The mechanism of action of methylprednisolone in the treatment of multiple sclerosis

Autor: M. Stefanelli, J S Sloka
Rok vydání: 2005
Předmět:
Zdroj: Multiple Sclerosis Journal. 11:425-432
ISSN: 1477-0970
1352-4585
DOI: 10.1191/1352458505ms1190oa
Popis: Methylprednisolone plays an important role in the current treatment of multiple sclerosis (MS), particularly in the acute phase of relapse. It acts in various ways to decrease the inflammatory cycle including: dampening the inflammatory cytokine cascade, inhibiting the activation of T cells, decreasing the extravasation of immune cells into the central nervous system, facilitating the apoptosis of activated immune cells, and indirectly decreasing the cytotoxic effects of nitric oxide and tumor necrosis factor alpha. This paper reviews the most recent observations on these mechanisms both to understand the disease mechanism and its treatment. As more becomes known about these mechanisms, it may become possible to design treatment regimes that are more specific towards both the individual and the disease state.
Databáze: OpenAIRE