflammation going

Animal study · mice with an MS-like disease

In mice with an MS-like disease, immune cells in clusters around the brain worked together to keep inflammation going. This study did not include people with MS.

Apr 25, 2025

Review examines vaccines against a virus linked to MS

Review · research on diseases linked to a virus that might trigger MS

A review covers treatments and vaccines targeting Epstein-Barr virus, which might help trigger MS. It does not show whether these approaches work for MS.

Apr 17, 2025

In mice, lost sleep worsened progressive MS-like disease

Animal study · mice with MS-like diseases and people with MS in an earlier trial

In mice, disrupted sleep worsened progressive MS-like disease. Results from an earlier trial linked a Mediterranean diet to improved MS symptoms.

Apr 15, 2025

MS mouse study: Blocking a signal aided myelin repair

Animal study · mice with myelin damage and samples from people with MS

In mice, blocking a signal from blood immune cells increased myelin repair. Researchers also found the signal in blood and damaged brain tissue from people with MS.

Apr 15, 2025

In MS-like mice, removing an immune signal eased damage

Animal study · mice with an MS-like disease and people with MS

In mice with an MS-like disease, removing an immune signal reduced spinal cord barrier damage. Lab tests explored how the signal weakened that barrier.

Apr 8, 2025

MS brains had fewer signs of Alzheimer's disease

Observational study · 141 people with and without MS who donated brain tissue after death

A study of donated brain tissue found fewer Alzheimer's-related plaques and tangles in people with MS than in people without MS. It did not test a treatment.

Apr 3, 2025

MS review explores tiny cell packages as blood clues

Review · research on MS and other brain and nerve conditions

A review explores how tiny packages released by brain cells might help researchers study MS and other nerve conditions through blood tests and drug delivery.

Apr 2, 2025

In mice with MS-like disease, maraviroc reduced damage

Animal study · mice with an MS-like disease

In mice with an MS-like disease, maraviroc reduced immune cell buildup, nerve covering damage, and disease worsening. The study did not include people with MS.

Apr 1, 2025

In mice, brain-reaching drugs eased MS-like illness

Animal study · mice with MS-like diseases, including a progressive form

In mice with MS-like diseases, drugs that reached the brain eased illness and reduced signs of nerve damage. A drug that stayed outside the brain had little effect.

Apr 12, 2025

Removing an immune protein eased MS-like eye damage in mice

Animal study · mice with an MS-like disease

In mice with an MS-like disease, removing an immune protein eased early eye nerve injury and cell stress. Another sign of damage did not improve in this study.

Apr 4, 2025

MS theory links immune attacks on support cells to damage

tissue from people with MS discussed in earlier studies

A research article proposes that MS may start with an immune attack on brain cells that balance water and salts, with damage to myelin following afterward.

Apr 1, 2025

MS study finds blocked immune signal hinders repair in mice

Animal study · mice with damaged myelin and donated brain tissue from people with MS

Blocking an immune signal hindered myelin repair in mice. Related immune cells appeared in some donated MS brain lesions, but not in inactive lesions.

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