预测多发性硬化症的临床发病:挑战和机遇
Viviana Nociti1,2, Marina Romozzi1
1Neurologia, Dipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Journal of personalized medicine
|December 24, 2025
概括
多发性硬化症 (MS) 是一种慢性神经疾病,在诊断前几年的临床前阶段. 放射性隔离综合征 (RIS) 的早期干预可以显著降低患MS的风险.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 神经科学是一个神经科学.
背景情况:
- 多发性硬化症 (MS) 是一种慢性,免疫媒介的中枢神经系统疾病.
- 多发性硬化越来越多地被理解为临床症状出现前几年开始的连续性.
- 早期疾病活动受到遗传易感性,环境因素和神经炎症的影响.
研究的目的:
- 定义多发性硬化症的临床前和临床前阶段.
- 探索早期干预和风险分层的机会.
- 调查从无症状到临床确定的MS的过渡.
主要方法:
- 关于MS临床前和临床前阶段的最新研究的综述.
- 基于人口的队列分析,确定诊断前的医疗保健使用和症状.
- 评估放射性隔离综合征 (RIS) 作为早期疾病检测的模型.
主要成果:
- 临床前阶段包括一个生物阶段,其生物标志物 (例如神经纤维光链) 升高,以及一个具有微妙症状的产物阶段.
- 前兆症状可能包括疲劳,疼痛,认知和精神障碍以及胃肠道问题.
- 大约50%的RIS患者在10年内转化为MS;预测因素包括年轻的年龄,男性性别,CSF基细胞带和脊髓病变.
结论:
- 通过定义临床前和临床前多发性硬化症阶段,可以对风险分层进行细化.
- 早期干预,特别是RIS的疾病修饰疗法,可以减少转化为MS.
- 早期诊断和治疗有可能预防或延迟临床上确定的MS发作.
相关概念视频
Clinical Trials: Overview
4.5K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.5K
Preclinical Development: Overview
5.7K
Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
5.7K
Myasthenia Gravis: Overview and Treatment
2.7K
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...
2.7K
Drug Administration and Therapy Phases: Overview
1.1K
Drugs, the chemical agents used in diagnosing, treating, or preventing diseases, undergo a four-phase process of development: pharmaceutic, pharmacokinetics, pharmacodynamics, and therapeutic.
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
1.1K
Parkinson's Disease: Overview
1.7K
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
1.7K
Parkinson's Disease: Treatment
933
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
933


