Document Detail


Involvement of immune response in the pathogenesis of amyotrophic lateral sclerosis: a therapeutic opportunity?
MedLine Citation:
PMID:  20406178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The immune system has been found to be involved with positive and negative effects in the nervous system of amyotrophic lateral sclerosis (ALS) patients. In general, T cells, B cells, NK cells, mast cells, macrophages, dendritic cells, microglia, antibodies, complement and cytokines participate in limiting damage. Several mechanisms of action, such as production of neurotrophic growth factors and interaction with neurons and glial cells, have been shown to preserve these latter from injury and stimulate growth and repair. The immune system also participates in proliferation of neural progenitor stem cells and their migration to sites of injury and this activity has been documented in various neurologic disorders including traumatic injury, ischemic and hemorrhagic stroke, multiple sclerosis, infection, and neurodegenerative diseases (Alzheimer's disease, Parkinson's disease and ALS). Many therapies have been shown to stimulate the protective and regenerative aspects of the immune system in humans, such as intravenous immunoglobulins, and other experimental interventions such as vaccination, minocycline, antibodies and neural stem cells, have shown promise in animal models of ALS. Consequently, several immunosuppressive and immunomodulatory therapies have been tried in ALS, generally with no success, in particular intravenous immunoglobulins. The multiple aspects of the immune response in ALS are beginning to be appreciated, and their potential as pharmacologic targets in neurologic disease is being explored.
Authors:
A Calvo; C Moglia; M Balma; A Chiò
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  CNS & neurological disorders drug targets     Volume:  9     ISSN:  1996-3181     ISO Abbreviation:  CNS Neurol Disord Drug Targets     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-28     Completed Date:  2010-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101269155     Medline TA:  CNS Neurol Disord Drug Targets     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  325-30     Citation Subset:  IM    
Affiliation:
ALS Center, Department of Neuroscience, University of Torino, Italy.
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MeSH Terms
Descriptor/Qualifier:
Amyotrophic Lateral Sclerosis / etiology*,  immunology*,  therapy
Animals
Disease Models, Animal
Humans
Immunity, Innate / drug effects,  immunology*
Immunoglobulins, Intravenous / administration & dosage,  therapeutic use
Immunosuppressive Agents / administration & dosage*,  therapeutic use
Chemical
Reg. No./Substance:
0/Immunoglobulins, Intravenous; 0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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