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用于治疗多发性硬化症的药物应用进展

Progress in the Application of Drugs for the Treatment of Multiple Sclerosis.

作者信息

Wei Weipeng, Ma Denglei, Li Lin, Zhang Lan

机构信息

Department of Pharmacy, Xuanwu Hospital of Capital Medical University, Beijing, China.

National Clinical Research Center for Geriatric Diseases, Beijing, China.

出版信息

Front Pharmacol. 2021 Jul 13;12:724718. doi: 10.3389/fphar.2021.724718. eCollection 2021.

Abstract

Multiple sclerosis (MS) is an autoimmune and chronic inflammatory demyelinating disease of the central nervous system (CNS), which gives rise to focal lesion in CNS and cause physical disorders. Although environmental factors and susceptibility genes are reported to play a role in the pathogenesis of MS, its etiology still remains unclear. At present, there is no complete cure, but there are drugs that decelerate the progression of MS. Traditional therapies are disease-modifying drugs that control disease severity. MS drugs that are currently marketed mainly aim at the immune system; however, increasing attention is being paid to the development of new treatment strategies targeting the CNS. Further, the number of neuroprotective drugs is presently undergoing clinical trials and may prove useful for the improvement of neuronal function and survival. In this review, we have summarized the recent application of drugs used in MS treatment, mainly introducing new drugs with immunomodulatory, neuroprotective, or regenerative properties and their possible treatment strategies for MS. Additionally, we have presented Food and Drug Administration-approved MS treatment drugs and their administration methods, mechanisms of action, safety, and effectiveness, thereby evaluating their treatment efficacy.

摘要

多发性硬化症(MS)是一种中枢神经系统(CNS)的自身免疫性慢性炎症性脱髓鞘疾病,可导致CNS出现局灶性病变并引发身体功能障碍。尽管据报道环境因素和易感基因在MS的发病机制中起作用,但其病因仍不清楚。目前,尚无完全治愈方法,但有药物可减缓MS的进展。传统疗法是控制疾病严重程度的疾病修正药物。目前上市的MS药物主要针对免疫系统;然而,针对CNS的新治疗策略的开发正受到越来越多的关注。此外,目前神经保护药物正在进行临床试验,可能对改善神经元功能和存活有用。在本综述中,我们总结了MS治疗中药物的近期应用,主要介绍具有免疫调节、神经保护或再生特性的新药及其可能的MS治疗策略。此外,我们还介绍了美国食品药品监督管理局(FDA)批准的MS治疗药物及其给药方法、作用机制、安全性和有效性,从而评估其治疗效果。

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