The Impact of Epstein-Barr Virus on Autoimmune Neuromuscular Disorders: A Comparative Study of Myasthenia Gravis and Guillain–Barre Syndrome

IF 2 4区 医学 Q1 Medicine
Anu Shibi Anilkumar, Ramakrishnan Veerabathiran
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Abstract

Purpose of Review

The aim is to elucidate the mechanisms of autoimmune dysregulation that contribute to the onset and course of Guillain–Barre Syndrome (GBS) and Myasthenia Gravis (MG), with an emphasis on the important role that the Epstein-Barr virus (EBV) plays as an exacerbator or trigger of these autoimmune reactions. It further explores diagnostic strategies and therapeutic approaches to improve patient outcomes.

Recent Findings

Recent researches have underscored the challenging nature of EBV due to its insidious behavior and persistent latency, which make it difficult to create successful preventive and therapeutic approaches. These discoveries have revealed how EBV's ability to induce host immune dysfunction can exacerbate or spark inflammatory processes, leading to its association with various autoimmune diseases such as systemic lupus erythematosus, multiple sclerosis, rheumatoid arthritis, and Sjögren's syndrome. Moreover, this review will shed light on the intricate connections between EBV and autoimmune neuromuscular disorders like MG and GBS, emphasizing the urgent requirement for further investigation to devise effective strategies against EBV-related conditions.

Summary

MG and GBS, while both autoimmune illnesses affecting the neuromuscular system, differ greatly in their pathogenesis and clinical presentation. Viral infections, notably EBV, are vital in causing or aggravating these diseases. Understanding the link between EBV and autoimmune dysregulation could enhance diagnostic accuracy, therapeutic approaches, and preventive options, such as antiviral medications or vaccinations. Continued research and interdisciplinary collaboration are crucial to clarify how EBV affects MG and GBS, potentially leading to tailored treatments. Identifying precise biomarkers and pathways will improve clinical protocols, public health standards, and education on the EBV-autoimmunity relationship.

Abstract Image

爱泼斯坦-巴氏病毒对自身免疫性神经肌肉疾病的影响:重症肌无力与格林-巴利综合征的比较研究
综述目的综述旨在阐明导致格林-巴利综合征(GBS)和重症肌无力(MG)发病和病程的自身免疫调节失调机制,重点关注爱泼斯坦-巴氏病毒(EBV)作为这些自身免疫反应的加重因子或触发因子所发挥的重要作用。最近的研究结果近期的研究强调了 EBV 的挑战性,因为它具有隐匿性和持续潜伏性,这使得它很难创造出成功的预防和治疗方法。这些发现揭示了 EBV 诱导宿主免疫功能紊乱的能力如何加剧或引发炎症过程,从而导致其与系统性红斑狼疮、多发性硬化症、类风湿性关节炎和斯约格伦综合征等各种自身免疫性疾病的关联。此外,这篇综述还将阐明 EBV 与 MG 和 GBS 等自身免疫性神经肌肉疾病之间错综复杂的联系,强调迫切需要进一步研究,以制定有效的策略来应对 EBV 相关疾病。摘要 MG 和 GBS 虽然都是影响神经肌肉系统的自身免疫性疾病,但在发病机制和临床表现上却有很大不同。病毒感染,尤其是 EBV,是导致或加重这些疾病的关键因素。了解 EBV 与自身免疫失调之间的联系可以提高诊断的准确性、治疗方法和预防方案(如抗病毒药物或疫苗接种)。持续的研究和跨学科合作对于阐明 EBV 如何影响 MG 和 GBS 至关重要,这有可能导致量身定制的治疗方法。确定精确的生物标志物和途径将改进临床方案、公共卫生标准以及有关 EBV 与自身免疫关系的教育。
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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
40
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published treatment option advances in the field of neurology. By presenting clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to the treatment of neurologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as epilepsy, headache, neurologic ophthalmology and otology, neuromuscular disorders, psychiatric manifestations of neurologic disease, and sleep disorders. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known neurologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.
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