多发性硬化症改良治疗与癌症风险

Gonçalves Mvm
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摘要

在多发性硬化症(MS)中,中枢神经系统的慢性炎症是该疾病病理学的主要组成部分。如果这是疾病发病机制的主要因素,那么现在这仍然是一个有争议的问题[1,2]。疾病复发被认为是一个T细胞驱动的过程,尽管最近的证据表明其他细胞类型的重要性越来越大,如B细胞和其他外周髓系细胞[1,2],以及中枢神经系统原代细胞[2]。一旦慢性炎症与癌症相关[3],长期以来一直在研究多发性硬化症等慢性疾病与癌症之间的可能相关性。有研究表明,多发性硬化症患者的癌症风险降低或没有改变,尽管一些特定的癌症显示出不同的趋势[4-8]。
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Multiple Sclerosis Disease Modifying Therapy and Cancer risks
In multiple sclerosis (MS), a chronic inflammation of the central nervous system is the major component of the disease’s pathology. If this is the major factor of the disease’s pathogenesis, it’s still a matter of debate nowadays [1,2]. The disease relapses were believed to be a T cell drive process, although recent evidence shows a growing importance of other cell types like B-cells and other peripheral myeloid cells [1,2], as well as CNS primary cells [2]. Once chronic inflammation is associated with cancer [3], a possible correlation between a chronic disease like multiple sclerosis and cancer have been studied throughout the time. There are studies showing decrease or no alteration in cancer risk of multiple sclerosis patients, even though some specific cancers show a different trend [4-8].
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