Immunomodulation in multiple sclerosis: promises and pitfalls.

Abstract:

:Multiple sclerosis (MS) afflicts about 2.5 million people globally and poses a major personal and socioeconomic burden. The recognition of MS as an inflammatory disease, characterized by infiltration of immune cells into the central nervous system, has spurred research into the autoimmune etiology of the condition and has provided the rationale for its treatment through immunomodulation. Experience with immunotherapies in MS to date has suggested a disparity between the observed immune cell infiltration and the progressive loss of neurons. However, recent clinical efforts are providing new insights into progressive MS that once again place the immune system at center stage. This article reviews the main mechanisms of MS immunopathogenesis, and the benefits, risks and challenges of immunomodulatory treatments for the disease.

journal_name

Curr Opin Immunol

authors

Dendrou CA,Fugger L

doi

10.1016/j.coi.2017.08.013

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

37-43

eissn

0952-7915

issn

1879-0372

pii

S0952-7915(17)30046-8

journal_volume

49

pub_type

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