MULTIPLE-SCLEROSIS - SOME POSSIBLE THERAPEUTIC OPPORTUNITIES

被引:18
作者
DIJKSTRA, CD
POLMAN, CH
BERKENBOSCH, F
机构
[1] FREE UNIV AMSTERDAM,DEPT NEUROL,1007 MC AMSTERDAM,NETHERLANDS
[2] FREE UNIV AMSTERDAM,DEPT PHARMACOL,1007 MC AMSTERDAM,NETHERLANDS
关键词
D O I
10.1016/0165-6147(93)90083-V
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Multiple sclerosis (MS) is a human disease characterized by chronic demyelination in the brain caused by immunological mechanisms involving T lymphocytes and macrophages. Recently developed models of chronic relapsing forms of experimental allergic encephalomyelitis, sharing many of the clinical and pathological features of MS, and new discoveries of efficient autoregulatory mechanisms intrinsic to the immune system, have suggested new possibilities for therapeutic intervention in MS. Moreover, recent data support the concept that the immune system is exposed to a broad framework of regulation, including neuroendocrine control. In particular, interfering with secretion of the lactogenic hormone prolactin and of glucocorticoids has consistently resulted in a reduction of clinical and pathological manifestations of the disease. In this review, Frank Berkenbosch and colleagues highlight several of the possible therapeutic opportunities for the treatment of MS.
引用
收藏
页码:124 / 129
页数:6
相关论文
共 46 条
[1]   INCREASED PRODUCTION OF INTERFERON GAMMA AND TUMOR NECROSIS FACTOR PRECEDES CLINICAL MANIFESTATION IN MULTIPLE-SCLEROSIS - DO CYTOKINES TRIGGER OFF EXACERBATIONS [J].
BECK, J ;
RONDOT, P ;
CATINOT, L ;
FALCOFF, E ;
KIRCHNER, H ;
WIETZERBIN, J .
ACTA NEUROLOGICA SCANDINAVICA, 1988, 78 (04) :318-323
[2]   TGF-BETA-LIKE ACTIVITY PRODUCED DURING REGRESSION OF EXACERBATIONS IN MULTIPLE-SCLEROSIS [J].
BECK, J ;
RONDOT, P ;
JULLIEN, P ;
WIETZERBIN, J ;
LAWRENCE, DA .
ACTA NEUROLOGICA SCANDINAVICA, 1991, 84 (05) :452-455
[3]   A RANDOMIZED, CONTROLLED TRIAL OF CORTICOSTEROIDS IN THE TREATMENT OF ACUTE OPTIC NEURITIS [J].
BECK, RW ;
CLEARY, PA ;
ANDERSON, MM ;
KELTNER, JL ;
SHULTS, WT ;
KAUFMAN, DI ;
BUCKLEY, EG ;
CORBETT, JJ ;
KUPERSMITH, MJ ;
MILLER, NR ;
SAVINO, PJ ;
GUY, JR ;
TROBE, JD ;
MCCRARY, JA ;
SMITH, CH ;
CHROUSOS, GA ;
THOMPSON, HS ;
KATZ, BJ ;
BRODSKY, MC ;
GOODWIN, JA ;
ATWELL, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (09) :581-588
[4]  
BILIAU A, 1988, J IMMUNOL, V140, P1506
[5]   THE CLINICAL COURSE OF MULTIPLE-SCLEROSIS DURING PREGNANCY AND THE PUERPERIUM [J].
BIRK, K ;
FORD, C ;
SMELTZER, S ;
RYAN, D ;
MILLER, R ;
RUDICK, RA .
ARCHIVES OF NEUROLOGY, 1990, 47 (07) :738-742
[6]   THE EFFECTS OF THE ANTI-GLUCOCORTICOID RU-38486 ON STEROID-MEDIATED SUPPRESSION OF EXPERIMENTAL ALLERGIC ENCEPHALOMYELITIS (EAE) IN THE LEWIS RAT [J].
BOLTON, C ;
FLOWER, RJ .
LIFE SCIENCES, 1989, 45 (01) :97-104
[7]   THE DETECTION OF LIPOCORTINS 1, 2 AND 5 IN CENTRAL-NERVOUS-SYSTEM TISSUES FROM LEWIS RATS WITH ACUTE EXPERIMENTAL ALLERGIC ENCEPHALOMYELITIS [J].
BOLTON, C ;
ELDERFIELD, AJ ;
FLOWER, RJ .
JOURNAL OF NEUROIMMUNOLOGY, 1990, 29 (1-3) :173-181
[8]   PROTEINASE-INHIBITORS SUPPRESS THE DEVELOPMENT OF EXPERIMENTAL ALLERGIC ENCEPHALOMYELITIS [J].
BROSNAN, CF ;
CAMMER, W ;
NORTON, WT ;
BLOOM, BR .
NATURE, 1980, 285 (5762) :235-237
[9]   THE IMMUNE-HYPOTHALAMO-PITUITARY-ADRENAL AXIS AND AUTOIMMUNITY [J].
DERIJK, R ;
BERKENBOSCH, F .
INTERNATIONAL JOURNAL OF NEUROSCIENCE, 1991, 59 (1-3) :91-100
[10]   THE THERAPEUTIC EFFECT OF BROMOCRIPTINE ON ACUTE AND CHRONIC EXPERIMENTAL ALLERGIC ENCEPHALOMYELITIS [J].
DIJKSTRA, CD ;
VANDERVOORT, ER ;
DEGROOT, CJA ;
UITDEHAAG, BMJ ;
POLMAN, CH ;
BERKENBOSCH, F .
ANNALS OF NEUROLOGY, 1992, 31 (04) :450-451