Treatment of neuromyelitis optica: Review and recommendations

Neuromyelitis optica (NMO) is an autoimmune demyelinating disease preferentially targeting the optic nerves and spinal cord. Once regarded as a variant of multiple sclerosis (MS), NMO is now recognized to be a different disease with unique pathology and immunopathogenesis that does not respond to tr...

Full description

Bibliographic Details
Main Authors: Kimbrough, D, Fujihara, K, Jacob, A, Lana-Peixoto, M, Isabel Leite, M, Levy, M, Marignier, R, Nakashima, I, Palace, J, De Seze, J, Stuve, O, Tenembaum, SN, Traboulsee, A, Waubant, E, Weinshenker, BG, Wingerchuk, D, Guthy Jackson Charitable Foundation Clinical Consortium and Biorepository
Format: Journal article
Language:English
Published: Elsevier 2012
_version_ 1826291719732199424
author Kimbrough, D
Fujihara, K
Jacob, A
Lana-Peixoto, M
Isabel Leite, M
Levy, M
Marignier, R
Nakashima, I
Palace, J
De Seze, J
Stuve, O
Tenembaum, SN
Traboulsee, A
Waubant, E
Weinshenker, BG
Wingerchuk, D
Guthy Jackson Charitable Foundation Clinical Consortium and Biorepository
author_facet Kimbrough, D
Fujihara, K
Jacob, A
Lana-Peixoto, M
Isabel Leite, M
Levy, M
Marignier, R
Nakashima, I
Palace, J
De Seze, J
Stuve, O
Tenembaum, SN
Traboulsee, A
Waubant, E
Weinshenker, BG
Wingerchuk, D
Guthy Jackson Charitable Foundation Clinical Consortium and Biorepository
author_sort Kimbrough, D
collection OXFORD
description Neuromyelitis optica (NMO) is an autoimmune demyelinating disease preferentially targeting the optic nerves and spinal cord. Once regarded as a variant of multiple sclerosis (MS), NMO is now recognized to be a different disease with unique pathology and immunopathogenesis that does not respond to traditional MS immunomodulators such as interferons. Preventive therapy in NMO has focused on a range of immunosuppressive medications, none of which have been validated in a rigorous randomized trial. However, multiple retrospective and a few recent prospective studies have provided evidence for the use of six medications for the prevention of NMO exacerbations: azathioprine, rituximab, mycophenolate mofetil, prednisone, methotrexate and mitoxantrone. This review provides a comprehensive analysis of each of these medications in NMO and concludes with a set of recommended consensus practices. Copyright 2012 Elsevier B.V.
first_indexed 2024-03-07T03:03:39Z
format Journal article
id oxford-uuid:b1c7ac92-3c0a-4a8b-a833-06daa7ab2ac4
institution University of Oxford
language English
last_indexed 2024-03-07T03:03:39Z
publishDate 2012
publisher Elsevier
record_format dspace
spelling oxford-uuid:b1c7ac92-3c0a-4a8b-a833-06daa7ab2ac42022-03-27T04:06:45ZTreatment of neuromyelitis optica: Review and recommendationsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b1c7ac92-3c0a-4a8b-a833-06daa7ab2ac4EnglishSymplectic Elements at OxfordElsevier2012Kimbrough, DFujihara, KJacob, ALana-Peixoto, MIsabel Leite, MLevy, MMarignier, RNakashima, IPalace, JDe Seze, JStuve, OTenembaum, SNTraboulsee, AWaubant, EWeinshenker, BGWingerchuk, DGuthy Jackson Charitable Foundation Clinical Consortium and BiorepositoryNeuromyelitis optica (NMO) is an autoimmune demyelinating disease preferentially targeting the optic nerves and spinal cord. Once regarded as a variant of multiple sclerosis (MS), NMO is now recognized to be a different disease with unique pathology and immunopathogenesis that does not respond to traditional MS immunomodulators such as interferons. Preventive therapy in NMO has focused on a range of immunosuppressive medications, none of which have been validated in a rigorous randomized trial. However, multiple retrospective and a few recent prospective studies have provided evidence for the use of six medications for the prevention of NMO exacerbations: azathioprine, rituximab, mycophenolate mofetil, prednisone, methotrexate and mitoxantrone. This review provides a comprehensive analysis of each of these medications in NMO and concludes with a set of recommended consensus practices. Copyright 2012 Elsevier B.V.
spellingShingle Kimbrough, D
Fujihara, K
Jacob, A
Lana-Peixoto, M
Isabel Leite, M
Levy, M
Marignier, R
Nakashima, I
Palace, J
De Seze, J
Stuve, O
Tenembaum, SN
Traboulsee, A
Waubant, E
Weinshenker, BG
Wingerchuk, D
Guthy Jackson Charitable Foundation Clinical Consortium and Biorepository
Treatment of neuromyelitis optica: Review and recommendations
title Treatment of neuromyelitis optica: Review and recommendations
title_full Treatment of neuromyelitis optica: Review and recommendations
title_fullStr Treatment of neuromyelitis optica: Review and recommendations
title_full_unstemmed Treatment of neuromyelitis optica: Review and recommendations
title_short Treatment of neuromyelitis optica: Review and recommendations
title_sort treatment of neuromyelitis optica review and recommendations
work_keys_str_mv AT kimbroughd treatmentofneuromyelitisopticareviewandrecommendations
AT fujiharak treatmentofneuromyelitisopticareviewandrecommendations
AT jacoba treatmentofneuromyelitisopticareviewandrecommendations
AT lanapeixotom treatmentofneuromyelitisopticareviewandrecommendations
AT isabelleitem treatmentofneuromyelitisopticareviewandrecommendations
AT levym treatmentofneuromyelitisopticareviewandrecommendations
AT marignierr treatmentofneuromyelitisopticareviewandrecommendations
AT nakashimai treatmentofneuromyelitisopticareviewandrecommendations
AT palacej treatmentofneuromyelitisopticareviewandrecommendations
AT desezej treatmentofneuromyelitisopticareviewandrecommendations
AT stuveo treatmentofneuromyelitisopticareviewandrecommendations
AT tenembaumsn treatmentofneuromyelitisopticareviewandrecommendations
AT traboulseea treatmentofneuromyelitisopticareviewandrecommendations
AT waubante treatmentofneuromyelitisopticareviewandrecommendations
AT weinshenkerbg treatmentofneuromyelitisopticareviewandrecommendations
AT wingerchukd treatmentofneuromyelitisopticareviewandrecommendations
AT guthyjacksoncharitablefoundationclinicalconsortiumandbiorepository treatmentofneuromyelitisopticareviewandrecommendations