多发性硬化症神经疗法的最新进展。

IF 2.3 Q3 CLINICAL NEUROLOGY Neurodegenerative disease management Pub Date : 2023-02-01 Epub Date: 2022-10-31 DOI:10.2217/nmt-2021-0058
Moein Amin, Carrie M Hersh
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引用次数: 0

摘要

多发性硬化症(MS)神经治疗领域正在迅速发展。新的疾病改变疗法(DMT)的疗效和安全性都有所提高,此外,具有新机制的药物管线也在不断扩大,这为多发性硬化症患者提供了更多选择。虽然现有的 DMT 药物已能很好地治疗多发性硬化症的神经炎症,但目前仍在协力确定神经病理学靶点和发现治疗进展性多发性硬化症的药物。目前还在研究开发用于髓鞘再形成和神经保护的药物。还需要进一步的深入了解,以指导DMT的启动和排序,并确定自体干细胞移植在复发性和进展性多发性硬化症中的作用。本综述概述了这些最新进展。
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Updates and advances in multiple sclerosis neurotherapeutics.

The multiple sclerosis (MS) neurotherapeutic landscape is rapidly evolving. New disease-modifying therapies (DMTs) with improved efficacy and safety, in addition to an expanding pipeline of agents with novel mechanisms, provide more options for patients with MS. While treatment of MS neuroinflammation is well tailored in the existing DMT armamentarium, concerted efforts are currently underway for identifying neuropathological targets and drug discovery for progressive MS. There is also ongoing research to develop agents for remyelination and neuroprotection. Further insights are needed to guide DMT initiation and sequencing as well as to determine the role of autologous stem cell transplantation in relapsing and progressive MS. This review provides a summary of these updates.

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