Yang Xiaolin, Zhang Shaoru, Feng Jinzhou, Qin Xinyue
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China.
Ther Adv Neurol Disord. 2025 Apr 12;18:17562864251328276. doi: 10.1177/17562864251328276. eCollection 2025.
Neuromyelitis optic spectrum disorder (NMOSD) is a rare autoimmune disease characterized by recurrent episodes and severe debilitation. It primarily involves the central nervous system and is associated with the presence of aquaporin-4 antibodies. Effective management of NMOSD necessitates long-term therapeutic strategies that focus on alleviating symptoms during acute episodes and preventing relapse. In recent years, the approval of emerging biologics targeting B cells, interleukin-6 receptors, and the complement pathway has marked a transformative development in NMOSD treatment. This article provides a comprehensive review of therapeutic advances in NMOSD, integrating the current literature to serve as a theoretical basis for clinical decision-making of NMOSD patients.
视神经脊髓炎谱系障碍(NMOSD)是一种罕见的自身免疫性疾病,其特征为反复发作和严重功能障碍。它主要累及中枢神经系统,并与水通道蛋白4抗体的存在相关。NMOSD的有效管理需要长期治疗策略,重点是在急性发作期缓解症状并预防复发。近年来,针对B细胞、白细胞介素-6受体和补体途径的新型生物制剂的获批标志着NMOSD治疗取得了变革性进展。本文全面综述了NMOSD的治疗进展,整合当前文献以为NMOSD患者的临床决策提供理论依据。