免疫发育和多发性硬化症:对预后和治疗考虑具有炎症影响
Smathorn Thakolwiboon1, Elizabeth A Mills1, Jennifer Yang1
1Department of Neurology, University of Michigan, Ann Arbor, MI, United States.
Frontiers in aging
|October 30, 2023
概括
衰老会损害免疫反应 (免疫发生),影响老年人患多发性硬化症 (MS). 本综述探讨了免疫发生机制和对MS治疗反应的临床影响.
科学领域:
- 免疫学 免疫学 免疫学
- 神经免疫学 神经免疫学
- 老年学是一门学科.
背景情况:
- 老龄化导致免疫系统衰退 (免疫发生),影响多发性硬化症 (MS) 病程和治疗.
- 多发性硬化症的表型因年龄而异:在年轻患者中复发缓解,在老年患者中进展.
- 目前针对适应性免疫的治疗方法在老年多发性硬化症患者中有效性有限.
研究的目的:
- 审查多发性硬化症中免疫发育的免疫机制.
- 讨论免疫衰变对MS疾病进展和治疗反应的临床影响.
主要方法:
- 对MS患者免疫衰变的最新免疫机制学研究的综述.
- 分析免疫和MS疾病表型之间的联系.
- 在疾病修饰疗法 (DMT) 的疗效中免疫衰变作用的评估.
主要成果:
- 免疫性产生会影响MS患者的先天性和适应性免疫力.
- 缺陷的先天免疫力 (微细胞,星球细胞) 有助于残疾的进展和神经退行.
- 与年龄相关的免疫变化会影响多发性硬化症的病程和治疗结果.
结论:
- 免疫发生是MS的关键因素,特别是在老年人中.
- 了解免疫发生是开发进展性MS的有效治疗方法的关键.
- 针对与年龄相关的免疫变化可能会改善老年多发性硬化症患者的DMT疗效.
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