Multiple Sclerosis: New Aspects of Immunopathogenesis

Multiple sclerosis (MS) is a multicomponent disease characterized by inflammation, neurodegeneration, and cancellation of the central nervous system recovery mechanisms. The cause of MS is still unknown, but it is undeniable that genetic, environmental and immune factors are involved in the etiopath...

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Main Authors: Ines Lazibat, Maja Rubinić Majdak, Sven Županić
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2018-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/304956
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author Ines Lazibat
Maja Rubinić Majdak
Sven Županić
author_facet Ines Lazibat
Maja Rubinić Majdak
Sven Županić
author_sort Ines Lazibat
collection DOAJ
description Multiple sclerosis (MS) is a multicomponent disease characterized by inflammation, neurodegeneration, and cancellation of the central nervous system recovery mechanisms. The cause of MS is still unknown, but it is undeniable that genetic, environmental and immune factors are involved in the etiopathogenesis of this complex and heterogeneous disease. From the aspect of im-munopathogenesis, until recently the opinion prevailed that autoreactive T lymphocytes played a major role, the activation of which is a key step in MS. The knowledge of the effector and regulatory roles of B cells supports a new concept of MS immunopathogenesis that is based on the highly complex interaction of T and B cells, with B cells actively participating in cellular immunity by directing the intensity and quality of cellular immune response. The mechanisms of B cell activity in MS immunopathogenesis are multiple and include antigen presentation and T cell costimulation, cytokine secretion, antibody synthesis, and formation of ectopic lymphoid B cell aggregates in the intrameningeal spaces. The importance of B cells has been confirmed by modern therapeutic options for the treatment of MS.
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spelling doaj.art-06fadcc4ab06494183f99ab6f7d8e6262024-04-15T15:07:40ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512018-01-0157.2.35236010.20471/acc.2018.57.02.17Multiple Sclerosis: New Aspects of ImmunopathogenesisInes Lazibat0Maja Rubinić Majdak1Sven Županić2Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Dubrava University Hospital, Zagreb, CroatiaDubrava University Hospital, Zagreb, CroatiaDubrava University Hospital, Zagreb, CroatiaMultiple sclerosis (MS) is a multicomponent disease characterized by inflammation, neurodegeneration, and cancellation of the central nervous system recovery mechanisms. The cause of MS is still unknown, but it is undeniable that genetic, environmental and immune factors are involved in the etiopathogenesis of this complex and heterogeneous disease. From the aspect of im-munopathogenesis, until recently the opinion prevailed that autoreactive T lymphocytes played a major role, the activation of which is a key step in MS. The knowledge of the effector and regulatory roles of B cells supports a new concept of MS immunopathogenesis that is based on the highly complex interaction of T and B cells, with B cells actively participating in cellular immunity by directing the intensity and quality of cellular immune response. The mechanisms of B cell activity in MS immunopathogenesis are multiple and include antigen presentation and T cell costimulation, cytokine secretion, antibody synthesis, and formation of ectopic lymphoid B cell aggregates in the intrameningeal spaces. The importance of B cells has been confirmed by modern therapeutic options for the treatment of MS.https://hrcak.srce.hr/file/304956Multiple SclerosisInflammationT-LymphocytesB-LymphocytesImmunity, Cellular
spellingShingle Ines Lazibat
Maja Rubinić Majdak
Sven Županić
Multiple Sclerosis: New Aspects of Immunopathogenesis
Acta Clinica Croatica
Multiple Sclerosis
Inflammation
T-Lymphocytes
B-Lymphocytes
Immunity, Cellular
title Multiple Sclerosis: New Aspects of Immunopathogenesis
title_full Multiple Sclerosis: New Aspects of Immunopathogenesis
title_fullStr Multiple Sclerosis: New Aspects of Immunopathogenesis
title_full_unstemmed Multiple Sclerosis: New Aspects of Immunopathogenesis
title_short Multiple Sclerosis: New Aspects of Immunopathogenesis
title_sort multiple sclerosis new aspects of immunopathogenesis
topic Multiple Sclerosis
Inflammation
T-Lymphocytes
B-Lymphocytes
Immunity, Cellular
url https://hrcak.srce.hr/file/304956
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AT majarubinicmajdak multiplesclerosisnewaspectsofimmunopathogenesis
AT svenzupanic multiplesclerosisnewaspectsofimmunopathogenesis