Personalized Precision Immunotherapy for Amyotrophic Lateral Sclerosis (ALS).

IF 0.8 4区 医学 Q4 IMMUNOLOGY Critical Reviews in Immunology Pub Date : 2023-01-01 DOI:10.1615/CritRevImmunol.2023048372
Dipnarine Maharaj, Kawaljit Kaur, Adrian Saltese, Jacqueline Gouvea
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Abstract

Neurological syndrome amyotrophic lateral sclerosis (ALS) affects motor neurons and is characterized by progressive motor neuron loss in the brain and spinal cord. ALS starts with mainly focal onset but when the disease progresses, it spreads to different parts of the body, with survival limits of 2-5 years after disease initiation. To date, only supportive care is provided for ALS patients, and no effective treatment or cure has been discovered. This review is focused on clinical and immunological aspects of ALS patients, based on our case studies, and we discuss the treatment we have provided to those patients based on a detailed evaluation of their peripheral blood immune cells and blood-derived serum secreted factors, cytokines, chemokines and growth factors. We show that using a personalized approach of low dose immunotherapy there is an improvement in the effects on inflammation and immunological dysfunction.

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肌萎缩侧索硬化症(ALS)的个性化精准免疫治疗。
神经综合征肌萎缩侧索硬化症(ALS)影响运动神经元,其特征是大脑和脊髓中进行性运动神经元丧失。ALS开始时主要是局灶性发作,但当疾病进展时,它会传播到身体的不同部位,发病后的生存极限为2-5年。迄今为止,仅为ALS患者提供支持性护理,尚未发现有效的治疗或治愈方法。这篇综述基于我们的病例研究,重点关注ALS患者的临床和免疫学方面,我们根据对这些患者外周血免疫细胞和血液来源的血清分泌因子、细胞因子、趋化因子和生长因子的详细评估,讨论了我们为这些患者提供的治疗。我们表明,使用个性化的低剂量免疫疗法可以改善对炎症和免疫功能障碍的影响。
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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
14
审稿时长
>12 weeks
期刊介绍: Immunology covers a broad spectrum of investigations at the genes, molecular, cellular, organ and system levels to reveal defense mechanisms against pathogens as well as protection against tumors and autoimmune diseases. The great advances in immunology in recent years make this field one of the most dynamic and rapidly growing in medical sciences. Critical ReviewsTM in Immunology (CRI) seeks to present a balanced overview of contemporary adaptive and innate immune responses related to autoimmunity, tumor, microbe, transplantation, neuroimmunology, immune regulation and immunotherapy from basic to translational aspects in health and disease. The articles that appear in CRI are mostly obtained by invitations to active investigators. But the journal will also consider proposals from the scientific community. Interested investigators should send their inquiries to the editor before submitting a manuscript.
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