Antigen-Specific Treatment Modalities in MS: The Past, the Present, and the Future

Front Immunol. 2021 Feb 19:12:624685. doi: 10.3389/fimmu.2021.624685. eCollection 2021.

Abstract

Antigen-specific therapy for multiple sclerosis may lead to a more effective therapy by induction of tolerance to a wide range of myelin-derived antigens without hampering the normal surveillance and effector function of the immune system. Numerous attempts to restore tolerance toward myelin-derived antigens have been made over the past decades, both in animal models of multiple sclerosis and in clinical trials for multiple sclerosis patients. In this review, we will give an overview of the current approaches for antigen-specific therapy that are in clinical development for multiple sclerosis as well provide an insight into the challenges for future antigen-specific treatment strategies for multiple sclerosis.

Keywords: antigen-specific therapy; experimental autoimmune encephalomyelitis; multiple sclerosis; myelin; tolerance induction.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Adoptive Transfer* / adverse effects
  • Adoptive Transfer* / history
  • Adoptive Transfer* / trends
  • Animals
  • Autoimmunity
  • Desensitization, Immunologic* / adverse effects
  • Desensitization, Immunologic* / history
  • Desensitization, Immunologic* / trends
  • Diffusion of Innovation
  • Forecasting
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Immune Tolerance
  • Multiple Sclerosis / history
  • Multiple Sclerosis / immunology
  • Multiple Sclerosis / metabolism
  • Multiple Sclerosis / therapy*
  • Myelin Proteins / administration & dosage*
  • Myelin Proteins / adverse effects
  • Myelin Proteins / immunology
  • Myelin Proteins / metabolism
  • Peptide Fragments / administration & dosage*
  • Peptide Fragments / adverse effects
  • Peptide Fragments / immunology
  • Peptide Fragments / metabolism
  • Vaccination* / adverse effects
  • Vaccination* / history
  • Vaccination* / trends
  • Vaccines / adverse effects
  • Vaccines / therapeutic use*

Substances

  • Myelin Proteins
  • Peptide Fragments
  • Vaccines