Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis

Multiple sclerosis (MS) is an inflammatory disease in which the myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms. It is caused by an autoimmune response to self-antigens in a genetically...

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Main Author: Milan Buc
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2013/963748
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author Milan Buc
author_facet Milan Buc
author_sort Milan Buc
collection DOAJ
description Multiple sclerosis (MS) is an inflammatory disease in which the myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms. It is caused by an autoimmune response to self-antigens in a genetically susceptible individual induced by unknown environmental factors. Principal cells of the immune system that drive the immunopathological processes are T cells, especially of TH1 and TH17 subsets. However, in recent years, it was disclosed that regulatory T cells took part in, too. Subsequently, there was endeavour to develop ways how to re-establish their physiological functions. In this review, we describe known mechanisms of action, efficacy, and side-effects of contemporary and emerging MS immunotherapeutical agents on Treg cells and other cells of the immune system involved in the immunopathogenesis of the disease. Furthermore, we discuss how laboratory immunology can offer physicians its help in the diagnosis process and decisions what kind of biological therapy should be used.
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spelling doaj-art-2fb6869a455b41dbb9f45b659745dd422025-02-03T01:30:14ZengWileyMediators of Inflammation0962-93511466-18612013-01-01201310.1155/2013/963748963748Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple SclerosisMilan Buc0Department of Immunology, Comenius University School of Medicine, 813 72 Bratislava, SlovakiaMultiple sclerosis (MS) is an inflammatory disease in which the myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms. It is caused by an autoimmune response to self-antigens in a genetically susceptible individual induced by unknown environmental factors. Principal cells of the immune system that drive the immunopathological processes are T cells, especially of TH1 and TH17 subsets. However, in recent years, it was disclosed that regulatory T cells took part in, too. Subsequently, there was endeavour to develop ways how to re-establish their physiological functions. In this review, we describe known mechanisms of action, efficacy, and side-effects of contemporary and emerging MS immunotherapeutical agents on Treg cells and other cells of the immune system involved in the immunopathogenesis of the disease. Furthermore, we discuss how laboratory immunology can offer physicians its help in the diagnosis process and decisions what kind of biological therapy should be used.http://dx.doi.org/10.1155/2013/963748
spellingShingle Milan Buc
Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
Mediators of Inflammation
title Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
title_full Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
title_fullStr Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
title_full_unstemmed Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
title_short Role of Regulatory T Cells in Pathogenesis and Biological Therapy of Multiple Sclerosis
title_sort role of regulatory t cells in pathogenesis and biological therapy of multiple sclerosis
url http://dx.doi.org/10.1155/2013/963748
work_keys_str_mv AT milanbuc roleofregulatorytcellsinpathogenesisandbiologicaltherapyofmultiplesclerosis