[Topics of neuromyelitis optica]

Nihon Rinsho Meneki Gakkai Kaishi. 2014;37(6):468-74. doi: 10.2177/jsci.37.468.
[Article in Japanese]

Abstract

Neuromyelitis optica (NMO) has been revealed the difference in the pathology of multiple sclerosis since the anti-aquaporin 4 (AQP4) antibody associated with NMO has been found. The clinical epidemiological study has been reviewed, NMO-related patient number in Japan is estimated to be about 4400 people. The antibody-positive patients against myelin-oligodendrocyte glycoprotein (MOG) are present in anti-AQP4 antibody-negative NMO patients. These patients have a characteristic with high frequency of optic neuritis and good response to therapy. In addition, by research in recent years, a new treatment such as anti-IL-6 therapy or anti-complement therapy has been attempted to NMO.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use
  • Aquaporin 4 / immunology
  • Autoantibodies
  • Clinical Trials as Topic
  • Drug Therapy, Combination
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Japan / epidemiology
  • Male
  • Methylprednisolone / administration & dosage
  • Molecular Targeted Therapy
  • Neuromyelitis Optica* / diagnosis
  • Neuromyelitis Optica* / drug therapy
  • Neuromyelitis Optica* / epidemiology
  • Neuromyelitis Optica* / immunology
  • Prednisolone / administration & dosage
  • Pulse Therapy, Drug
  • Recurrence
  • Rituximab
  • Sex Factors

Substances

  • AQP4 protein, human
  • Antibodies, Monoclonal, Humanized
  • Antibodies, Monoclonal, Murine-Derived
  • Aquaporin 4
  • Autoantibodies
  • Immunosuppressive Agents
  • Rituximab
  • Prednisolone
  • eculizumab
  • tocilizumab
  • Methylprednisolone