Physical Medicine Rehabilitation

Multiple Sclerosis and Related Disorders by Douglas S. Goodin (Eds.)

By Douglas S. Goodin (Eds.)

Multiple Sclerosis (MS) is usually understood to be an inflammatory autoimmune illness of the primary fearful system.  whereas we nonetheless will not be definite of the basis reason behind MS, learn effects recommend that unknown environmental components and the presence of particular genes appear the main possible targets.  MS factors an inflammatory reaction within the important fearful method resulting in neurodegeneration, oligodendrocyte demise, axonal harm, and gliosis. Over the past five years ongoing learn has vastly improved our realizing of the pathogenesis of MS, distinct perception into the epidemiology and genetic elements relating to MS, the advent of latest applied sciences and assessments to higher diagnose and are expecting the longer term process the sickness and the creation of recent remedies concentrating on MS.  This number of assessment chapters presents a entire reference into the technology and medical functions of the newest a number of Sclerosis learn and may be a useful source for the neuroscience examine neighborhood and the scientific neurology neighborhood of researchers and practitioners.

  • A accomplished instructional reference detailing our present foundational figuring out of a number of Sclerosis
  • Includes chapters on key issues together with the genetics of MS, MRI imaging and MS, and the newest remedy options
  • Each bankruptcy is translational and makes a speciality of present examine and effect on prognosis and remedy options

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Extra resources for Multiple Sclerosis and Related Disorders

Example text

1969). absence of any recruitment of progenitor cells. , 1984; Prineas, drocytes by the pathologic process may reflect different 1985), provided clear evidence that remyelination within mechanisms of tissue injury within the lesions. MS plaques is much more frequent and extensive than Apparently, this complex situation can also be previously anticipated. Not only did Prineas provide conexplained by a differential impact on mature myelinatvincing electron microscopic evidence for myelin repair, ing oligodendrocytes and progenitor cells.

Axonal transsection within plaques has major consequences for the surrounding apparently normal brain and spinal cord tissue. , 2010). , 2000). , 2000). , 2005). Many different mechanisms have been identified in experimental models which induce axonal injury and destruction. These include the direct and antigenspecific interaction of cytotoxic T cells with axons 32 A. KUTZELNIGG AND H. , 2000). , 2011). , 2001). Action of nitric oxide is mediated through different pathways, including a disturbance of ion channel function, signaling through G protein-coupled receptors, direct effects on axonal cytoskeleton as well as indirect effects through the induction of mitochondrial dysfunction.

2006). Blockade of the receptor or its genetic deletion 2000), and the proteases (Cuzner and Opdenakker, in EAE is highly effective at reducing disease activity. 1999), are highly redundant and it is therefore not surCCR2 positive cells are rare in MS lesions and the respecprising that a large number of these molecules have been tive ligand (CCL2) is significantly reduced in the cerebroidentified in active MS lesions (Engelhardt and spinal fluid from MS patients compared to controls. , 2011).

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