Intrathecal Mesenchymal Stem Cells in Progressive Multiple Sclerosis: A Randomized, Double-Blind, Placebo-Controlled Trial (SMART-MS)
Christopher Elnan Kvistad, Torbjørn Kråkenes, Trygve Holmøy, and 22 more authors · Neurology · 2026
Exploring the therapeutic potential of mesenchymal stromal cells, extracellular vesicles and lipid nanoparticles in neurological disease — from cellular cultures to clinical translation.
Explore the cosmos of repairNeuropia investigates the therapeutic potential of mesenchymal stromal cells and their extracellular vesicles, with multiple sclerosis as our primary disease focus. Our broader interests extend to other neurodegenerative disorders, including Parkinson’s disease.
We work at the intersection of advanced cell culture (mesenchymal stromal and neuronal), vesicle biology, and delivery systems such as lipid nanoparticles. The goal is to understand how these vesicles can modulate inflammation, support neuronal survival, and open new paths from laboratory insight to patient care.
Based at Neuro-SysMed, Haukeland University Hospital, and the University of Bergen.
Mesenchymal stem/stromal cells. We study the biological properties of MSCs and how they may be modified to support neural protection and repair. Our work includes laboratory studies of neural and glial differentiation, protein expression, and MSC effects in experimental demyelination models.
Recent studies examine neural and glial differentiation of bone marrow MSCs and MSCs in a mouse model of demyelination. These laboratory findings inform further research.
Extracellular vesicles. EVs are membrane-enclosed particles released by cells that carry proteins, nucleic acids, and other molecules. We are interested in how MSC-derived EVs influence inflammation and tissue repair, and whether they could support future cell-free therapeutic approaches in MS.
Group members have reviewed MSC-derived vesicles as potential treatments for MS and brain-derived blood biomarkers, including EVs. The therapeutic review discusses preclinical evidence and the challenges of moving toward clinical trials.
From mechanisms to clinical research. Understanding therapeutic potential also requires testing safety and efficacy in people. Members contributed to SMART-MS, a randomized, double-blind, placebo-controlled trial of intrathecal MSCs in progressive MS.
Harnessing the immunomodulatory and regenerative properties of mesenchymal stromal cell-derived extracellular vesicles for neurological repair.
Engineering and studying lipid-based delivery systems to enhance the targeting and cargo of therapeutic vesicles and nanoparticles.
Advanced in vitro models of neuronal and mesenchymal stromal cells to dissect mechanisms of disease and therapeutic response.
Bridging laboratory findings toward clinical research, including work on multiple sclerosis and Parkinson’s disease.
Current members of Neuropia
Selected publications by Neuropia members. This selection covers mesenchymal stromal cells, extracellular vesicles, multiple sclerosis, and neural regeneration. It includes clinical, laboratory, and review publications by current members, including collaborative work.
Christopher Elnan Kvistad, Torbjørn Kråkenes, Trygve Holmøy, and 22 more authors · Neurology · 2026
Marie Ytterdal, Casper Eugen Sandvik, Trygve Holmøy, and 3 more authors · PLoS One · 2026
Shamundeeswari Anandan, Karina Maciak, Regina Breinbauer, and 4 more authors · Front Immunol · 2025
Torbjørn Kråkenes, Casper Eugen Sandvik, Marie Ytterdal, and 4 more authors · Int J Mol Sci · 2024
Christopher Elnan Kvistad, Torbjørn Kråkenes, Sonia Gavasso, and 1 more author · Front Neurol · 2024
Sonia Gavasso, Torbjørn Kråkenes, Håkon Olsen, and 4 more authors · Int J Mol Sci · 2024
Torbjørn Kråkenes, Stig Wergeland, Niyaz Al-Sharabi, and 6 more authors · PLoS One · 2023
Christopher Elnan Kvistad, Torbjørn Kråkenes, Cecilie Gjerde, and 3 more authors · Front Neurol · 2022
We’d love to hear from you. Whether you’re interested in collaborating, have a question about our research, or have another enquiry, please contact Christopher Elnan Kvistad at christopher.elnan.kvistad@helse-bergen.no.
Neuro-SysMed
Department of Neurology
Haukeland University Hospital
5021 Bergen, Norway
Department of Clinical Medicine
Faculty of Medicine
University of Bergen
5021 Bergen, Norway