Fang Zhiwei, Yang Yunqi, Chen Xuan, Zhang Weiwang, Xie Yangmei, Chen Yinghui, Liu Zhenguo, Yuan Weien
Department of Neurology, Xinhua Hospital Affiliated to the Medical School of Shanghai Jiao Tong University, Shanghai, China.
School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China.
Front Immunol. 2017 Apr 25;8:395. doi: 10.3389/fimmu.2017.00395. eCollection 2017.
In this comprehensive article, we present an overview of some most common autoimmune antibodies believed to be potentially pathogenic for autoimmune epilepsies and elaborate their pathogenic mode of action in molecular levels based on the existing knowledge. Findings of the studies of immunemodulatory treatments for epilepsy are also discussed, and guidelines for immunotherapy are sorted out. We aim to summarize the emerging understanding of different pathogenic mechanisms of autoantibodies and clinical immunotherapy regimens to open up therapeutic possibilities for future optimum therapy. We conclude that early diagnosis of autoimmune epilepsy is of great significance, as early immune treatments have useful disease-modifying effects on some epilepsies and can facilitate the recovery.
在这篇综合性文章中,我们概述了一些被认为可能对自身免疫性癫痫具有潜在致病性的最常见自身免疫抗体,并根据现有知识阐述了它们在分子水平上的致病作用方式。还讨论了癫痫免疫调节治疗的研究结果,并梳理了免疫治疗指南。我们旨在总结对自身抗体不同致病机制和临床免疫治疗方案的新认识,为未来的最佳治疗开辟治疗可能性。我们得出结论,自身免疫性癫痫的早期诊断具有重要意义,因为早期免疫治疗对某些癫痫具有有益的疾病改善作用,并可促进恢复。