Multiple sclerosis progression: time for a new mechanism-driven framework

T Kuhlmann, M Moccia, T Coetzee, JA Cohen… - The Lancet …, 2023 - thelancet.com
Traditionally, multiple sclerosis has been categorised by distinct clinical descriptors—
relapsing-remitting, secondary progressive, and primary progressive—for patient care …

Apparent changes in the epidemiology and severity of multiple sclerosis

N Koch-Henriksen, M Magyari - Nature Reviews Neurology, 2021 - nature.com
Multiple sclerosis (MS) is an immunological disease that causes acute inflammatory lesions
and chronic inflammation in the CNS, leading to tissue damage and disability. As awareness …

Ageing and multiple sclerosis

JS Graves, KM Krysko, LH Hua, M Absinta… - The Lancet …, 2023 - thelancet.com
The factor that is most relevant and strongly associated with the clinical course of multiple
sclerosis is chronological age. Very young patients exclusively have relapsing remitting …

[HTML][HTML] Androgen-induced immunosuppression

MR Gubbels Bupp, TN Jorgensen - Frontiers in immunology, 2018 - frontiersin.org
In addition to determining biological sex, sex hormones are known to influence health and
disease via regulation of immune cell activities and modulation of target-organ susceptibility …

Defining secondary progressive multiple sclerosis

J Lorscheider, K Buzzard, V Jokubaitis, T Spelman… - Brain, 2016 - academic.oup.com
A number of studies have been conducted with the onset of secondary progressive multiple
sclerosis as an inclusion criterion or an outcome of interest. However, a standardized …

Progression is independent of relapse activity in early multiple sclerosis: a real-life cohort study

E Portaccio, A Bellinvia, M Fonderico, L Pastò… - Brain, 2022 - academic.oup.com
Disability accrual in multiple sclerosis may occur as relapse-associated worsening or
progression independent of relapse activity. The role of progression independent of relapse …

Impact of sex hormones on immune function and multiple sclerosis development

MC Ysrraelit, J Correale - Immunology, 2019 - Wiley Online Library
Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system
(CNS) affecting young people and leading to demyelination and neurodegeneration. The …

Early highly effective versus escalation treatment approaches in relapsing multiple sclerosis

D Ontaneda, E Tallantyre, T Kalincik… - The Lancet …, 2019 - thelancet.com
Treatment decisions in multiple sclerosis are complex given the large number of disease-
modifying therapies with diverse safety and efficacy profiles. The importance of early …

The apparently milder course of multiple sclerosis: changes in the diagnostic criteria, therapy and natural history

PS Sorensen, F Sellebjerg, HP Hartung, X Montalban… - Brain, 2020 - academic.oup.com
In the past decade, changes have occurred in the spectrum of multiple sclerosis courses.
The natural history of multiple sclerosis appears milder from the first sign of demyelinating …

Defining reliable disability outcomes in multiple sclerosis

T Kalincik, G Cutter, T Spelman, V Jokubaitis… - Brain, 2015 - academic.oup.com
Prevention of irreversible disability is currently the most important goal of disease modifying
therapy for multiple sclerosis. The disability outcomes used in most clinical trials rely on …