CIDP 的新型疗法。

IF 8.7 1区 医学 Q1 CLINICAL NEUROLOGY
Devan Mair, Heba Madi, Filip Eftimov, Michael P Lunn, Stephen Keddie
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引用次数: 0

摘要

慢性炎症性脱髓鞘多发性神经病(CIDP)是一种异质性疾病,但在临床上有明确的描述。它是通过几种不甚明了的机制进行免疫介导的。类固醇、静脉注射免疫球蛋白(IVIG)或血浆置换的一线疗法对约三分之二的患者有效。我们对自身免疫性疾病的许多关键病理过程的认识正在不断扩展,新型靶向疗法也正在开发中,并有望用于多种自身免疫性神经系统疾病。这篇叙述性综述首先详细介绍了 CIDP 的关键致病机制,然后深入阐述了潜在的新型疗法及其在临床实践中应用的现有证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel therapies in CIDP.

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a heterogeneous but clinically well-described disease within circumscribed parameters. It is immunologically mediated through several poorly understood mechanisms. First-line therapies with steroids, intravenous immunoglobulin (IVIG) or plasma exchange are each effective in about two-thirds of patients. These treatments are seldom associated with complete resolution or cure, and often pose considerable practical, financial and medical implications.Our understanding of many of the key pathological processes in autoimmune diseases is expanding, and novel targeted therapeutics are being developed with promise in several autoimmune neurological disorders.This narrative review looks first at detailing key pathogenic mechanisms of disease in CIDP, followed by an in-depth description of potential novel therapies and the current evidence of their application in clinical practice.

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来源期刊
CiteScore
15.70
自引率
1.80%
发文量
888
审稿时长
6 months
期刊介绍: The Journal of Neurology, Neurosurgery & Psychiatry (JNNP) aspires to publish groundbreaking and cutting-edge research worldwide. Covering the entire spectrum of neurological sciences, the journal focuses on common disorders like stroke, multiple sclerosis, Parkinson’s disease, epilepsy, peripheral neuropathy, subarachnoid haemorrhage, and neuropsychiatry, while also addressing complex challenges such as ALS. With early online publication, regular podcasts, and an extensive archive collection boasting the longest half-life in clinical neuroscience journals, JNNP aims to be a trailblazer in the field.
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