Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders

The past decades have yielded major therapeutic advances in many autoimmune conditions – such as multiple sclerosis (MS) – and thus ushered in a new era of more targeted and increasingly potent immunotherapies. Yet this growing arsenal of therapeutic immune interventions has also rendered therapy mu...

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Main Authors: Tobias Brummer, Tobias Ruck, Sven G. Meuth, Frauke Zipp, Stefan Bittner
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Therapeutic Advances in Neurological Disorders
Online Access:https://doi.org/10.1177/17562864211035542
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author Tobias Brummer
Tobias Ruck
Sven G. Meuth
Frauke Zipp
Stefan Bittner
author_facet Tobias Brummer
Tobias Ruck
Sven G. Meuth
Frauke Zipp
Stefan Bittner
author_sort Tobias Brummer
collection DOAJ
description The past decades have yielded major therapeutic advances in many autoimmune conditions – such as multiple sclerosis (MS) – and thus ushered in a new era of more targeted and increasingly potent immunotherapies. Yet this growing arsenal of therapeutic immune interventions has also rendered therapy much more challenging for the attending physician, especially when treating patients with more than one autoimmune condition. Importantly, some therapeutic strategies are either approved for several autoimmune disorders or may be repurposed for other conditions, therefore opening new curative possibilities in related fields. In this article, we especially focus on frequent and therapeutically relevant concomitant autoimmune conditions faced by neurologists when treating patients with MS, namely psoriasis, rheumatoid arthritis and inflammatory bowel diseases. We provide an overview of the available disease-modifying therapies, highlight possible contraindications, show pathophysiological overlaps and finally present which therapeutics can be utilized as a combinatory treatment, in order to ‘kill two birds with one stone’.
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spelling doaj.art-cc0197de52544222925e1e9dcc249fe12022-12-21T19:18:03ZengSAGE PublishingTherapeutic Advances in Neurological Disorders1756-28642021-08-011410.1177/17562864211035542Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disordersTobias BrummerTobias RuckSven G. MeuthFrauke ZippStefan BittnerThe past decades have yielded major therapeutic advances in many autoimmune conditions – such as multiple sclerosis (MS) – and thus ushered in a new era of more targeted and increasingly potent immunotherapies. Yet this growing arsenal of therapeutic immune interventions has also rendered therapy much more challenging for the attending physician, especially when treating patients with more than one autoimmune condition. Importantly, some therapeutic strategies are either approved for several autoimmune disorders or may be repurposed for other conditions, therefore opening new curative possibilities in related fields. In this article, we especially focus on frequent and therapeutically relevant concomitant autoimmune conditions faced by neurologists when treating patients with MS, namely psoriasis, rheumatoid arthritis and inflammatory bowel diseases. We provide an overview of the available disease-modifying therapies, highlight possible contraindications, show pathophysiological overlaps and finally present which therapeutics can be utilized as a combinatory treatment, in order to ‘kill two birds with one stone’.https://doi.org/10.1177/17562864211035542
spellingShingle Tobias Brummer
Tobias Ruck
Sven G. Meuth
Frauke Zipp
Stefan Bittner
Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
Therapeutic Advances in Neurological Disorders
title Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
title_full Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
title_fullStr Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
title_full_unstemmed Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
title_short Treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
title_sort treatment approaches to patients with multiple sclerosis and coexisting autoimmune disorders
url https://doi.org/10.1177/17562864211035542
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