用毛滴虫卵治疗作为多发性硬化症的替代疗法:微型综述

Pollard Da
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摘要

多发性硬化症(MS)、类风湿性关节炎和炎症性肠病等自身免疫性疾病是在人体对自身产生反应时发生的。遗传易感性是造成这种反应的部分原因,而环境因素也是原因之一。多发性硬化症是一种影响大脑、脊髓和视神经的衰弱性疾病。在蠕虫流行的国家,接触蠕虫与多发性硬化症的发病率呈反比。这可能是由于接触蠕虫后对抗原的免疫反应发生了改变。由于蠕虫分泌的不同分子可增强人体免疫系统的耐受性,从而使蠕虫得以存活,因此人们对这些分泌分子产生了浓厚的兴趣,以开发针对自身免疫性疾病的新型疗法。作为治疗自身免疫性疾病的生物制剂,猪蠕虫卵(Trichuris Suis Ova,TSO)一直备受关注。以 TSO 为基础的疗法治疗多发性硬化症的效果很好,而且这些疗法安全、耐受性良好。不过,也有一些与临床结果相反的报告。应进一步研究治疗性服用猪链球菌卵或这种蠕虫的其他产品作为多发性硬化症的替代疗法,从而提高这些免疫疗法的疗效。
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Therapeutic Administration of Trichuris Suis Ova as Alternative Treatment of Multiple Sclerosis: A Mini-Review
Autoimmune disorders like Multiple Sclerosis (MS), rheumatoid arthritis, and inflammatory bowel disease occur when your body’s mounts a response to itself. Genetic predisposition is responsible for some of the response, while environmental factors contribute as well. Multiple sclerosis is a debilitating disease that impacts the brain, spinal cord, and optic nerves. There is an inverse correlation of exposure to helminths with prevalence of MS in helminth-endemic countries. This may be due to the alteration with the immunological response to antigens that accompanies the exposure to helminths. With the different molecules secreted by helminths that enhance tolerance in the human immune system to survive, interest in these secretory molecules for developing novel treatments against autoimmune diseases grew. There has been focus on Trichuris Suis Ova (TSO), eggs of a porcine helminth, as biologic for the treatment of autoimmune diseases. The results for TSO-based therapies as treatment for MS have been promising, in addition to these therapies being safe and well tolerated. However, there have been some contrasting reports with clinical outcomes. Therapeutic administration of T. suis ova or other products of this helminth as alternative treatment of multiple sclerosis should be further studied and thus provide enhancements in these immunotherapies.
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