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核酸作为治疗多发性硬化症发病和进展的新型治疗方式。

Nucleic Acids as Novel Therapeutic Modalities to Address Multiple Sclerosis Onset and Progression.

机构信息

Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran.

出版信息

Cell Mol Neurobiol. 2022 Nov;42(8):2611-2627. doi: 10.1007/s10571-021-01158-4. Epub 2021 Oct 25.

DOI:10.1007/s10571-021-01158-4
PMID:34694513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11421605/
Abstract

The issue of treating Multiple Sclerosis (MS) begins with disease-modifying treatments (DMTs) which may cause lymphopenia, dyspnea, and many other adverse effects. Consequently, further identification and evaluation of alternative treatments are crucial to monitoring their long-term outcomes and hopefully, moving toward personalized approaches that can be translated into clinical treatments. In this article, we focused on the novel therapeutic modalities that alter the interaction between the cellular constituents contributing to MS onset and progression. Furthermore, the studies that have been performed to evaluate and optimize drugs' efficacy, and particularly, to show their limitations and strengths are also presented. The preclinical trials of novel approaches for multiple sclerosis treatment provide promising prospects to cure the disease with pinpoint precision. Considering the fact that not a single treatment could be effective enough to cover all aspects of MS treatment, additional researches and therapies need to be developed in the future. Since the pathophysiology of MS resembles a jigsaw puzzle, researchers need to put a host of pieces together to create a promising window towards MS treatment. Thus, a combination therapy encompassing all these modules is highly likely to succeed in dealing with the disease. The use of different therapeutic approaches to re-induce self-tolerance in autoreactive cells contributing to MS pathogenesis is presented. A Combination therapy using these tools may help to deal with the clinical disabilities and symptoms of the disease in the future.

摘要

多发性硬化症(MS)的治疗问题始于疾病修饰治疗(DMT),其可能导致淋巴细胞减少、呼吸困难和许多其他不良反应。因此,进一步识别和评估替代治疗方法对于监测其长期结果至关重要,并希望朝着可以转化为临床治疗的个性化方法前进。在本文中,我们重点介绍了改变导致 MS 发病和进展的细胞成分相互作用的新型治疗方式。此外,还介绍了为评估和优化药物疗效而进行的研究,特别是为了展示其局限性和优势。新型多发性硬化症治疗方法的临床前试验为精确治愈该疾病提供了有希望的前景。鉴于没有一种单一的治疗方法可以有效涵盖 MS 治疗的所有方面,未来还需要开发更多的研究和治疗方法。由于 MS 的病理生理学类似于拼图,研究人员需要将许多部分组合在一起,为 MS 治疗创造一个有希望的窗口。因此,包含所有这些模块的联合疗法极有可能成功应对该疾病。本文提出了使用不同的治疗方法重新诱导导致 MS 发病机制的自身反应性细胞的自身耐受性。未来,使用这些工具的联合疗法可能有助于应对疾病的临床残疾和症状。

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