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Transient receptor potential (TRP) in neuroglia and their role in pain. Brief review 神经胶质细胞瞬时受体电位(TRP)及其在疼痛中的作用。简短的评论
Pub Date : 2025-08-09 DOI: 10.1016/j.neurop.2025.100205
L. Arce Gálvez , J.M. Mancera Álzate , M.F. Rosero Chamorro , Á.J. Tellez Pérez , A.F. Ausenón , J.D. Cardona Bahamon , L.M. Rodriguez Vélez
Neuroglia has an essential role in pain perception that goes beyond neuropathic pain and is now considered to play a major role in the processes of sensitization, establishment of chronic pain and nociplasticity. In this intricate process of plasticity and neuroinflammation, there are multiple receptors, one of them the transient receptor potential (TRP) that has different types and subtypes in relation to their amino acids. These receptors vary in each person in relation to their sex, hormonal profile, genetics and age, which may explain the variability in pain perception. There are some treatments that intervene in these receptors and many more are in development, which could become a novel and interesting alternative therapy.
神经胶质细胞在疼痛感知中起着重要的作用,它超越了神经性疼痛,现在被认为在致敏、慢性疼痛和痛觉可塑性的建立过程中起着重要作用。在这一复杂的可塑性和神经炎症过程中,存在多种受体,其中一种是瞬时受体电位(TRP),它具有与其氨基酸相关的不同类型和亚型。这些受体在每个人的性别、激素水平、遗传和年龄方面都有所不同,这可能解释了疼痛感知的差异。有一些治疗方法可以干预这些受体,还有更多的治疗方法正在开发中,这可能成为一种新颖有趣的替代疗法。
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引用次数: 0
Multiple sclerosis and rheumatic diseases: Rheumatoid arthritis, antiphospholipid syndrome, and systemic lupus erythematosus 多发性硬化和风湿性疾病:类风湿关节炎、抗磷脂综合征和系统性红斑狼疮
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100197
M.A. Hernández , B. González , Y. Contreras , L.M. Armas

Introduction

Multiple sclerosis (MS) may be associated with a range of rheumatic diseases. Rheumatoid arthritis is a chronic inflammatory disease typically affecting small- and medium-size joints. MS has been associated with antiphospholipid syndrome.

Development

The treatment of these patients must be carefully established, considering the presence of neurological symptoms or central nervous system comorbidities. Patients with MS and rheumatoid arthritis should not be treated with TNF inhibitors, as these may exacerbate the neurological symptoms. Most biological drugs may favour opportunistic infections of the central nervous system; therefore, patients developing neurological symptoms should undergo comprehensive examination, and biological treatment should be adapted according to the results.

Conclusions

We summarise the main recommendations for the treatment of patients with MS associated with rheumatic diseases.
多发性硬化症(MS)可能与一系列风湿性疾病有关。类风湿性关节炎是一种慢性炎症性疾病,通常影响中小型关节。多发性硬化症与抗磷脂综合征有关。考虑到神经系统症状或中枢神经系统合并症的存在,必须仔细确定这些患者的治疗方案。多发性硬化症和类风湿关节炎患者不应使用TNF抑制剂治疗,因为这些可能会加重神经系统症状。大多数生物药物可能有利于中枢神经系统的机会性感染;因此,出现神经系统症状的患者应进行全面检查,并根据结果调整生物治疗。结论总结了风湿病合并多发性硬化症的主要治疗建议。
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引用次数: 0
Inflammatory bowel disease and multiple sclerosis 炎性肠病和多发性硬化症
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100199
M. Dominguez-Gallego, V. Meca-Lallana, C. Ana Belén

Introduction

Inflammatory bowel disease (IBD), which mainly includes Crohn’s disease and ulcerative colitis, is characterised by chronic inflammation in the gastrointestinal tract, triggered and perpetuated by an altered immune response. An association has been established between this condition and other autoimmune diseases, including multiple sclerosis (MS). The prevalence of MS in patients with IBD is 0.2%; the association between the 2 conditions is attributed to shared genetic and environmental pathogenic mechanisms.

Development

In patients presenting with both diseases, several considerations should be taken into account when selecting the most appropriate treatment. Regarding MS treatment, interferons have been associated with worsening of IBD symptoms, whereas such monoclonal antibodies as rituximab and ocrelizumab may cause gastrointestinal toxicity, and alemtuzumab is not recommended due to increased risk of autoimmune complications. Natalizumab and sphingosine 1-phosphate modulators, such as ozanimod, constitute safer and more effective options for patients with IBD.
Regarding treatments for IBD, TNF-α antagonists are contraindicated in patients with MS due to the associated risk of central nervous system demyelination. Vedolizumab and ustekinumab are the recommended alternatives in these cases.

Conclusions

Though weak, the association between IBD and MS should be acknowledged; preferably, management of these patients should include medications that treat both conditions simultaneously.
炎症性肠病(IBD)主要包括克罗恩病和溃疡性结肠炎,其特征是胃肠道慢性炎症,由免疫反应改变引发并持续存在。这种情况与其他自身免疫性疾病,包括多发性硬化症(MS)之间存在关联。多发性硬化症在IBD患者中的患病率为0.2%;这两种疾病之间的关联归因于共同的遗传和环境致病机制。对于同时患有这两种疾病的患者,在选择最合适的治疗方法时应考虑到几点。关于MS治疗,干扰素与IBD症状恶化有关,而单克隆抗体如利妥昔单抗和奥克雷单抗可能引起胃肠道毒性,由于自身免疫性并发症的风险增加,不推荐使用阿仑单抗。Natalizumab和1-磷酸鞘氨醇调节剂,如ozanimod,是IBD患者更安全、更有效的选择。关于IBD的治疗,由于中枢神经系统脱髓鞘的相关风险,TNF-α拮抗剂是MS患者的禁忌症。在这些病例中,推荐使用Vedolizumab和ustekinumab。结论IBD与MS的相关性虽弱,但应予以承认;对这些患者的治疗最好包括同时治疗两种疾病的药物。
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引用次数: 0
Other autoimmune diseases and multiple sclerosis 其他自身免疫性疾病和多发性硬化症
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100196
S. Martínez-Yélamos , Á. Pérez-Sempere

Introduction

This study explores the association between multiple sclerosis (MS) and other autoimmune diseases, including myasthenia gravis (MG), autoimmune encephalitis (AE), and demyelinating polyneuropathies such as combined central and peripheral demyelination (CCPD), chronic inflammatory demyelinating polyneuropathy (CIDP), and Guillain-Barré syndrome (GBS).

Development

For each association, we discuss epidemiological data, clinical features, and therapeutic management strategies. The prevalence of MG is higher in patients with MS than in the general population. Certain MS treatments, such as alemtuzumab, may increase the risk of developing MG or AE. Among the most suitable therapeutic options for patients with coexisting MG or AE are azathioprine and rituximab. Antibody-mediated AE associated with MS is managed similarly to AE unrelated to MS. The association between MS and CIDP contributes to neurological disability and is likely underdiagnosed.

Conclusions

The coexistence of MS with other autoimmune diseases presents significant diagnostic and therapeutic challenges. Awareness of the therapeutic options available for each association is essential in order to identify the most appropriate approach in each case. Early recognition and adequate management of these comorbidities may improve clinical outcomes and enhance patients’ quality of life.
本研究探讨多发性硬化症(MS)与其他自身免疫性疾病的关系,包括重症肌无力(MG)、自身免疫性脑炎(AE)和脱髓鞘性多神经病变,如中枢性和外周性脱髓鞘(CCPD)、慢性炎症性脱髓鞘性多神经病变(CIDP)和格林-巴勒综合征(GBS)。针对每种关联,我们讨论流行病学数据、临床特征和治疗管理策略。多发性硬化症患者中MG的患病率高于一般人群。某些多发性硬化症治疗,如阿仑单抗,可能会增加发生MG或AE的风险。对于同时存在MG或AE的患者,最合适的治疗选择是硫唑嘌呤和利妥昔单抗。与MS相关的抗体介导的AE的处理方法与与MS无关的AE相似。MS和CIDP之间的关联导致神经功能障碍,并且可能未被充分诊断。结论多发性硬化症与其他自身免疫性疾病的共存给诊断和治疗带来了重大挑战。为了在每种情况下确定最合适的方法,了解每种关联的治疗选择是必不可少的。早期识别和适当管理这些合并症可以改善临床结果和提高患者的生活质量。
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引用次数: 0
Multiple sclerosis and rheumatic diseases: Behçet disease, sarcoidosis, and Sjögren syndrome 多发性硬化症和风湿病:behaperet病、结节病和Sjögren综合征
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100198
M.A. Hernández , Y. Contreras , B. González , L.M. Armas

Introduction

Multiple sclerosis can be associated with a range of rheumatic processes. Behçet disease is a relapsing, multisystemic, immune-mediated chronic vasculitic disorder of unknown aetiology, whose symptoms overlap with those of many autoinflammatory processes. Sarcoidosis is a universally distributed multisystem granulomatous disease. Sjögren syndrome is a chronic, autoimmune, inflammatory disease characterised by lymphocytic infiltration in exocrine glands, which causes xerostomia (dry mouth) and xerophthalmia (dry eyes). The most frequent extraglandular manifestations of the syndrome are musculoskeletal problems.

Development

We describe the most significant neurological complications of these rheumatic diseases, as well as the pharmacological treatments that may be indicated for these conditions and the possible contraindications in patients receiving treatment for multiple sclerosis.

Conclusions

We provide a series of recommendations for the treatment of patients with multiple sclerosis who also present with Behçet disease, sarcoidosis, or Sjögren syndrome. Co-presence of any of these rheumatic diseases constitutes a contraindication for some treatments.
多发性硬化症可与一系列风湿病过程相关。behet病是一种复发性、多系统、免疫介导的慢性血管疾病,病因不明,其症状与许多自身炎症过程重叠。结节病是一种普遍分布的多系统肉芽肿性疾病。Sjögren综合征是一种慢性自身免疫性炎症性疾病,其特征是外分泌腺淋巴细胞浸润,导致口干和干眼症。该综合征最常见的腺外表现是肌肉骨骼问题。我们描述了这些风湿性疾病最重要的神经系统并发症,以及可能针对这些疾病的药物治疗和接受多发性硬化症治疗的患者可能的禁忌症。结论:我们为多发性硬化症合并behet病、结节病或Sjögren综合征的患者提供了一系列的治疗建议。同时存在任何这些风湿病构成某些治疗的禁忌症。
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引用次数: 0
Autoimmune eye diseases in multiple sclerosis 多发性硬化症中的自身免疫性眼病
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100195
M.L. Martínez Ginés , P. Rojas Lozano

Introduction

The eye is a complex organ that can present complications related to autoimmune diseases, including multiple sclerosis (MS). Ocular manifestations may act as early indicators of autoimmune diseases, and their early diagnosis and treatment are essential to guaranteeing patients' quality of life. This review analyses the main autoimmune eye diseases associated with MS, focusing on intermediate uveitis and its personalised management.

Development

MS-associated uveitis includes various forms of intraocular inflammation affecting different areas of the eye. The relationship between MS and uveitis is complex and involves shared immunological mechanisms and diagnostic and therapeutic challenges. The clinical presentation of uveitis varies from asymptomatic forms to severe vision-threatening complications. The treatment of uveitis involves careful assessment and the consideration of immunomodulatory or immunosuppressive treatment with a view to controlling inflammation and preventing visual sequelae.

Conclusions

Treatment of MS-related uveitis is complex and requires a multidisciplinary approach. Advances in immunomodulatory therapy offer new treatment options, as well as challenges related to adverse reactions and disease management. Further research is needed to better understand the relationship between MS and eye diseases, and to optimise therapeutic strategies and improve patients' visual and neurological outcomes.
眼睛是一个复杂的器官,可出现与自身免疫性疾病相关的并发症,包括多发性硬化症(MS)。眼部表现可能是自身免疫性疾病的早期指标,其早期诊断和治疗对于保证患者的生活质量至关重要。这篇综述分析了与MS相关的主要自身免疫性眼病,重点是中度葡萄膜炎及其个体化治疗。ms相关的葡萄膜炎包括影响眼睛不同区域的各种形式的眼内炎症。MS和葡萄膜炎之间的关系是复杂的,涉及共同的免疫机制和诊断和治疗挑战。葡萄膜炎的临床表现从无症状到严重的视力威胁并发症不等。葡萄膜炎的治疗包括仔细评估和考虑免疫调节或免疫抑制治疗,以控制炎症和预防视觉后遗症。结论多发性硬化相关性葡萄膜炎的治疗较为复杂,需要多学科联合治疗。免疫调节疗法的进展提供了新的治疗选择,以及与不良反应和疾病管理相关的挑战。需要进一步的研究来更好地了解MS与眼病之间的关系,并优化治疗策略,改善患者的视觉和神经预后。
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引用次数: 0
Management of the most prevalent autoimmune diseases co-occurring with Multiple Sclerosi 多发性硬化症并发的最常见自身免疫性疾病的管理
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100194
A.B. Caminero
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引用次数: 0
Autoimmune skin diseases in multiple sclerosis 多发性硬化症中的自身免疫性皮肤病
Pub Date : 2025-07-01 DOI: 10.1016/j.neurop.2025.100200
M. Roncero Riesco , A. Cabanillas Cabral , Y. El Berdei Montero

Introduction

Autoimmune dermatological diseases have a prevalence greater than 2% in the general population, sometimes as a primary disorder and other times within a context of systemic involvement. Comorbidity with multiple sclerosis (MS) has been described, particularly in the case of psoriasis and bullous pemphigoid, and to a lesser extent in pemphigus vulgaris and other autoimmune skin diseases.

Development

Psoriasis is the autoimmune skin disease for which the most evidence is available on this association, with increased risk in patients with MS. Both disorders probably have common pathophysiological mechanisms. The joint treatment of both diseases will depend on the degree of activity of each one, but in general, it is recommended for patients with MS and psoriasis to avoid interferons, teriflunomide, and anti-CD20 monoclonal antibodies, whereas fumarates and S1P receptor antagonists are recommended. TNF-α inhibitors are formally contraindicated in MS. In the case of bullous pemphigoid, pemphigus vulgaris, and other less common autoimmune dermatological diseases, the relationship with MS is not so clearly established, although an association between the first 2 and neurological diseases, including MS, has been described. Treatment is based on corticotherapy, and classic immunosuppressants or rituximab may be combined, which represent an alternative for joint treatment.

Conclusions

Comorbidity between MS and autoimmune dermatological disorders, and especially psoriasis, requires a joint approach, avoiding treatments that may aggravate one or the other disorders.
自身免疫性皮肤病在普通人群中的患病率大于2%,有时作为原发性疾病,有时在全身性累及的背景下。多发性硬化症(MS)的合并症已有报道,特别是牛皮癣和大疱性类天疱疮,寻常性天疱疮和其他自身免疫性皮肤病的合并症较少。银屑病是一种自身免疫性皮肤病,有充分证据表明银屑病与多发性硬化症之间存在相关性,银屑病与多发性硬化症患者的发病风险增加。两种疾病的联合治疗将取决于各自的活性程度,但一般情况下,建议MS和牛皮癣患者避免使用干扰素、特立氟米特和抗cd20单克隆抗体,而建议使用富马酸盐和S1P受体拮抗剂。在大疱性类天疱疮、寻常性天疱疮和其他不常见的自身免疫性皮肤病的病例中,TNF-α抑制剂与MS的关系尚未明确确立,尽管前2种与包括MS在内的神经系统疾病之间存在关联。治疗以皮质疗法为基础,经典免疫抑制剂或利妥昔单抗可以联合使用,这是联合治疗的另一种选择。结论多发性硬化症与自身免疫性皮肤病,尤其是牛皮癣的合并症需要联合治疗,避免加重其中一种疾病的治疗。
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引用次数: 0
Taste disorders due to unilateral upper molar extraction in juvenile and adult albino rats 幼年和成年白化大鼠单侧上磨牙拔牙引起的味觉障碍
Pub Date : 2025-06-19 DOI: 10.1016/j.neurop.2025.100203
A. Gutiérrez-Patiño Paúl, E. Aguirre-Siancas

Introduction

The sense of taste is fundamental to life; some studies have revealed a link between dental deafferentation (DD) by upper molar extraction and taste abnormalities in rats. However, no studies have been found that evaluate these variables using the Taste Reactivity Test (TRT).

Methods

Forty male Wistar rats (20 juveniles and 20 adults) were used and assigned to a control and experimental group. Both groups were fitted with cannulae for TRT, while rats in the experimental group also had their right upper molars extracted. Using an ingestive solution (1 M sucrose) and an aversive solution (3 mM denatonium benzoate [BD]), TRT was performed on days 1, 7, 14, and 21. Body and orofacial reactions were recorded and scored.

Results

DD influences ingestive responses in juvenile rats at days 7, 14, and 21; however, it only affects aversive responses at day 21. In adult rats, it influences ingestive responses at days 14 and 21, although it only affects aversive responses at day 14. When comparing ingestive and aversive responses between juvenile and adult rats in the experimental group, differences were identified in ingestive responses at days 7 and 14.

Conclusions

In juvenile and adult rats, upper molar extraction has a negative influence on ingestive and aversive responses. In addition, compared to adult rats, it has a negative effect on ingestive responses in juvenile rats.
味觉是生活的根本;一些研究揭示了大鼠上磨牙脱牙与味觉异常之间的联系。然而,还没有研究发现使用味觉反应性测试(TRT)来评估这些变量。方法选用雄性Wistar大鼠40只(幼年和成年各20只),分为对照组和实验组。两组均置入TRT套管,实验组同时拔除右上磨牙。使用摄食溶液(1 M蔗糖)和厌食溶液(3 M苯甲酸地那铵[BD]),在第1、7、14和21天进行TRT。记录身体和面部反应并评分。结果dd影响幼年大鼠第7、14、21天的摄食反应;然而,它只影响第21天的厌恶反应。在成年大鼠中,它在第14天和第21天影响摄食反应,尽管它只在第14天影响厌恶反应。当比较实验组幼鼠和成年大鼠的摄食和厌恶反应时,在第7天和第14天发现了摄食反应的差异。结论拔牙对幼年大鼠和成年大鼠的摄食和厌恶反应均有负面影响。此外,与成年大鼠相比,它对幼年大鼠的摄食反应有负面影响。
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引用次数: 0
Cough headache associated with CANVAS: A case report 与CANVAS相关的咳嗽头痛1例报告
Pub Date : 2025-06-14 DOI: 10.1016/j.neurop.2025.100202
E. Martínez-Campos , M. San Miguel , M. Martín Bujanda
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引用次数: 0
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Neurology perspectives
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