Progress in the Treatment of Refractory Myasthenia Gravis.

IF 0.6 4区 医学 Q4 CLINICAL NEUROLOGY
Dan Liu, Jialing Mao, Jing Song, Manxia Wang
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引用次数: 0

Abstract

Myasthenia gravis (MG) is an autoantibody-mediated, cellular immune-dependent and complement system-involved autoimmune disorder characterized by acquired neuromuscular junction transmission dysfunction driven by genetic and environmental factors. Approximately 10% therapies such as cholinesterase inhibitors, glucocorticoids, and immunosuppressants, resulting in the development of refractory MG (RMG). The current emergence of new therapeutic strategies such as targeted biologics (e.g., complement inhibitors, Fc receptor (FcRn) antagonists, etc.), B-cell depletion therapy, and Chimeric Antigen Receptor (CAR)-T cell therapy contribute to the significant improvement in the clinical management of RMG. Accordingly, the present study systematically reviewed the treatment progress of RMG, aiming to provide evidence-based individualized treatment decision-making clinically, alleviate patients' pain, and explore future research directions.

难治性重症肌无力的治疗进展。
重症肌无力(MG)是一种自身抗体介导、细胞免疫依赖和补体系统相关的自身免疫性疾病,以遗传和环境因素驱动的获得性神经肌肉连接传递功能障碍为特征。大约10%的治疗,如胆碱酯酶抑制剂、糖皮质激素和免疫抑制剂,导致难治性MG (RMG)的发展。目前出现的新的治疗策略,如靶向生物制剂(如补体抑制剂、Fc受体(FcRn)拮抗剂等)、b细胞耗竭疗法和嵌合抗原受体(CAR)-T细胞疗法,有助于显著改善RMG的临床管理。因此,本研究系统回顾了RMG的治疗进展,旨在为临床提供循证的个体化治疗决策,减轻患者疼痛,探索未来的研究方向。
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
Revista de neurologia
Revista de neurologia 医学-临床神经学
CiteScore
2.50
自引率
8.30%
发文量
117
审稿时长
3-8 weeks
期刊介绍: Revista de Neurología fomenta y difunde el conocimiento generado en lengua española sobre neurociencia, tanto clínica como experimental.
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