Targeted therapy for neuromyelitis optica spectrum disorders

Neuromyelitis optica spectrum disorders (NMOSDs) have the characteristics of high relapse rate and high disability rate. The neurological deficits would become more and more serious with increasing relapse. Using corticosteroids pulse therapy, intravenous immunoglobulin or plasma exchange to reduce...

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Main Author: Yang⁃tai GUAN
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2020-10-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/2217
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author Yang⁃tai GUAN
author_facet Yang⁃tai GUAN
author_sort Yang⁃tai GUAN
collection DOAJ
description Neuromyelitis optica spectrum disorders (NMOSDs) have the characteristics of high relapse rate and high disability rate. The neurological deficits would become more and more serious with increasing relapse. Using corticosteroids pulse therapy, intravenous immunoglobulin or plasma exchange to reduce inflammation and inhibit neurological dysfunction is the main treatment principle of NMOSDs in the acute phase; drugs to prevent relapse of NMOSDs are mainly immunosuppressants, such as azathioprine, and targeted agents, such as CD19 monoclonal antibody, C5 complement, interleukin⁃6⁃receptor targeted antibodies and a proliferation⁃inducing ligand (APRIL)/transmembrance activator and calcium⁃modulator and cyclophilin ligand interactor (TACI) targeted therapy. Some targeted agents have been approved for clinical use. This article intended to review the targeted agents for NMOSDs patients for the purpose of improving the understanding of therapeutic strategies of NMOSDs. DOI: 10.3969/j.issn.1672-6731.2020.10.001
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spelling doaj.art-db49a22f44a24ea984392449bb988f3d2022-12-21T23:58:38ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312020-10-0120108438472172Targeted therapy for neuromyelitis optica spectrum disordersYang⁃tai GUANNeuromyelitis optica spectrum disorders (NMOSDs) have the characteristics of high relapse rate and high disability rate. The neurological deficits would become more and more serious with increasing relapse. Using corticosteroids pulse therapy, intravenous immunoglobulin or plasma exchange to reduce inflammation and inhibit neurological dysfunction is the main treatment principle of NMOSDs in the acute phase; drugs to prevent relapse of NMOSDs are mainly immunosuppressants, such as azathioprine, and targeted agents, such as CD19 monoclonal antibody, C5 complement, interleukin⁃6⁃receptor targeted antibodies and a proliferation⁃inducing ligand (APRIL)/transmembrance activator and calcium⁃modulator and cyclophilin ligand interactor (TACI) targeted therapy. Some targeted agents have been approved for clinical use. This article intended to review the targeted agents for NMOSDs patients for the purpose of improving the understanding of therapeutic strategies of NMOSDs. DOI: 10.3969/j.issn.1672-6731.2020.10.001http://www.cjcnn.org/index.php/cjcnn/article/view/2217neuromyelitis optica spectrum disorders (not in mesh)immunotherapyimmunosuppressive agentsreview
spellingShingle Yang⁃tai GUAN
Targeted therapy for neuromyelitis optica spectrum disorders
Chinese Journal of Contemporary Neurology and Neurosurgery
neuromyelitis optica spectrum disorders (not in mesh)
immunotherapy
immunosuppressive agents
review
title Targeted therapy for neuromyelitis optica spectrum disorders
title_full Targeted therapy for neuromyelitis optica spectrum disorders
title_fullStr Targeted therapy for neuromyelitis optica spectrum disorders
title_full_unstemmed Targeted therapy for neuromyelitis optica spectrum disorders
title_short Targeted therapy for neuromyelitis optica spectrum disorders
title_sort targeted therapy for neuromyelitis optica spectrum disorders
topic neuromyelitis optica spectrum disorders (not in mesh)
immunotherapy
immunosuppressive agents
review
url http://www.cjcnn.org/index.php/cjcnn/article/view/2217
work_keys_str_mv AT yangtaiguan targetedtherapyforneuromyelitisopticaspectrumdisorders