The pathogenesis and basis for treatment in multiple sclerosis

被引:19
作者
Compston, A [1 ]
机构
[1] Univ Cambridge, Addenbrookes Hosp, Sch Clin Med, Cambridge CB2 2QQ, England
关键词
multiple sclerosis; axonal injury; demyelination; remyelination; pathogenesis; immunology;
D O I
10.1016/j.clineuro.2004.02.007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The central concept underlying ideas on the pathogenesis of multiple sclerosis is that inflammatory events cause acute injury of axons and myelin. The phases of symptom onset, recovery, persistence and progression in multiple sclerosis can be summarized as functional impairment with intact structure due to direct effects of inflammatory mediators, demyelination and axonal injury with recovery through plasticity and remyelination, and chronic axonal loss due to failure of enduring remyelination from loss of trophic support for axons normally provided by cells of the oligodendrocyte lineage. (C) 2004 Elsevier B.V. All rights reserved.
引用
收藏
页码:246 / 248
页数:3
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