严重的神经侵入性西尼罗病毒与多发性硬化症的抗CD20单疗法相关
Simon Thebault1, Stephanie Gandelman2, Camryn Lane2
1From the Division of Multiple Sclerosis (S.T., S.G., C.L., E.J.K., C.P., L.Z., L.D.Y., M.K.S., J.R.B., C.M., A.B.-O., R.F., R.B., A.A.P., D.A.J.), Hospital of the University of Pennsylvania and Perelman School of Medicine; Division of Infectious Diseases (C.C.), Department of Medicine; and Weill Institute for Neurosciences (M.R.W.), Department of Neurology, University of California, San Francisco. Dina.Jacobs2@pennmedicine.upenn.edu.
神经侵入性西尼罗病毒 (WNV) 感染是多发性硬化症 (MS) 患者接受抗CD20治疗的风险. 诊断可能需要超越标准WNV血清学的高级测试.
科学领域:
- 神经免疫学 神经免疫学
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 抗CD20单疗法用于多发性硬化症 (MS).
- 西尼罗病毒 (WNV) 是一种神经向病毒.
- 免疫抑制可以增加对感染的易感性.
研究的目的:
- 在接受抗CD20治疗的MS患者中报告神经侵入性WNV感染的发展.
- 要突出诊断挑战和考虑WNV在这个患者群体.
主要方法:
- 案例系列研究.
- 在2009年接受ocrelizumab治疗的MS患者中观察了4例神经侵入性WNV感染.
- 将WNV感染率与一般人群的比较.
主要成果:
- 在接受抗CD20治疗的MS患者中,发现了四例神经侵入性WNV感染.
- 这些患者患病率显著,需要输管和重症监护.
- 温氏病毒血清学并不总是阳性,一些病例通过mNGS诊断.
结论:
- 神经侵入性WNV感染可以发生在抗CD20单一治疗中,即使没有其他免疫抑制剂.
- 标准WNV血清学可能是负的;考虑PCR或mNGS进行诊断.
- 这凸显了在WNV季节出现神经症状的患者考虑WNV的重要性.
相关概念视频
Autoimmune Disorders
Concept and Mechanism of Autoimmune Diseases
The immune...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Immunodeficiency Diseases
There are three main causes of immunodeficiency...
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...


