Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system (CNS), observed in immunodeficient patients and caused by JC virus ((JCV), also called JC polyomavirus (JCPyV)). After the HIV pandemic and the introduction of immunomodulatory therapy, the PML incidence significantly increased. The correlation between the use of natalizumab, a drug used in multiple sclerosis (MS), and the PML development of particular relevance. The high incidence of PML in natalizumab-treated patients has highlighted the importance of two factors: the need of PML risk stratification among natalizumab-treated patients and the need of effective therapeutic options. In this review, we discuss these two needs under the light of the major viral models of PML etiopathogenesis.

JC polyomavirus (JCV) and monoclonal antibodies: friends or potential foes?

Mancini Nicasio;Clementi Massimo
2013-01-01

Abstract

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system (CNS), observed in immunodeficient patients and caused by JC virus ((JCV), also called JC polyomavirus (JCPyV)). After the HIV pandemic and the introduction of immunomodulatory therapy, the PML incidence significantly increased. The correlation between the use of natalizumab, a drug used in multiple sclerosis (MS), and the PML development of particular relevance. The high incidence of PML in natalizumab-treated patients has highlighted the importance of two factors: the need of PML risk stratification among natalizumab-treated patients and the need of effective therapeutic options. In this review, we discuss these two needs under the light of the major viral models of PML etiopathogenesis.
2013
2013
https://www.hindawi.com/journals/jir/2013/967581/
Progressive multifocal leukoencephalopathy (PML); HIV; Reconstitution inflammatory syndrome; Monoclonal antibody; Multiple-sclerosis; Antiboby response; Glial-cells
Diotti Roberta, Antonia; Akira, Nakanishi; Clementi, Nicola; Mancini, Nicasio; Criscuolo, Elena; Solforosi, Laura; Clementi, Massimo
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2148979
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