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Published on: October 13, 2023
Multiple sclerosis and infections
1Division of Neuroimmunology & Neuroinfectious Diseases, Johns Hopkins Hospital, 600 North Wolfe Street, Meyer 6-113, Baltimore, MD 21287, USA.
Abstract:
The intersection between infections and multiple sclerosis (MS) is complex and bidirectional. Numerous infectious agents have been posited to play a role in the initiation of MS, while emerging evidence suggests a potential relationship between established MS and the gut microbiome. As both systemic and CNS infections are major complications of MS, the clinical manifestations and evolving epidemiology of these infections over the lifespan of the MS patient are examined in this review. Data from animal models and human studies are discussed.
Insights
Infections and multiple sclerosis (MS) have a complex, two-way relationship. This review examines how infections impact MS development and complications throughout a patient's life.
Area of Science:
- Neuroimmunology
- Infectious Diseases
- Microbiome Research
Background:
- The relationship between infections and multiple sclerosis (MS) is intricate and bidirectional.
- Infectious agents are investigated for their potential role in MS initiation.
- The gut microbiome's influence on established MS is an emerging area of research.
Purpose of the Study:
- To review the complex interplay between infections and multiple sclerosis (MS).
- To examine the clinical manifestations and epidemiology of infections in MS patients.
- To discuss data from both animal models and human studies.
Main Methods:
- Literature review of existing studies.
- Analysis of data from animal models.
- Examination of human clinical data.
Main Results:
- Infections are implicated in MS initiation.
- The gut microbiome may influence established MS.
- Systemic and CNS infections are significant MS complications.
Conclusions:
- The bidirectional link between infections and MS requires further investigation.
- Understanding infection epidemiology in MS is crucial for patient management.
- Future research should explore therapeutic strategies targeting these interactions.
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