吉兰-巴雷综合征
Nortina Shahrizaila1, Helmar C Lehmann2, Satoshi Kuwabara3
1Neurology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Lancet (London, England)
|March 1, 2021
概括
导致的吉伦-巴雷综合征与COVID-19等感染有关. 虽然免疫疗法有助于许多人,但需要改善全球的治疗方法和新的治疗方法来减少残疾和死亡.
科学领域:
- 神经学
- 免疫学
- 传染性疾病
背景情况:
- 吉伦-巴雷综合征是全球急性的主要病因.
- 它通常跟随感染,包括上呼吸道感染,并与Campylobacter jejuni,寨卡病毒和SARS-CoV-2有关.
- 病变包括自身抗体介导的免疫反应,可能是由分子模拟引发的.
研究的目的:
- 审查目前对吉伦-巴雷综合征的理解.
- 突出诊断挑战和现有的综合症变体标准的局限性.
- 讨论治疗结果,护理的地理差异以及未来的治疗方向.
主要方法:
- 关于吉伦-巴雷综合征的现有文献的审查.
- 来自国际吉林巴雷综合征结果研究的数据分析.
- 讨论正在进行的新疗法临床试验.
主要成果:
- 古典吉林巴雷综合征的诊断通常是直接的,但可能会错过变体.
- 虽然免疫疗法对大多数人有效,但严重的残疾和死亡率仍然存在.
- 特别是在低收入国家,治疗机会存在地域差异.
结论:
- 全球改善针对吉伦-巴雷综合征的免疫疗法至关重要.
- 需要开发疾病修饰疗法以限制神经损伤.
- 目前正在进行的研究和临床试验,包括补充抑制剂,有望进一步了解和治疗.
更多相关视频
09:29Induction of Paralysis and Visual System Injury in Mice by T Cells Specific for Neuromyelitis Optica Autoantigen Aquaporin-4
Published on: August 21, 2017
11.8K
08:16Utility of Dissociated Intrinsic Hand Muscle Atrophy in the Diagnosis of Amyotrophic Lateral Sclerosis
Published on: March 4, 2014
32.8K
相关概念视频
Myasthenia Gravis: Overview and Treatment
2.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
2.4K
Myasthenia Gravis: Diagnostic Tests
1.6K
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
1.6K
Disorders of the Skeletal Muscle
1.4K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.4K
Chemical Synapses
10.5K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
10.5K
Chemical Synapses
3.8K
Chemical synapses are specialized sites between two neurons or between a neuron and a non-neuronal cell like a muscle, glandular or sensory cell.
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
Because chemical synapses depend on the release of neurotransmitter molecules from synaptic vesicles to pass on their signal, there is an approximately one millisecond delay between when the axon potential reaches the presynaptic terminal and when the neurotransmitter leads to opening of postsynaptic ion channels. Additionally, this signaling is...
3.8K
Cross-bridge Cycle
120.6K
As muscle contracts, the overlap between the thin and thick filaments increases, decreasing the length of the sarcomere—the contractile unit of the muscle—using energy in the form of ATP. At the molecular level, this is a cyclic, multistep process that involves binding and hydrolysis of ATP, and movement of actin by myosin.
120.6K
