The Impact of Aging on Multiple Sclerosis.

IF 4.8 2区 医学 Q1 CLINICAL NEUROLOGY
Christopher E Goyne, Ashley E Fair, Paige E Sumowski, Jennifer S Graves
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引用次数: 0

Abstract

Purpose of review: Multiple sclerosis (MS) is a chronic, immune-mediated demyelinating disorder of the central nervous system. Age is one of the most important factors in determining MS phenotype. This review provides an overview of how age influences MS clinical characteristics, pathology, and treatment.

Recent findings: New methods for measuring aging have improved our understanding of the aging process in MS. New studies have characterized the molecular and cellular composition of chronic active or smoldering plaques in MS. These lesions are important contributors to disability progression in MS. These studies highlight the important role of immunosenescence and the innate immune system in sustaining chronic inflammation. Given these changes in immune function, several studies have assessed optimal treatment strategies in aging individuals with MS. MS phenotype is intimately linked with chronologic age and immunosenescence. While there are many unanswered questions, there has been much progress in understanding this relationship which may lead to more effective treatments for progressive disease.

Abstract Image

衰老对多发性硬化症的影响。
审查目的:多发性硬化症(MS)是一种慢性、免疫介导的中枢神经系统脱髓鞘疾病。年龄是决定多发性硬化症表型的最重要因素之一。本综述概述了年龄如何影响多发性硬化症的临床特征、病理和治疗:测量衰老的新方法提高了我们对多发性硬化症衰老过程的认识。新的研究揭示了多发性硬化症慢性活动斑块或烟雾斑块的分子和细胞组成。这些病变是导致多发性硬化症残疾进展的重要因素。这些研究强调了免疫衰老和先天性免疫系统在维持慢性炎症中的重要作用。鉴于免疫功能的这些变化,一些研究对多发性硬化症老年患者的最佳治疗策略进行了评估。多发性硬化症的表型与实际年龄和免疫衰老密切相关。虽然还有许多问题尚未解答,但在理解这种关系方面已经取得了很大进展,这可能会为进展性疾病带来更有效的治疗方法。
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来源期刊
CiteScore
9.20
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.
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