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组蛋白修饰剂诱导的针对自身免疫性脑脊髓炎的保护作用对多发性硬化症治疗的影响。

Impact of histone modifier-induced protection against autoimmune encephalomyelitis on multiple sclerosis treatment.

作者信息

Jayaraman Sundararajan, Jayaraman Arathi

机构信息

Department of Surgery, University of Illinois College of Medicine, Peoria, IL, United States.

Xavier University School of Medicine, Oranjestad, Aruba.

出版信息

Front Neurol. 2022 Oct 14;13:980758. doi: 10.3389/fneur.2022.980758. eCollection 2022.

Abstract

Multiple sclerosis is a progressive demyelinating central nervous system disorder with unknown etiology. The condition has heterogeneous presentations, including relapsing-remitting multiple sclerosis and secondary and primary progressive multiple sclerosis. The genetic and epigenetic mechanisms underlying these various forms of multiple sclerosis remain elusive. Many disease-modifying therapies approved for multiple sclerosis are broad-spectrum immunomodulatory drugs that reduce relapses but do not halt the disease progression or neuroaxonal damage. Some are also associated with many severe side effects, including fatalities. Improvements in disease-modifying treatments especially for primary progressive multiple sclerosis remain an unmet need. Several experimental animal models are available to decipher the mechanisms involved in multiple sclerosis. These models help us decipher the advantages and limitations of novel disease-modifying therapies for multiple sclerosis.

摘要

多发性硬化症是一种病因不明的进行性脱髓鞘中枢神经系统疾病。该病表现多样,包括复发缓解型多发性硬化症、继发进展型和原发进展型多发性硬化症。这些不同形式的多发性硬化症背后的遗传和表观遗传机制仍不清楚。许多被批准用于治疗多发性硬化症的疾病修正疗法是广谱免疫调节药物,可减少复发,但不能阻止疾病进展或神经轴突损伤。有些药物还伴有许多严重的副作用,包括死亡。尤其是针对原发进展型多发性硬化症的疾病修正治疗仍有待改进。有几种实验动物模型可用于解读多发性硬化症所涉及的机制。这些模型有助于我们了解新型多发性硬化症疾病修正疗法的优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f62c/9614082/7f3a6bfcb8cb/fneur-13-980758-g0001.jpg

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