Myasthenia gravis: New therapeutic approaches based on pathophysiology

被引:10
作者
Lewis, Richard A. [1 ]
机构
[1] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
关键词
Myasthenia gravis; Antibodies; Therapy; Neuromuscular Junction; Lymphocytes; Thymus; QUALITY STANDARDS SUBCOMMITTEE; CELL-ACTIVATING FACTOR; ACETYLCHOLINE-RECEPTOR; AMERICAN-ACADEMY; T-CELLS; ANTIBODIES; MUSK; CYCLOPHOSPHAMIDE; AUTOANTIBODIES; AZATHIOPRINE;
D O I
10.1016/j.jns.2013.06.018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Over the past 40 years Dr. Robert Lisak has made important contributions to our understanding of the pathophysiology and therapy of myasthenia gravis. This review will touch upon some of his work as it discusses current therapies and the potential for new treatments based on the evolving knowledge of the underlying basis of the disease. The recognition of different immune mechanisms that can cause the phenotype that we acknowledge as myasthenia gravis coincides with the introduction of monoclonal antibodies and other new therapies that can target specific aspects of the disease. This has raised our hopes for treatments that will have less side effects and be more effective. In some cases these hopes have been realized. In other instances, the situation remains a "work in progress". Dr. Lisak's work and teachings remain cogent to our modern approach to this classic immunologic disease. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:93 / 98
页数:6
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