ALSUntangled #84 - ivermectin.

IF 2.8
Benjamin Helmold, Carmel Armon, Michael Benatar, Tulio Bertorini, Mark Bromberg, Andrew Brown, Javier Mascias Cadavid, Olimpia Carbunar, Gregory T Carter, Jesse Crayle, Eva Feldman, Juliette Foucher, Jonathan Glass, Ethan Greenstein, Sartaj Jhooty, Nan Jiang, Noah Nathan Kochen, Christopher McDermott, Natasha Olby, Gary Pattee, Devon Porter, Alan Premasari, Anusha Rao, Dylan Ratner, Kim Staats, Elia Tito, Fernando Vieira, Paul Wicks, Richard Bedlack
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Abstract

ALSUntangled reviews alternative and off-label treatments for people living with amyotrophic lateral sclerosis (PALS). In this review, we explore the possibility of using ivermectin to slow ALS progression. Ivermectin's ability to modulate neuroinflammation and excitotoxicity give it plausible mechanisms for treating ALS, though it does not get into the brain very well. One preclinical study demonstrated that ivermectin lengthened lifespan within a mouse model of mSOD1 genetic ALS. This finding has not been replicated. The 2 PALS we found who had data comparing ALSFRS-R progression on and off ivermectin appeared to have no benefit from it. We found no trials of ivermectin in PALS. Ivermectin is low cost and generally well tolerated with most adverse effects being mild and transient, but serious side effects can rarely occur, and it has not been carefully studied in PALS. We cannot at present endorse ivermectin as an ALS treatment.

84号-伊维菌素。
ALSUntangled回顾了肌萎缩性侧索硬化症(PALS)患者的替代治疗和非适应症治疗。在这篇综述中,我们探讨了使用伊维菌素延缓ALS进展的可能性。伊维菌素调节神经炎症和兴奋性毒性的能力使其成为治疗ALS的合理机制,尽管它不能很好地进入大脑。一项临床前研究表明,伊维菌素延长了mSOD1遗传性ALS小鼠模型的寿命。这一发现尚未得到证实。我们发现的2例pal有比较使用和停用伊维菌素的ALSFRS-R进展的数据,似乎没有从中获益。我们没有发现在PALS中使用伊维菌素的试验。伊维菌素成本低,一般耐受性好,大多数不良反应是轻微和短暂的,但很少发生严重的副作用,尚未在PALS中仔细研究。目前我们不能认可伊维菌素作为ALS的治疗方法。
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