Hotchkiss Brain Institute, University of Calgary, Canada.
Mult Scler. 2014 Jan;20(1):3-11. doi: 10.1177/1352458513512709. Epub 2013 Nov 21.
Major advances are taking place in the development of therapeutics for multiple sclerosis (MS), with a move past traditional immunomodulatory/immunosuppressive therapies toward medications aimed at promoting remyelination or neuroprotection. With an increase in diversity of MS therapies comes the need to assess the effectiveness of such therapies. Magnetic resonance imaging (MRI) is one of the main tools used to evaluate the effectiveness of MS therapeutics in clinical trials. As all new therapeutics for MS are tested in animal models first, it is logical that MRI be incorporated into preclinical studies assessing therapeutics. Here, we review key papers showing how MR imaging has been combined with a range of animal models to evaluate potential therapeutics for MS. We also advise on how to maximize the potential for incorporating MRI into preclinical studies evaluating possible therapeutics for MS, which should improve the likelihood of discovering new medications for the condition.
多发性硬化症(MS)治疗方法的发展取得了重大进展,已经超越了传统的免疫调节/免疫抑制疗法,转向旨在促进髓鞘再生或神经保护的药物。随着 MS 治疗方法的多样性增加,需要评估这些疗法的有效性。磁共振成像(MRI)是评估临床试验中 MS 治疗效果的主要工具之一。由于所有新的 MS 治疗药物首先在动物模型中进行测试,因此将 MRI 纳入评估治疗药物的临床前研究是合理的。在这里,我们回顾了一些关键论文,这些论文展示了如何将磁共振成像与一系列动物模型相结合,以评估 MS 的潜在治疗药物。我们还就如何最大限度地提高将 MRI 纳入评估 MS 潜在治疗药物的临床前研究的潜力提出了建议,这将提高发现该疾病新药物的可能性。