多发性硬化症-诊断和治疗的最新进展综述

Klaudia Wiśniewska, Agnieszka Ostańska, Adrianna Szafran, Wiktor Terelak, Marcin Ciechański, Edyta Witkowska, Laura Piasek, Grzegorz Godek, Kacper Więcław, Katarzyna Stańko
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简介:多发性硬化症是一种常见的慢性中枢神经系统炎症性疾病,以自身免疫为基础。这是导致年轻人残疾的最常见的非创伤性疾病。女性的发病率是男性的3倍。多发性硬化症患者的生活质量通常会显著下降。目的:分析多发性硬化症的特点、诊断和治疗的最新资料。方法与材料:检索PubMed数据库2016 - 2022年间发表的文献,关键词:“多发性硬化症”;“病机”;“免疫学”;“遗传学”;诊断和治疗。知识现状:目前,多发性硬化症还没有有效的治疗方法,但在过去的几年里,治疗的选择有所增加。不幸的是,疾病改善疗法的有效性太低,它们不能阻止中枢神经系统的进行性神经退行性过程。最近的一项发展是选择使用干细胞治疗多发性硬化症。这是为了克服神经细胞的损失,增加内源性髓磷脂的修复能力。结论:尽管近年来对该疾病的发病机制有了很大的了解,并且出现了许多新的治疗选择,但我们的知识仍然不完整。这对制造更多的药物和阻止疾病的发展提出了挑战。
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Multiple sclerosis - A review of recent advances in diagnostics and treatments
Introduction: Multiple sclerosis is a common chronic neuroinflammatory disease of the CNS with an autoimmune basis. It is the most common non-traumatic disorder that leads to disability in young adults. It occurs 3x more often in women. The quality of life of people suffering from multiple sclerosis is often significantly reduced. Objective: The purpose of this review is to analyze the latest information on the characteristics, diagnosis and treatment of patients with multiple sclerosis. Methods and matherials: A review of the literature available in the PubMed database published between 2016 and 2022, using the following keywords: "multiple sclerosis"; "pathogenesis"; "immunology"; "genetics"; “diagnostics” and "treatment." State of knowledge: Currently, there is no effective cure for multiple sclerosis but therapeutic options have increased over the past few years. Unfortunately, the effectiveness of disease-modifying therapies is too low and they cannot stop the progressive neurodegenerative process in the CNS. A recent development is the option of MS therapy using stem cells. This is to overcome the loss of nerve cells and increase the repair capacity of endogenous myelin. Conclusions: Although knowledge of the pathogenesis of the disease has advanced tremendously in recent years and many new therapeutic options have emerged, our knowledge is still incomplete. This poses a challenge for creating more drugs and halting the progression of the disease.
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