Purified human C1-esterase inhibitor is safe in acute relapses of neuromyelitis optica

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Purified human C1-esterase inhibitor is safe in acute relapses of neuromyelitis optica

OBJECTIVE To minimize complement-mediated damage in acute relapses of neuromyelitis optica (NMO) by adding treatment with a complement inhibitor, purified C1-esterase inhibitor, to the current standard of care (high-dose glucocorticoids). METHOD We conducted an open-label phase 1b safety and proof-of-concept trial in 10 patients with NMO-immunoglobulin G seropositive NMO or NMO spectrum disea...

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Potential Therapeutic Benefit of C1-Esterase Inhibitor in Neuromyelitis Optica Evaluated In Vitro and in an Experimental Rat Model

Neuromyelitis optica (NMO) is an autoimmune demyelinating disease of the central nervous system in which binding of anti-aquaporin-4 (AQP4) autoantibodies (NMO-IgG) to astrocytes causes complement-dependent cytotoxicity (CDC) and inflammation resulting in oligodendrocyte and neuronal injury. There is compelling evidence for a central role of complement in NMO pathogenesis. Here, we evaluated th...

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Failure of natalizumab to prevent relapses in neuromyelitis optica.

OBJECTIVE To describe first experiences with the integrin inhibitor natalizumab, given to patients with suspected relapsing-remitting multiple sclerosis (MS) who were later diagnosed with aquaporin 4-positive neuromyelitis optica (NMO). DESIGN Retrospective case series. SETTING Neurology departments at tertiary referral centers in Germany. PATIENTS Patients with NMO who tested positive fo...

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Seasonality of 278 neuromyelitis optica relapses in a Brazilian cohort.

Bichuetti DB has received speaking honoraria from Bayer Health Care, Merck Serono and Biogen Idec, serves in advisory board meetings by Merck Serono and Sanofi Genzyme and had travel expenses to scientific meetings paid by Bayer Health Care, Merck Serono and TEVA. Souza NA had travel expenses to scientific meetings paid by Bayer Health Care, Merck Serono and TEVA. Oliveira EML received compensa...

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Brain magnetic resonance imaging findings in acute relapses of neuromyelitis optica spectrum disorders.

We studied cranial magnetic resonance imaging (MRI) lesions in three women with acute attacks of recurrent longitudinally extensive transverse myelitis (r-LETM), recurrent-optic neuritis (r-ON) and r-LETM-CNS. Neuromyelitis Optica -immunoglobulin (IgG) antibody was positive in all cases. Brain MRI (1.5 Tesla) was performed according to protocol from consortium MS centre. We described the crania...

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ژورنال

عنوان ژورنال: Neurology - Neuroimmunology Neuroinflammation

سال: 2014

ISSN: 2332-7812

DOI: 10.1212/nxi.0000000000000005