Multiple Sclerosis: Basic and Clinical

Adv Neurobiol. 2017:15:211-252. doi: 10.1007/978-3-319-57193-5_8.

Abstract

Multiple sclerosis (MS) is the most common neurodegenerative disease affecting young adults in our community. It is a complex disease influenced by gender, genetic and environmental factors. MS is a chronic inflammatory disease of the central nervous system caused by aberrant immune activation resulting in damage to myelin sheaths within the brain and spinal cord and axonal loss. The demyelinating insult initially impairs the speed and efficiency of nerve cell function. In the majority of cases, this is followed by an innate endogenous repair response that can restore the myelin sheath and nerve cell function to relatively normal levels. However over time and with subsequent demyelinating events, this capacity is lost ultimately leading to neural degeneration. The influences that oligodendrocytes and myelin exert upon nerve cells to sustain their health and viability have begun to be identified. While immune-directed therapies can reduce the frequency of relapses and development of new lesions, they have little effect upon remyelination and nerve cell repair. This presents the next big challenge in MS therapeutics; complementing immune targeted therapies with strategies that directly target the primary cause of disability, that of remyelination.

Keywords: Demyelination; Multiple sclerosis; Myelin; Oligodendrocyte; Remyelination.

Publication types

  • Review

MeSH terms

  • Animals
  • Brain / diagnostic imaging
  • Brain / metabolism
  • Brain / physiopathology*
  • Cerebrospinal Fluid / metabolism
  • Demyelinating Diseases / genetics
  • Demyelinating Diseases / immunology
  • Demyelinating Diseases / physiopathology*
  • Disease Models, Animal
  • Encephalomyelitis, Autoimmune, Experimental / genetics
  • Encephalomyelitis, Autoimmune, Experimental / physiopathology*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Magnetic Resonance Imaging
  • Multiple Sclerosis / diagnosis
  • Multiple Sclerosis / genetics
  • Multiple Sclerosis / physiopathology*
  • Multiple Sclerosis / therapy
  • Multiple Sclerosis, Chronic Progressive / diagnosis
  • Multiple Sclerosis, Chronic Progressive / genetics
  • Multiple Sclerosis, Chronic Progressive / physiopathology
  • Multiple Sclerosis, Chronic Progressive / therapy
  • Multiple Sclerosis, Relapsing-Remitting / diagnosis
  • Multiple Sclerosis, Relapsing-Remitting / genetics
  • Multiple Sclerosis, Relapsing-Remitting / physiopathology
  • Multiple Sclerosis, Relapsing-Remitting / therapy
  • Myelin Sheath / metabolism*
  • Oligodendroglia / metabolism*
  • Remyelination / genetics
  • Remyelination / immunology
  • Remyelination / physiology*
  • Sex Factors
  • Spinal Cord / diagnostic imaging
  • Spinal Cord / metabolism
  • Spinal Cord / physiopathology*
  • Stem Cell Transplantation

Substances

  • Immunosuppressive Agents