IMMUNOPATHOGENESIS AND TREATMENT OF THE GUILLAIN-BARRE-SYNDROME .2.

被引:96
作者
HARTUNG, HP [1 ]
POLLARD, JD [1 ]
HARVEY, GK [1 ]
TOYKA, KV [1 ]
机构
[1] UNIV SYDNEY,INST CLIN NEUROSCI,SYDNEY,NSW 2006,AUSTRALIA
关键词
GUILLAIN-BARRE SYNDROME; CAMPYLOBACTER JEJUNI; GANGLIOSIDE ANTIBODIES; MOLECULAR MIMICRY; PLASMA EXCHANGE; IVIG; MANAGEMENT;
D O I
10.1002/mus.880180203
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In the second part of our review the role of antecedent infections in the pathogenesis of GBS is discussed, The association with Campylobacter jejuni (C. jejuni) is highlighted and the concept of molecular mimicry, i.e., sharing of epitopes between microbes and peripheral nerve, explained. Alternative mechanisms to relate an infection with the immune-mediated neuropathy are elaborated, Current therapies of the GBS include plasma exchange, high-dose intravenous immunoglobulins, and supportive treatment directed to secondary complications. Published therapeutic trials are reviewed and future approaches are outlined. Principles of general care are also summarized. (C) 1995 John Wiley and Sons, Inc.
引用
收藏
页码:154 / 164
页数:11
相关论文
共 120 条
[11]   THE GUILLAIN-BARRE-SYNDROME FOLLOWING CAMPYLOBACTER ENTERITIS WITH RECOVERY AFTER PLASMAPHERESIS [J].
CONSTANT, OC ;
BENTLEY, CC ;
DENMAN, AM ;
LEHANE, JR ;
LARSON, HE .
JOURNAL OF INFECTION, 1983, 6 (01) :89-91
[12]   RECURRENT MIGRAINE AND INTRAVENOUS IMMUNE GLOBULIN THERAPY [J].
CONSTANTINESCU, CS ;
CHANG, AP ;
MCCLUSKEY, LF .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (08) :583-584
[13]  
COVER TL, 1989, ANNU REV MED, V40, P269
[14]   PARTIAL-PURIFICATION AND CHARACTERIZATION OF THE ENTEROTOXIN PRODUCED BY CAMPYLOBACTER-JEJUNI [J].
DAIKOKU, T ;
KAWAGUCHI, M ;
TAKAMA, K ;
SUZUKI, S .
INFECTION AND IMMUNITY, 1990, 58 (08) :2414-2419
[16]   CARDIOVASCULAR AUTONOMIC DYSFUNCTION IN GUILLAIN-BARRE-SYNDROME - THERAPEUTIC IMPLICATIONS OF SWAN-GANZ MONITORING [J].
DALOS, NP ;
BOREL, C ;
HANLEY, DF .
ARCHIVES OF NEUROLOGY, 1988, 45 (01) :115-117
[17]  
DERKSEN RHWM, 1984, J LAB CLIN MED, V104, P35
[18]   MODULATION OF AUTOIMMUNITY BY INTRAVENOUS IMMUNE GLOBULIN THROUGH INTERACTION WITH THE FUNCTION OF THE IMMUNE IDIOTYPIC NETWORK [J].
DIETRICH, G ;
KAVERI, SV ;
KAZATCHKINE, MD .
CLINICAL IMMUNOLOGY AND IMMUNOPATHOLOGY, 1992, 62 (01) :S73-S81
[19]  
DWYER JM, 1992, NEW ENGL J MED, V326, P107
[20]   THE SPECTRUM OF IMMUNE-RESPONSES TO CAMPYLOBACTER-JEJUNI AND GLYCOCONJUGATES IN GUILLAIN-BARRE-SYNDROME AND IN OTHER NEUROIMMUNOLOGICAL DISORDERS [J].
ENDERS, U ;
KARCH, H ;
TOYKA, KV ;
MICHELS, M ;
ZIELASEK, J ;
PETTE, M ;
HEESEMANN, J ;
HARTUNG, HP .
ANNALS OF NEUROLOGY, 1993, 34 (02) :136-144