Exploring the Pathophysiology, Diagnosis, and Treatment Options of Multiple Sclerosis.

IF 2.7 4区 医学 Q3 NEUROSCIENCES
Simone Lorenzut, Ilaria Del Negro, Giada Pauletto, Lorenzo Verriello, Leopoldo Spadea, Carlo Salati, Mutali Musa, Caterina Gagliano, Marco Zeppieri
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引用次数: 0

Abstract

The complicated neurological syndrome known as multiple sclerosis (MS) is typified by demyelination, inflammation, and neurodegeneration in the central nervous system (CNS). Managing this crippling illness requires an understanding of the complex interactions between neurophysiological systems, diagnostic techniques, and therapeutic methods. A complex series of processes, including immunological dysregulation, inflammation, and neurodegeneration, are involved in the pathogenesis of MS. Gene predisposition, autoreactive T cells, B cells, and cytokines are essential participants in the development of the disease. Demyelination interferes with the ability of the CNS to transmit signals, which can cause a variety of neurological symptoms, including impaired motor function, sensory deficiencies, and cognitive decline. Developing tailored therapeutics requires understanding the underlying processes guiding the course of the disease. Neuroimaging, laboratory testing, and clinical examination are all necessary for an accurate MS diagnosis. Evoked potentials and cerebrospinal fluid studies assist in verifying the diagnosis, but magnetic resonance imaging (MRI) is essential for identifying distinctive lesions in the CNS. Novel biomarkers have the potential to increase diagnostic precision and forecast prognosis. The goals of MS treatment options are to control symptoms, lower disease activity, and enhance quality of life. To stop relapses and reduce the course of the disease, disease-modifying treatments (DMTs) target several components of the immune response. DMTs that are now on the market include interferons, glatiramer acetate, monoclonal antibodies, and oral immunomodulators; each has a unique mode of action and safety profile. Symptomatic treatments improve patients' general well-being by addressing specific symptoms, including pain, sphincter disorders, fatigue, and spasticity. Novel treatment targets, neuroprotective tactics, and personalized medicine techniques will be the main focus of MS research in the future. Improving long-term outcomes for MS patients and optimizing disease treatment may be possible by utilizing immunology, genetics, and neuroimaging developments. This study concludes by highlighting the complexity of multiple MS, including its changing therapeutic landscape, diagnostic problems, and neurophysiological foundations. A thorough grasp of these elements is essential to improving our capacity to identify, manage, and eventually overcome this intricate neurological condition.

探讨多发性硬化症的病理生理学、诊断和治疗方案。
多发性硬化症(MS)是一种复杂的神经系统综合征,其典型特征是脱髓鞘、炎症和中枢神经系统(CNS)的神经退行性变。管理这种致残性疾病需要理解神经生理系统、诊断技术和治疗方法之间复杂的相互作用。ms的发病机制涉及一系列复杂的过程,包括免疫失调、炎症和神经退行性变。基因易感性、自身反应性T细胞、B细胞和细胞因子是疾病发展的重要参与者。脱髓鞘干扰中枢神经系统传递信号的能力,可引起各种神经系统症状,包括运动功能受损、感觉缺陷和认知能力下降。开发量身定制的治疗方法需要了解指导疾病进程的潜在过程。神经影像学、实验室检查和临床检查都是准确诊断多发性硬化症的必要条件。诱发电位和脑脊液检查有助于确认诊断,但磁共振成像(MRI)对于识别中枢神经系统的特殊病变是必不可少的。新的生物标志物有可能提高诊断精度和预测预后。MS治疗方案的目标是控制症状,降低疾病活动,提高生活质量。为了阻止复发和缩短病程,疾病修饰治疗(dmt)针对免疫反应的几个组成部分。目前市场上的dmt包括干扰素、醋酸格拉替默、单克隆抗体和口服免疫调节剂;每个都有一个独特的行动模式和安全概况。对症治疗通过解决特定症状,包括疼痛、括约肌紊乱、疲劳和痉挛,改善患者的总体健康状况。新的治疗靶点、神经保护策略和个性化医疗技术将是未来MS研究的重点。利用免疫学、遗传学和神经影像学的发展,改善多发性硬化症患者的长期预后和优化疾病治疗可能成为可能。本研究总结了多发性硬化症的复杂性,包括其不断变化的治疗前景、诊断问题和神经生理学基础。彻底掌握这些因素对于提高我们识别、管理并最终克服这种复杂的神经系统疾病的能力至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.80
自引率
5.60%
发文量
173
审稿时长
2 months
期刊介绍: JIN is an international peer-reviewed, open access journal. JIN publishes leading-edge research at the interface of theoretical and experimental neuroscience, focusing across hierarchical levels of brain organization to better understand how diverse functions are integrated. We encourage submissions from scientists of all specialties that relate to brain functioning.
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