{"id":5933,"date":"2019-06-25T13:06:10","date_gmt":"2019-06-25T17:06:10","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/neurology\/?page_id=5933"},"modified":"2023-12-17T12:18:53","modified_gmt":"2023-12-17T17:18:53","slug":"multiple-sclerosis","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/neurology\/multiple-sclerosis\/","title":{"rendered":"Multiple Sclerosis"},"content":{"rendered":"<p><span style=\"color: #000000;\"><strong>Multiple Sclerosis Division\/ Multiple Sclerosis Center<\/strong><img loading=\"lazy\" src=\"\/neurology\/files\/2021\/02\/IMG_512\u2032-1024x768.jpeg\" alt=\"\" width=\"278\" height=\"208\" class=\"wp-image-7049 alignright\" srcset=\"https:\/\/www.bumc.bu.edu\/neurology\/files\/2021\/02\/IMG_512\u2032-1024x768.jpeg 1024w, https:\/\/www.bumc.bu.edu\/neurology\/files\/2021\/02\/IMG_512\u2032-400x300.jpeg 400w, https:\/\/www.bumc.bu.edu\/neurology\/files\/2021\/02\/IMG_512\u2032-768x576.jpeg 768w, https:\/\/www.bumc.bu.edu\/neurology\/files\/2021\/02\/IMG_512\u2032-1536x1152.jpeg 1536w, https:\/\/www.bumc.bu.edu\/neurology\/files\/2021\/02\/IMG_512\u2032-2048x1536.jpeg 2048w\" sizes=\"(max-width: 278px) 100vw, 278px\" \/><\/span><br \/>\n<span style=\"color: #000000;\">Department of Neurology<\/span><br \/>\n<span style=\"color: #000000;\">BU Chobanian &amp; Avedisian School of Medicine<\/span><br \/>\n<span style=\"color: #000000;\">725 Albany Street, Suite 7B<\/span><br \/>\n<span style=\"color: #000000;\">Boston, MA 02118<\/span><br \/>\n<span style=\"color: #000000;\">Phone: 617 638 8456<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>General description<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">The Department of Neurology has recently added a new division of Multiple Sclerosis (MS) comprised of 4 clinical faculty members.\u00a0 Our MS center at Boston Medical Center received certification of \u201cThe Center for Comprehensive MS Care\u201d from the National Multiple Sclerosis Society\u201d in 2022. \u00a0The division participates in clinical\/research studies focused on MS drug development and health-care disparities for people with MS.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Clinical faculty:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><a href=\"https:\/\/www.bumc.bu.edu\/neurology\/profile\/konstantin-balashov-md-phd-faan\/\" style=\"color: #000000;\">Konstantin Balashov, MD, PhD, FAAN<\/a>, Division Chief and Director of MS Center<\/span><br \/>\n<span style=\"color: #000000;\"><a href=\"https:\/\/www.bumc.bu.edu\/neurology\/profile\/pria-anand-md\/\" style=\"color: #000000;\">Pria Anand, MD<\/a><\/span><br \/>\n<span style=\"color: #000000;\"><a href=\"https:\/\/www.bumc.bu.edu\/neurology\/profile\/kerin-a-flanagan-msn\/\" style=\"color: #000000;\">Kerin Flanagan, NP<\/a><\/span><br \/>\n<span style=\"color: #000000;\"><a href=\"https:\/\/www.bumc.bu.edu\/neurology\/profile\/william-a-tosches-md-faan\/\" style=\"color: #000000;\">William Tosches, MD, FAAN<\/a><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Selected publications:\u00a0<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E<\/strong>., Smith, D.R., Khoury, S.J., Hafler, D.A., and H.L.Weiner. Increased interleukin 12 production in progressive multiple sclerosis: Induction by activated CD4+ T cells via CD40 ligand. Proc Natl Acad Sci USA 1997; 94: 599-603.<\/span><\/p>\n<p><span style=\"color: #000000;\">Smith, D.R.,\u00a0<strong>Balashov, K.E<\/strong>., Hafler, D.A., Khoury, S.J., and H.L.Weiner. Immune deviation following pulse cyclophosphamide\/methylprednisolone treatment of multiple sclerosis: Increased IL-4 production and associated eosinophilia. Ann Neurol 1997; 42: 313-318.<\/span><\/p>\n<p><span style=\"color: #000000;\">Comabella, M.,\u00a0<strong>Balashov, K<\/strong>., Issazadeh, S., Smith, D., Weiner, H.L., and S.J.Khoury. Elevated interleukin-12 in progressive multiple sclerosis correlates with disease activity and is normalized by pulse cyclophosphamide therapy. J Clin Invest 1998; 102: 671-678.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E.,<\/strong>\u00a0Olek, M.J., Smith, D.R., Khoury, S.J., and H.L.Weiner. Seasonal variation of IFN-gamma production in progressive multiple sclerosis. Ann Neurol 1998; 44: 824-828.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E.,<\/strong>\u00a0Rottman, J.B., Weiner, H.L., and W.W.Hancock. CCR5+ and CXCR3+T cells are increased in multiple sclerosis and their ligands MIP-1-alpha and IP-10 are expressed in demyelinating brain lesions. Proc Natl Acad Sci USA 1999; 96: 6873-6878.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E<\/strong>., Comabella, M., Ohashi, T., Khoury, S.J., and H.L.Weiner. Defective regulation of IFN-gamma and IL-12 by endogenous IL-10 in progressive MS. Neurology 2000; 55: 192-198.<\/span><\/p>\n<p><span style=\"color: #000000;\">Aung, L.L., Fitzgerald-Bocarsly, P., Dhib-Jalbut, S., and\u00a0<strong>K. E. Balashov,<\/strong>\u00a0Plasmacytoid dendritic cells in multiple sclerosis: Chemokine and chemokine receptor modulation by interferon-beta. J Neuroimmunol 2010, 226(1-2):158-64 (PMCID: PMC2937086).<\/span><\/p>\n<p><span style=\"color: #000000;\">Meier, D.S.,\u00a0<strong>Balashov, K<\/strong>., Healy, B.C., Weiner, H.L., and C.R.G. Guttmann.\u00a0\u00a0 Seasonal prevalence of MS disease activity. Neurology 2010; 75: 799\u2013806 (PMCID: PMC2938966).<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov,K.E<\/strong>., Aung, L.L., Vaknin-Dembinsky, A., Dhib-Jalbut, S., Weiner, H.L. Interferon-beta inhibits Toll-like receptor 9 processing in multiple sclerosis. Ann Neurol 2010; 68: 899-906. (PMCID: PMC3058378)<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E.,<\/strong>\u00a0Aung L., Dhib-Jalbut S., and I.A. Keller. Acute multiple sclerosis lesion: Conversion of restricted diffusion due to vasogenic edema. J Neuroimaging 2011; 21: 202-4 (PMCID: PMC2891920).<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E.<\/strong>\u00a0and E. Lindzen. Acute demyelinating lesions with restricted diffusion in multiple sclerosis. Multiple Sclerosis Journal 2012; 18(12):1745-53. (PMCID: PMC3576471)<\/span><\/p>\n<p><span style=\"color: #000000;\">Mandell, D., <strong>Tosches, W<\/strong>. Traumatic injuries among multiple sclerosis patients. Neurological Bullitin 2012; 4: 12-23.\u00a0<a href=\"https:\/\/doi.org\/10.7191\/neurol_bull.2012.1038\" style=\"color: #000000;\">https:\/\/doi.org\/10.7191\/neurol_bull.2012.1038<\/a>.<\/span><\/p>\n<p><span style=\"color: #000000;\">Aung, L.L. and <strong>K.E. Balashov.<\/strong>\u00a0Decreased Dicer expression is linked to increased expression of co-stimulatory molecule CD80 on B cells in Multiple Sclerosis. Multiple Sclerosis Journal 2015; 21: 1131-1138. (PMCID: PMC4457720)<\/span><\/p>\n<p><span style=\"color: #000000;\">Aung, L.L.,\u00a0Mouradian, M.M.,\u00a0Dhib-Jalbut, S., and <strong>K.E. Balashov.<\/strong>\u00a0MMP-9 expression is increased in B lymphocytes during multiple sclerosis exacerbation and is regulated by microRNA-320a. J Neuroimmunol. 2016:278; 185-189 (PMCID: PMC4297694)<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E<\/strong>. Imaging of central nervous system demyelinating disorders.\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27740991\" style=\"color: #000000;\">Continuum (American Academy of Neurology)<\/a>2016; 5 (Neuroimaging): 1613-1635. PMID: 27740991<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Anand, P.,<\/strong>\u00a0Saylor, D. Multiple sclerosis and HIV: a case of multiple sclerosis-immune reconstitution inflammatory syndrome associated with antiretroviral therapy initiation. International Journal of STD &amp; AIDS 2018; 29: 929-932.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.E<\/strong>. Drugs in development for multiple sclerosis. Practical Neurology 2020; 2: 40-44.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K<\/strong>., Dhib-Jalbut, S., Rybinnik, I., Fibrinolysis induced clinical improvement in a patient with multiple sclerosis exacerbation. Multiple Sclerosis and Related Disorders, 2020; 43: 102225-102227.<\/span><\/p>\n<p><span style=\"color: #000000;\">Yadav, S., Ito, N., Mindur, J., Kumar, H., Youssef, M., Suresh, S., Kulkarni, R., Rosario, Y., <strong>Balashov, K<\/strong>., Dhib-Jalbut, S., Ito, K. Fecal Lcn-2 level is a sensitive biological indicator for gut dysbiosis and intestinal inflammation in autoimmune neurological disorders. Front Immunol, 2022; 13, <a href=\"https:\/\/doi.org\/10.3389\/fimmu.2022.1015372\" style=\"color: #000000;\">https:\/\/doi.org\/10.3389\/fimmu.2022.1015372<\/a><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Balashov, K.,<\/strong> Rosario, Y. Management of Multiple Sclerosis in Pregnancy. In: Neurological Disorders in Pregnancy. G. Gupta et al, (eds). Springer Nature, Cham, Switzerland, pp 325-331, 2023 (ISBN 978-3-031-36489-1).<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Multiple Sclerosis Division\/ Multiple Sclerosis Center Department of Neurology BU Chobanian &amp; Avedisian School of Medicine 725 Albany Street, Suite 7B Boston, MA 02118 Phone: 617 638 8456 General description The Department of Neurology has recently added a new division of Multiple Sclerosis (MS) comprised of 4 clinical faculty members.\u00a0 Our MS center at Boston [&hellip;]<\/p>\n","protected":false},"author":935,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/pages\/5933"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/users\/935"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/comments?post=5933"}],"version-history":[{"count":8,"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/pages\/5933\/revisions"}],"predecessor-version":[{"id":8399,"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/pages\/5933\/revisions\/8399"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/neurology\/wp-json\/wp\/v2\/media?parent=5933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}