Natalizumab en la esclerosis múltiple: la interrupción, leucoencefalopatía multifocal progresiva y su posible uso en niños.

Categoría Revisión sistemática
RevistaExpert review of neurotherapeutics
Año 2015

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In the early 1990s, attention was drawn to the migration of immune cells into the central nervous system via the blood-brain barrier. The literature showed that lymphocytes binding to the endothelium were successfully inhibited by an antibody against α4β1 integrin. These biological findings resulted in the development of a humanized antibody to α4 integrin - natalizumab (NTZ) - to treat multiple sclerosis (MS). Here, we provide a systematic review and meta-analysis on the efficacy and safety of natalizumab, trying to answer the question whether its use may be recommended both in adult and in pediatric age groups as standard MS treatment. Our results highlight the improvement of clinical and radiological findings in treated patients (p < 0.005), confirming NTZ efficacy. Nevertheless, if NTZ is shown to be efficient, further studies should be performed to evaluate its safety and to target the MS profile that could benefit from this treatment.
Epistemonikos ID: 574efe900d7e052612d65de317ad2407d2653759
First added on: Oct 31, 2015