Review

Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır?

Volume: 69 Number: 2 October 20, 2016
EN TR

Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır?

Abstract

Neuroimmunological disorders came to the forefront in neurology in the past decade. Especially, our knowledge on multiple sclerosis, neuromyelitis optica and limbic encephalitis have massively grown and important diagnostic and therapeutic advances have been made. These disorders arise from the faulty interaction of the two most complex systems of human body: neurological and immune systems. Neurologists will encounter these disorders many times in a life timeand they will need an understanding of the immunopathogenesis in order to be able to treat such diseases. In this two-part review, we aim to increase knowledge of medical students, neurology residents and neurologists on neuroimmunology. We will try to do this by explaining immunopathogenesis of the prototypical disorder: multiple sclerosis. In thisfirst part, we will describe the types and histopathological characteristics of multiple sclerosis plaques and try to answer the intriguing question of why some patients with excessive number of lesions are in good clinical condition, while the others with lower plaque load have severe disease.

Keywords

Multiple Sclerosis, Pathogenesis, Immunology, Histology

References

  1. 1. Clanet M. Jean-Martin Charcot. 1825 to 1893. Int MS J 2008;15:59-61.
  2. 2. Lucchinetti C, Bruck W, Parisi J, Scheithauer B, Rodriguez M, Lassmann H. Heterogeneity of multiple sclerosis lesions: implications for the pathogenesis of demyelination. Ann Neurol 2000;47:707-717.
  3. 3. De Groot CJ, Bergers E, Kamphorst W, et al. Post-mortem MRI-guided sampling of multiple sclerosis brain lesions: increased yield of active demyelinating and (p)reactive lesions. Brain 2001;124:1635-1645.
  4. 4. Bo L, Geurts JJ, Ravid R, Barkhof F. Magnetic resonance imaging as a tool to examine the neuropathology of multiple sclerosis. Neuropathol Appl Neurobiol 2004;30:106-117.
  5. 5. Barnett MH, Prineas JW. Relapsing and remitting multiple sclerosis: pathology of the newly forming lesion. Ann Neurol 2004;55:458-468.
  6. 6. Breij EC, Brink BP, Veerhuis R, et al. Homogeneity of active demyelinating lesions in established multiple sclerosis. Ann Neurol 2008;63:16-25.
  7. 7. Popescu BF, Lucchinetti CF. Pathology of demyelinating diseases. Annu Rev Pathol 2012;7:185-217.
  8. 8. Frohman EM, Racke MK, Raine CS. Multiple sclerosis--the plaque and its pathogenesis. N Engl J Med 2006;354:942-955.
  9. 9. Reynolds R, Roncaroli F, Nicholas R, Radotra B, Gveric D, Howell O. The neuropathological basis of clinical progression in multiple sclerosis. Acta Neuropathol 2011;122:155-170.
  10. 10. van der Valk P, Amor S. Preactive lesions in multiple sclerosis. Curr Opin Neurol 2009;22:207-213.
APA
Vural, A., Tuncer, A., & Karabudak, R. (2016). Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır? Ankara Üniversitesi Tıp Fakültesi Mecmuası, 69(2), 75-80. https://izlik.org/JA42UW93BR
AMA
1.Vural A, Tuncer A, Karabudak R. Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır? Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2016;69(2):75-80. https://izlik.org/JA42UW93BR
Chicago
Vural, Atay, Aslı Tuncer, and Rana Karabudak. 2016. “Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her Plak Aynı Mıdır?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 69 (2): 75-80. https://izlik.org/JA42UW93BR.
EndNote
Vural A, Tuncer A, Karabudak R (October 1, 2016) Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır? Ankara Üniversitesi Tıp Fakültesi Mecmuası 69 2 75–80.
IEEE
[1]A. Vural, A. Tuncer, and R. Karabudak, “Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır?”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 69, no. 2, pp. 75–80, Oct. 2016, [Online]. Available: https://izlik.org/JA42UW93BR
ISNAD
Vural, Atay - Tuncer, Aslı - Karabudak, Rana. “Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her Plak Aynı Mıdır?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 69/2 (October 1, 2016): 75-80. https://izlik.org/JA42UW93BR.
JAMA
1.Vural A, Tuncer A, Karabudak R. Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır? Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2016;69:75–80.
MLA
Vural, Atay, et al. “Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her Plak Aynı Mıdır?”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 69, no. 2, Oct. 2016, pp. 75-80, https://izlik.org/JA42UW93BR.
Vancouver
1.Atay Vural, Aslı Tuncer, Rana Karabudak. Multipl Sklerozisin İmmünpatogenezi Kısım 1: Her plak aynı mıdır? Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 2016 Oct. 1;69(2):75-80. Available from: https://izlik.org/JA42UW93BR