Neuroprotection and repair in multiple sclerosis

Franklin, R.J.M., ffrench-Constant, C., Edgar, J.M. and Smith, K.J. (2012) Neuroprotection and repair in multiple sclerosis. Nature Reviews Neurology, 8(11), pp. 624-634. (doi: 10.1038/nrneurol.2012.200) (PMID:23026979)

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Abstract

Multiple sclerosis (MS) is an inflammatory demyelinating disease that is considered by many people to have an autoimmune aetiology. In recent years, new data emerging from histopathology, imaging and other studies have expanded our understanding of the disease and may change the way in which it is treated. Conceptual shifts have included: first, an appreciation of the extent to which the neuron and its axon are affected in MS, and second, elucidation of how the neurobiology of axon–glial and, particularly, axon–myelin interaction may influence disease progression. In this article, we review advances in both areas, focusing on the molecular mechanisms underlying axonal loss in acute inflammation and in chronic demyelination, and discussing how the restoration of myelin sheaths via the regenerative process of remyelination might prevent axon degeneration. An understanding of these processes could lead to better strategies for the prevention and treatment of axonal loss, which will ultimately benefit patients with MS.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Edgar, Professor Julia and Franklin, Prof Robin
Authors: Franklin, R.J.M., ffrench-Constant, C., Edgar, J.M., and Smith, K.J.
College/School:College of Medical Veterinary and Life Sciences > School of Biodiversity, One Health & Veterinary Medicine
Journal Name:Nature Reviews Neurology
Publisher:Nature Publishing Group
ISSN:1759-4758
ISSN (Online):1759-4766

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