用托弗森治疗SOD1-ALS会导致非进展性慢性ALS - - 来自冰岛的一系列病例
Bjorn Logi Thorarinsson1, Olafur Arni Sveinsson2,3, Agust Hilmarsson2
1Landspitali University Hospital Reykjavik, Skaftahlid 24, 105, Reykjavik, Iceland. bjornlth@landspitali.is.
Journal of neurology
|February 11, 2026
概括
用tofersen治疗,一种反感性寡核酸,在四名SOD1突变异位侧硬化症 (ALS) 患者中停止了疾病进展并改善了运动功能. 这种精准医学方法导致了非进展性ALS表型,并降低了神经丝光链水平.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 肌缩侧面硬化症 (ALS) 是一种进展性神经退行性疾病.
- 遗传形式的ALS与特定的遗传突变有关,例如SOD1基因.
- 目前针对ALS的治疗方法在阻止疾病进展方面有效性有限.
研究的目的:
- 评估p.Gly94Ser SOD1突变引起的遗传ALS的患者内垂体托弗森的安全性和疗效.
- 评估托弗森对临床疾病进展和脑脊液神经丝光链 (Nf-L) 水平的影响.
- 为了研究在托弗森治疗后出现非进展性ALS表型的可能性.
主要方法:
- 每月一次注射反感性寡核酸tofersen.
- 临床评估疾病进展和运动功能 (ALSFRS-R评分).
- 测量脑脊液 (CSF) 神经丝光链 (Nf-L) 度.
主要成果:
- 在治疗15-26个月的4名患者中没有观察到显著的临床恶化.
- 三名患者表现出临床改善和运动功能部分恢复的迹象.
- 所有四名患者都表现出慢性非进展性ALS表型,其中CSF Nf-L水平降至正常范围.
- 无论最初的疾病严重程度如何,都观察到临床益处和NF-L减少.
- 没有报告任何严重的不良事件.
结论:
- 内托弗森在SOD1突变ALS患者中显示出具有临床意义的益处,包括停止进展和改善运动功能.
- 托弗森治疗可能会诱导非进展性ALS表型,并使Nf-L水平正常化,表明潜在的疾病修饰作用.
- 这种精准医学方法对ALS的治疗有重大意义,特别是在SOD1突变患者中.
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