Axonal degeneration in the pathogenesis of multiple sclerosis.

Abstract:

:Axonal degeneration plays an important role in the accumulation of disability in patients with multiple sclerosis (MS). Pathological studies have demonstrated axonal damage, particularly in areas of acute inflammation and demyelination, and in chronic lesions. Axonal loss and its progression, which is associated with neurological disability, has also been demonstrated by magnetic resonance imaging (MRI) studies. The mechanisms of axonal loss are uncertain, but may involve axonal degeneration secondary to demyelination, or damage to the axonal cytoskeleton. Inflammatory mediators, including cytokines and proteolytic enzymes may contribute to axonal damage, as may nitric oxide. Axonal destruction may also be due to immune attack directed at axonal components. The realisation that axonal degeneration is a fundamental component of MS that may occur early in the disease course should alter the approach to management and open avenues to a more targeted immunotherapy aimed at reducing the progression of disability.

journal_name

J Neurol Sci

authors

Silber E,Sharief MK

doi

10.1016/s0022-510x(99)00178-1

subject

Has Abstract

pub_date

1999-11-15 00:00:00

pages

11-8

issue

1

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(99)00178-1

journal_volume

170

pub_type

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