THE Myelin PRoject Winter Newsletter 2008 2008 THE YEAR IN REVIEW As we look back over 2008, for the progress reports on these we see a year filled with excitement research projects. about the direction of The Myelin The Myelin Project is being Project and sadness because we featured in the Public Broadcasting lost our Lorenzo this year. As System Giving Back Series: Heroes most of you know Lorenzo Odone in Health. This mini-documentary passed away on May 30, 2008, will air on PBS affiliates across one day after his 30th birthday. the country. A public service announcement was produced We want to take this opportunity to along with the mini-documentary. thank everyone who sent messages Further information regarding both of condolence to Lorenzo’s father, the documentary and the public Augusto Odone. He has asked service announcement is available that we thank each of you for your through our office, at 800-869kind words of sympathy during this 3546. difficult and sad time. We would like to send As we enter 2009 we celebrate a special thank you to Jane the 20th anniversary of The Rosenthal, John and Pat Bloomquist Myelin Project. It is a bittersweet and the fabulous staff at the anniversary. We were hoping Owenego Inn for allowing us to that in 20 years we would have film at their picturesque Inn located made better progress to restore In Loving Memory in Branford, Connecticut. myelin. Even though that has not Lorenzo Odone We have had tremendous occurred, the scientific community May 29, 1978 to May 30, 2008 response from schools worldwide is in agreement that major progress to our educational program “Using Lorenzo’s Oil as has been made. The Myelin Project has been and a Teaching Tool”. The film “Lorenzo’s Oil” raises will continue to be a driving force in remyelination important scientific and ethical questions. The study research. guide is intended to assist teachers in facilitating During the last year our web site has had over classroom discussions of these questions. If your 230,000 hits from 176 countries. More than 12% school is interested in utilizing the program please of these visitors were from Latin America, indicating contact our office, at 800-869-3546 a definite need to reach out to these people in their The Lorenzo’s Oil Clinical Trial currently underway native languages. We are proud to announce that at the Kennedy Krieger Institute in Baltimore, MD is the home page of our web site has gone trilingual! accepting boys who carry the ALD gene, and who www.myelin.org is now available in both Spanish meet the criteria for participation in the study. For more and Portuguese. We are very grateful to Moises information please contact Kim Hollandsworth at the Herrezuelo Lopez from Spain and Andre Viana from Kennedy Krieger Institute in Baltimore, Maryland (443) Brazil, who provided the translations services to the 923-2750 or you may email her at hollandsworth@ Myelin Project free of charge. kennedykrieger.org. The Myelin Project funded over $185,000 in research grants during the past year. Please see the section “News from the Laboratory” in this newsletter Continued on Page 2 www.myelin.org Acknolwedgments We are grateful to all of you who contributed to The Myelin Project this year and are honored that you continue to support us and our cause. We want to take this opportunity to publicly acknowledge your generosity. Platinum - $5000 and up Race Productions – Ron Meneo Lemonade Gang – Branford, CT Porter E. and Helenmae Thompson Foundation Barbara Daniell Daniell Family Foundation J. Michael Johnson Jack and Jean Kelley Chris Kaag Larry and Patti Chapman Stennis Foundation Gold - $2000 - $4999 Karen Fleming/Northwood School, Lake Placid Debra Dill-Bergmann Anthem Blue Cross/Blue Shield – New Haven, CT Robert and Laura Massey Kevin O’Neill Andrea Sargeant J. F. Sattler Paul Sturgess Aaron Swan Richard Smith Town Fair Tire Center Kathryn Tutino V.F. McNeil & Company Wells Fargo Community Support Campaign First Giving.com Just Give.com Silver - $1000 – $1999 John Wynne John Buckley Kathy Glover Spartanburg County Schools, SC Paul and Corie Barraco Sheree Bodary Brenner, Saltzman and Wallman Brookwood Financial Partners George Cahill Edward Crowley John Davis James R. Delmore Steven Decker Chip and Helen Fedalan Gillis & Gillis, P.C. Robert and Theresa Goodman Robert Hacker Michael T. Heffernan Donald Herzog Robin and Joanna Michel Charitable Gift Fund Yale-New Haven Hospital Bronze - $500 - $999 Harold Rounds Timothy Sloan Michael and Cheryl Marino Michael Martino Douglas Chubb George Brencher, IV, PC Gino and Sonja Buffa Kirsten Stauffer Mark Augusti Sharon Lee Baird Dr. John Beiner Branford Rotary Club George Brencher Melanie Cameron Douglas Chubb Glen Clark Steven Decker Karen Fleming Craig and Shari Friedman Jay and Jill Gold Sid and Sharon Granetz Jack and Barbara Greenberg JJ and DE Holler Paul Kelley, DDS William and Barbara Lyons MFG Partners, Inc. McCallum, Mr. and Mrs. John McCallum Thomas Moran Harry Tortello Gary Vogel Rode and Elaine Wanta Mark and Virginia Ziegenfuss Year in Review continued from Page 1 We would like to take this opportunity to recognize and thank Myelin Project board members Jean Kelley (Hammerfest Triathlon, Brian’s Beachside Boogie) and Chris Kaag (Got the Nerve Triathlon) for their continuing fundraising in behalf of The Myelin Project. This year, their events, involving more than 1000 race participants and 300 volunteers, raised over $75,000. We also want to convey our sincere gratitude to Ron Meneo of Race Productions, New Haven, CT. In addition to producing Hammerfest Triathlon and Brian’s Beachside Boogie, Race Productions donated $9,000 to The Myelin Project. Last, but certainly not least, our sincere gratitude to The Lemonade Gang of Page 2 Branford, CT. This group of young people, led by Ryan Bloomquist and Greg Noble, raised $8,000 for The Myelin Project this year. These donations have been designated to help fund the development of a newborn screening test for ALD. Please see the “News from the Laboratory” for an update on this important project. If you are interested in hosting a triathlon or a fundraising walk in your community please contact us (800-869-3546). We will gladly assist you by sharing our expertise, providing race director’s handbooks and generally guiding you through the process of conducting a successful event. News From The Laboratory Dr. Ian Duncan’s group from the University of Wisconsin summarized three new (and as yet unpublished) projects. Two of them involved research on a mutant mouse (op) that is not able to develop certain cell types that are important in bone remodeling and in the immune system. The first project studied the numbers of microglial cells, which are part of the immune system in the central nervous system. The microglia are important in diseases of brain inflammation, such as multiple sclerosis. Dr. Duncan’s lab found that there are fewer microglial cells in the white matter of op mice as compared to control mice. However, the numbers of microglia in the grey matter were not different between the two groups. While microglia in both mutant and control mice responded to a wound in the cerebral cortex (part of the brain grey matter), the change in the op mice was less than the control. These findings make the op mouse a useful model in which to explore the role of microglia in inflammatory diseases. The second project on the op mouse studied the optic nerve. Because op mice have abnormal bone remodeling, the surrounding bone compresses their optic nerve. At the compression site, there are few oligodendrocytes, the cells that make brain myelin. So, there is little or no myelination at this site. Nerve conduction through the area of non-myelination is severely affected. The group plans to study whether the oligodendrocytes die because compression reduces their blood supply. Finally, Dr. Duncan reported on a new model of chronic demyelination and remyelination in the cat, induced by feeding the animals an experimental diet. Only the myelin sheath appears to be affected, with axons remaining intact. When the cats are returned to a normal diet, they recover neurologically with evidence of remyelination throughout the entire CNS. This model proves unequivocally, and for the first time, that remyelination restores function in a large animal model and confirms that remyelination is a major therapeutic target in demyelinating disease. Professor Neil J. Scolding, FRCP PhD, University of Bristol Institute of Clinical Neurosciences, U.K., provided a report of his studies of bone-marrow derived cells for the treatment of multiple sclerosis. About 30 years ago, investigators began to think that cell therapies might be useful to treat loss of myelin caused by multiple sclerosis (MS). The disease has proved more complex, and tissue repair in the brain and spinal cord more challenging than we first thought. Many factors contribute to myelin and nervous tissue damage in MS. Cells capable of myelin repair are present in damaged areas but nonetheless do not seem to repair myelin. This might mean that simply adding more myelin-making cells to lesions won’t be enough to help in this disease. Professor Scolding is studying bone marrow derived stem cells. These have a very limited capacity for turning into myelin forming cells. But they seem to stimulate repair processes that are key to tissue regeneration in MS. A small safety study of these cells in six patients with chronic MS is nearing completion. The final report will be made when the data analysis is finished. Dr. Scolding has said, “We are grateful indeed to the Myelin Project for our funding, without which this trial would have proved very difficult to complete.” Dr. Gianvito Martino of the San Raffaele Institute in Milan, Italy reported on the therapeutic plasticity of neural stem cells. Recent evidence challenges the conventional view that neural stem/precursor cells (NPCs) protect and repair the central nervous system (CNS) simply by replacing damaged cells. Rather, NPCs may also promote CNS repair by a “bystander” effect. In other words, NPCs may release a mixture of neuroprotective molecules at the site of tissue damage. These protective substances are released in a coordinated manner, in response to the specific needs of the damaged tissue. Even in undamaged tissue, NPCs produce these molecules, which help to maintain nerve tissue throughout life. These protective agents may be common to many kinds of somatic stem cells (e.g. mesenchymal stem cells). These kinds of stem cells don’t normally differentiate into neural cells, yet they may efficiently promote CNS repair. Thus, the repair capacity of stem cells may well include their ability to adapt their fate and function(s) to specific needs in response to different pathological conditions (therapeutic plasticity). The discovery that transplanted NPCs may protect the brain through bystander strategies is of pivotal importance for the future of stem cell based therapeutics. Page 3 Professor Robin Franklin, Cambridge Center for Brain Repair, University of Cambridge, U.K., related how studies in his laboratory demonstrate an unexpected connection to other aspects science. Over the last year Dr. Franklin’s lab has been continuing its work on how the brains own stem cells are able to replace lost myelin-forming cells (oligodendrocytes). Doing so is expected to help identify therapeutic targets that will help to enhance remyelination in patients. In collaboration with other laboratories several new pathways have been identified that either encourage or prevent stem cells becoming new oligodendrocytes. At this year’s meeting Professor Franklin explained how some of these pathways are also involved in the formation of cancers. Of course, cancer scientists have for some time been developing drugs to influence these pathways. Thus, some of the developments that are being made in cancer treatment may, unexpectedly, have additional roles in encouraging myelin regeneration in myelin diseases. There is still some distance to go in realizing the potential of such approaches but current signs indicate that this is a promising line of investigation. Dr. Anne Baron-Evercooren, Centre Hospitalier Universitaire, Pitié-Salpêtrière, Paris, presented her investigation of how Schwann cells might be altered so that they might be better candidates for myelin transplantation. By forcing the cells to express an enzyme, sialyltransferase, their ability to migrate was greatly improved. Schwann cells (SC) form myelin in the peripheral nerves and are easy to get. Despite their obvious repair potential in the central nervous system (CNS), several studies indicated that SC aren’t effective in repairing CNS myelin. Other cell types (olfactory ensheathing cells, neural stem cells and oligodendrocytes) can repair CNS myelin, but are not very easy to get. Dr. Baron-Van Evercooren’s laboratory has explored some of the differences between SC and these other cell types. All of the myelin forming cells, including the SC, express NCAM, a specific protein, on their surface. However, the NCAM of the CNS myelin forming cells is “decorated” with a specific carbohydrate, while the NCAM of the SCs is “plain”. To solve this problem, Dr. Baron-Evercooren and her associates have developed a method of getting SCs to produce “decorated” NCAM. After characterizing the modified SC cells in culture, they were transplanted to mice that had spinal cord demyelination. The modified SC were much more efficient at repairing the demyelination than the control SC. These results underline the potential therapeutic benefit of genetically modifying SC to overcome their poor migratory property and promote their repair potential in demyelinating disorders of the CNS. Dr. Baron-Evercoorn’s work has been supported by WFL and INSERM Violetta Zujovic, Ph.D., Centre Hospitalier Universitaire, Pitié-Salpêtrière, Paris, reported on her work to identify cell types that might be useful in re-myelination. During development, the entire nervous system begins as a mass of cells called the neural crest. Boundary cap cells (BC) are descended from neural crest cells. The BCs migrate to the boundary between the central (brain and spinal cord) and peripheral (sensory and motor nerves) divisions of the nervous system. BCs are important because they are the ancestors of Schwann cells (the myelin forming cells of the peripheral nerves). In addition, BCs are also the ancestors of some of the nocioceptive (pain-sensing) nerve cells of the dorsal root ganglia (part of the spinal cord). To gain insights in BC’s behaviour in the demyelinated central nervous system, BCs were isolated from developing mouse brain. When BCs were transplanted to a demyelinated region of a mouse spinal cord, they were able to multiply, thus efficiently repairing the lesion. When grafted at a distance (one vertebra away) from the lesion, the BCs were not only able to multiply, but they and their descendents migrated toward the lesion. The migrating cells colonized and repaired the demyelinated lesion. Interestingly, the BCs were even more efficient at colonizing the demyelinated region than Schwann cells transplanted directly to the lesion. Thus, there is evidence that boundary cap cells are able to remyelinate central nervous system axons. This evidence strongly indicates that boundary cap cells are of interest as a potential method of central nervous system myelin repair. Page 4 Dr. Alessandra Biffi, M.D., of the San Raffaele Scientific Institute, Milan, Italy, reported on her group’s advances in hematopoietic stem cell based gene therapy for the treatment of metachromatic leukodystrophy. Metachromatic Leukodystrophy (MLD) is a demyelinating disease due to inherited deficiency of arylsulfatase A (ARSA). In the absence of effective therapies, MLD is a disease with an urgent medical need. This is particularly important, since donor hematopoetic stem cell (HSC) transplant in MLD has met with mixed results. In a mouse model, ARSA can be transplanted to the central nervous system. Specifically, the ARSA gene was transplanted to HSC of MLD mice. Then the modified HSCs were transplanted back to the MLD mice. After this treatment, the manifestations of MLD were corrected. Both the feasibility and safety of this therapeutic strategy were tested in a pre-clinical model. Using HSCs from human MLD patients, a similar strategy has successfully corrected the ARSA deficiency. These data have provided the basis for the next step, giving the treated HSCs back to an MLD patient. This clinical trial of HSC gene therapy for the treatment of MLD patients is expected to start by the second quarter of 2009. As in the mouse model, the protocol is based on isolating HSCs from the MLD patients, transplanting the normal ARSA gene into the HSCs, then giving the cells back to the patient. This strategy is expected to avoid the potential complications of graft vs. host disease and to achieve sustained long term ARSA expression in MLD patients. Dr. Yoichi Kondo, University of Wisconsin, discussed the long-term outcome of bone marrow transplantation in a mouse model of Krabbe’s disease Bone marrow transplantation (BMT) or umbilical cord blood transplantation are the only therapies available to date for globoid cell Leukodystrophy (GLD, Krabbe disease). However, they do not cure the disease. To discover why, Dr. Kondo investigated twitcher (twi) mice, a model of GLD. If BMT was performed on these mice 10 days after birth, the twi mice lived for an average of 168 days. Those animals that did not receive BMT lived for only about 51 days. When compared to control twi mice, animals that received BMT had better myelin formation at 45 days of age. However at 200 days, the (twi) mice receiving BMT had extensive loss of myelin and displayed evidence of progressive neuronal damage. This study demonstrates that enzyme replacement by simple BMT is not sufficient for the long-term treatment of GLD. Dr. Alessandra Biffi also reported on a novel strategy for gene therapy of globoid cell leukodystrophy. Globoid leukodystrophy (GLD), also known as Krabbe Disease, is a genetic disease whose victims are unable to make galactocerebrosidase (GALC). The GALC enzyme helps to metabolize some of the lipid components of myelin. A gene therapy strategy for GLD based on hematopoietic stem cells (HSC) is under development. The gene transfer can be made by using a virus, called the lentivirus (LV). This has proven to be an efficient method to transfer the GALC gene to HSCs The treated cells are able to express GALC at levels that are very high. However, this high level of GALC expression may also cause functional impairment, or even death, of the HSCs. It could be that the unnaturally high levels of GALC expressed by the treated HSCs are damaging to them. However, GALC doesn’t damage the descendents of HSCs. This suggests a new therapeutic strategy that is now being tested. The LV vector has been modified, so that when the GALC gene is transplanted to the HSCs, the GALC gene lies dormant until the HCS divides and differentiates. That is, the GALC gene is not expressed until it is safe to do so. This novel strategy avoids GALC damage in HSCs, while allowing sustained GALC expression in the progeny of the HSCs. Evaluation of this strategy is in progress. Page 5 Dr. Celia Kassmann of the Department of Neurogenetics at the Max Planck Institute for Experimental Medicine discussed her recent studies on inflammatory neurodegeneration caused by inactivation of peroxisome function in oligodendrocytes. X-linked adrenoleukodystrophy (X-ALD) is the most frequent juvenile leukodystrophy. It is caused by mutations of the adrenoleukodystrophy protein (ALDP), a peroxisomal membrane protein of unknown function. Attempts to create a mouse model for X-ALD by inactivating the ALDP gene have failed. Although ALDP deficient mice accumulate very long chain fatty acids (VLCFA) inflammatory brain demyelination does not occur. Dr. Kassmann investigated how peroxisomes in oligodendrocytes (the cells that form myelin in the brain) help maintain CNS myelin. Her laboratory generated a mutant mouse that lacked functional peroxisomes only in oligodendrocytes. She found that peroxisomes in these cells are essetial for maintaining white matter (myelin) tracts. The mutant mice developed normally, but within several months exhibited ataxia, tremor, and premature death. They also showed widespread axonal degeneration, progressive subcortical demyelination, and a strong brain inflammation. The exact function of oligodendroglial peroxisomes is still unknown. But, Dr. Kassmann’s studies suggest that functional peroxisomes are required for axonal support. Dr. Gerald Raymond, of The Kennedy Krieger Institute, Johns Hopkins University, presented a summary of current progress in the development of newborn screening in adrenoleukodystrophy Adrenoleukodystrophy (ALD) is an X-linked disorder that has variable manifestations. In young boys, these may include adrenal insufficiency and loss of myelin in the brain. In adults, both men and women, there may be a progressive spastic paraparesis. Boys who inherit the ALD gene require careful monitoring for adrenal and cerebral disease. There are life-saving interventions for this disorder. Experimental therapy with diet and Lorenzo’s oil may reduce the incidence of childhood cerebral disease. If these fail, early, appropriate use of hematopoietic stem cell therapy appears to arrest disease progression. However, these therapies are successful only if begun before clinical symptoms develop. Virtually all persons with the ALD gene have high levels of very long chain fatty acids (VLCFA) in their plasma. Using this biochemical abnormality, a method has been developed that can detect elevated VLCFA in very small volumes of blood. This method is adaptable to regional newborn screening offering early diagnosis and intervention in adrenoleukodystrophy and other peroxisomal disorders. The sensitivity of the assay was tested in over 500 newborn blood samples, some of which were from children known to have the ALD gene. The assay was able to identify all of the affected samples. Work is now underway to test 5000 samples to confirm the sensitivity and specificity. Successful completion of this phase will establish the assay as a good way to screen all newborn children for the ALD gene. Appropriate monitoring can be initiated immediately. It is anticipated that this would greatly improve the clinical outcome for these children. Although Dr. Klaus-Armin Nave, Department of Neurogenetics, Max-Planck-Institute of Experimental Medicine, was unable to attend the meeting in Ft. Worth, his pre-clinical work on a treatment for Pelizaeus-Merzbacher disease was presented by his colleague, Dr. Celia Kassmann. Investigators in Dr. Nave’s lab are using a mutant mouse model to test a new drug therapy for Pelizaeus-Merzbacher disease (PMD). This severe leukodystrophy is characterized by ataxia, mental retardation, epilepsy and premature death. No therapy is currently available. Like most humans with PMD, Dr. Nave’s mutant mice over-express the Plp1 gene. So, the mice were used to test the effect of a new drug (ZK230211) on Plp1 gene expression. Motor function was measured during the 10 week trial. At the end of the trial, Plp1 gene expression was measured in the brains of the mice. The treated animals expressed 15% less Plp1 than the control mutant mice. Importantly, ZK230211-treated mutants had significantly better motor control. Most relevant, there were about 30% more myelinated axons in the corticospinal tract of treated mutants, as compared to the controls. This “proof of principle” trial suggests that it is possible to develop a ‘rational drug therapy’ for PMD patients having Plp1 gene duplications. We are walking, running, biking and swimming a million miles for myelin research. The Myelin Project has set a goal to raise $1 million dollars for research to cure demyelinating diseases. You can help us by donating just $1.00 for each mile you walk, run, bike or swim to The Myelin Project. This is an excellent opportunity to begin 2009 with everyone’s favorite resolution to get healthy and loose weight and also help a good cause. We also want to encourage participants to start their own personal fund raising pages on www.firstgiving.com and encourage your friends, family and co-workers to sponsor you at $1.00 per mile. Everyone can afford $1.00 For more details on this fund raising project please see Million Miles for Myelin on our web site www.myelin.org or contact our office at 1(800) 8myelin (860-3546) Page 6 Letter from the President From October 30 to November bone marrow transplant, and avoids the 2, The Myelin Project held its annual problem of graft vs. host disease. Dr. Biffi international meeting in Ft. Worth, Texas. also stated that a gene therapy strategy The scientific advances reported are is under development for treatment of detailed elsewhere in this newsletter. GLD. However, there are still a number Briefly, though, I can tell you that the news of experiments that remain to be done is good. before clinical trials can be contemplated. For some time, we have known that After the scientific sessions in Ft. there are stem cells in the brain, and that Worth, the boards of the various branches they are capable of partially repairing met to discuss and plan the future the damage done by demyelinating directions for The Myelin Project. Our diseases like multiple sclerosis and the goals, values and vision were discussed Margaret T. Weis, Ph.D. leukodystrophies. and evaluated by representatives from President Two laboratories are now on the way to The United Kingdom, Italy, Germany, The Myelin Project a significantly better understanding of how Canada and the USA. As a group, we brain stem cells work. Dr. Gianvito Martino reaffirmed our core purpose: has discovered that neural stem cells make and release The Myelin Project exists to end substances that promote repair of neural tissue. Dr. the human suffering inflicted by the Martino calls this the “bystander” effect. It means demyelinating diseases. that brain stem cells may act not simply by replacing Our goal is that myelin will be repaired in humans damaged cells, but actually help to stimulate brain cells – restoring function – within the next 10 years. We to repair themselves. intend to achieve this goal by accelerating the pace In a different, but related area, Dr. Violetta Zujovic of applied research that will lead to clinical trials reports that boundary cap cells, a type of cell that of myelin repair. Our scientific advisory board is gives rise to myelin forming cells, are able to find in the process of drawing up a long-term research and repair a demyelinated region of a mouse spinal roadmap leading to our goal. It is the job of the cord. This may be very significant in the development various branches to provide the resources necessary to of myelin transplant procedures. Because the implement our research plan. transplanted cells can find the damage by themselves, We realize that our goal is ambitious, perhaps even it may not be necessary to transplant cells to every audacious. But The Myelin Project has a history of single lesion in order achieve myelin repair. audacious goals. Twenty years ago, Augusto Odone Exciting work also continues in developing dared to believe that ALD could be treated successfully. strategies to treat metachromatic leukodystrophy (MLD) Not only can it be treated, but universal newborn and globoid leukodystrophy (GLD, also known as screening for ALD is in the final stages of testing. Krabbe Disease). Dr. Alessandra Bifi reported that a We ask that you join us in our audacious goal clinical trial for gene therapy of MLD is expected to of repairing myelin in humans affected by multiple begin in the second quarter of 2009. The general sclerosis, the leukodystrophies and other demyelinating strategy is to take some of the patient’s own bone diseases. Please help us continue to fund research. marrow cells, transplant them with a functional Donations can be made by check, credit card or online gene, then to replace those cells in the patient. This at www.myelin.org/en/donations/add.asp. technique exploits what we already know about Page 7 The Myelin Project 1400 Wallace Blvd., Suite 258 Amarillo, Texas 79106 MESSAGE FROM AUGUSTO ODONE As some of you know, Lorenzo passed away, on May 30, one day after his 30th birthday. At the wish of his late mother, Michaela, he now rests with her in Yonkers, New York. I loved Lorenzo very much and I can’t think of his passing without crying. I had promised Lorenzo that I would write a book in his honor when he reached his 30th birthday. He reached this milestone a day before he passed. In keeping with my promise, I am in the process of writing the book in his memory. I would like to make a donation to The Myelin Project in the amount of $ Enclosed is my check made payable to The Myelin Project Name: Address: Phone: Email: Charge my gift in the amount of $ ____________ To: Visa MC AmEx Disc Credit Card Number Exp Date Signature Credit card donations may also be made on our website www.myelin.org or by calling our office at 800-869-3546 You may also contribute to The Myelin Project at your workplace. Federal employees can donate through the Combined Federal Campaign (CFC number 11222) You may also donate through the United Way Campaign. Just enter The Myelin Project name and address on your local United Way donor card. The Myelin Project is a 501(c) 3 nonprofit organization. Donations are tax deductible to the full extent of the law. If you wish to donate to The Myelin Project, please fill out this form and mail it back in the selfaddressed envelope included with this newsletter. Thank you for your support.
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