The Present and Future of Monoclonal Antibody Therapies for Multiple Sclerosis.

IF 6.9 2区 医学 Q1 IMMUNOLOGY
Silvia Susin-Calle, Elvira Munteis, Pablo Villoslada, Jose E Martinez-Rodriguez
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引用次数: 0

Abstract

Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system characterized by inflammation, demyelination, and neurodegeneration. Advances in understanding MS immunopathogenesis have led to the development of monoclonal antibodies (MABs) that target key immune pathways, providing highly selective and effective treatment options. Approved MABs, including those against CD20, CD25, CD52, and α4‑integrin, have demonstrated robust efficacy in reducing relapse rates, suppressing MRI activity, and, to some extent, slowing disability progression. Meanwhile, emerging agents aim to modulate neuroinflammation, promote remyelination, and improve safety profiles. This review summarizes the mechanisms of action, clinical efficacy, safety, and future perspectives of MAB therapies in MS, highlighting lessons from discontinued agents and opportunities for next‑generation therapeutics.

单克隆抗体治疗多发性硬化症的现状和未来。
多发性硬化症(MS)是一种以炎症、脱髓鞘和神经退行性变为特征的中枢神经系统慢性自身免疫性疾病。随着对多发性硬化症免疫发病机制的深入了解,针对关键免疫通路的单克隆抗体(mab)应运而生,为多发性硬化症提供了高度选择性和有效的治疗选择。已获批的单克隆抗体,包括针对CD20、CD25、CD52和α4整合素的单克隆抗体,已证明在降低复发率、抑制MRI活性以及在一定程度上减缓残疾进展方面具有强大的疗效。同时,新兴药物旨在调节神经炎症,促进髓鞘再生,提高安全性。本文综述了单克隆抗体治疗多发性硬化症的作用机制、临床疗效、安全性和未来前景,重点介绍了停用药物的经验教训和下一代治疗方法的机遇。
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
BioDrugs
BioDrugs 医学-免疫学
CiteScore
12.60
自引率
2.90%
发文量
50
审稿时长
>12 weeks
期刊介绍: An essential resource for R&D professionals and clinicians with an interest in biologic therapies. BioDrugs covers the development and therapeutic application of biotechnology-based pharmaceuticals and diagnostic products for the treatment of human disease. BioDrugs offers a range of additional enhanced features designed to increase the visibility, readership and educational value of the journal’s content. Each article is accompanied by a Key Points summary, giving a time-efficient overview of the content to a wide readership. Articles may be accompanied by plain language summaries to assist patients, caregivers and others in understanding important medical advances. The journal also provides the option to include various other types of enhanced features including slide sets, videos and animations. All enhanced features are peer reviewed to the same high standard as the article itself. Peer review is conducted using Editorial Manager®, supported by a database of international experts. This database is shared with other Adis journals.
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