中国眼耳鼻喉科杂志2024,Vol.24Issue(5) :337-342.DOI:10.14166/j.issn.1671-2420.2024.05.001

提高对髓鞘少突胶质细胞糖蛋白抗体相关性视神经炎的认识和诊疗水平

Enhancing the recognition and management of myelin oligodendrocyte glycoprotein antibody-associated optic neuritis

宋宏鲁 魏世辉
中国眼耳鼻喉科杂志2024,Vol.24Issue(5) :337-342.DOI:10.14166/j.issn.1671-2420.2024.05.001

提高对髓鞘少突胶质细胞糖蛋白抗体相关性视神经炎的认识和诊疗水平

Enhancing the recognition and management of myelin oligodendrocyte glycoprotein antibody-associated optic neuritis

宋宏鲁 1魏世辉2
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作者信息

  • 1. 解放军总医院眼科医学部 北京 100853;联勤保障部队第九八〇医院眼科 石家庄 050082
  • 2. 解放军总医院眼科医学部 北京 100853
  • 折叠

摘要

在过去的 20 年里,我们对脱髓鞘性视神经炎(ON)的认识取得了显著进步.随着血清学检测技术的发展,近年来我们发现了一种特殊的抗体——髓鞘少突胶质细胞糖蛋白(MOG)抗体,它与脱髓鞘性ON的特定亚型有关.虽然MOG抗体相关疾病(MOGAD)最初被认为是视神经脊髓炎谱系疾病(NMOSD)的一部分,但越来越多的研究证据表明,我们应该将其视为一个独立的疾病实体.将MOGAD与水通道蛋白-4(AQP4)抗体阳性的NMOSD区分开来是非常重要的,因为它们具有不同的病程和预后,需要制定差异化的诊疗方案.为了提高MOG-ON诊疗水平并使这类患者获益更多,我们需要深入理解其临床表现和治疗进展,这将有助于为更多的神经眼科疾病患者提供更好的医疗服务.

Abstract

Over the past two decades,significant advancements have been made in our understanding of optic neuritis(ON)characterized by demyelination.With the progression of serological testing technologies,a unique antibody associated with a specific subtype of demyelinating neuropathy was discovered in recent years—myelin oligodendrocyte glycoprotein(MOG)antibody.Although MOG antibody-associated disorders(MOGAD)were initially considered to be part of the spectrum of neuromyelitis optica spectrum disorders(NMOSD),accumulating research evidence suggests that it should be regarded as a distinct disease entity.It is crucial to differentiate MOGAD from aquaporin-4(AQP4)antibody-positive NMOSD because they have different clinical courses and prognoses,necessitating tailored diagnostic and treatment approaches.To enhance the level of diagnosis and treatment and enable greater benefits for these patients,there is a need for an in-depth comprehension of the clinical presentations and therapeutic advancements in MOG-ON.This will contribute to providing improved medical care for a broader range of neuro-ophthalmic patients.

关键词

髓鞘少突胶质细胞糖蛋白抗体/视神经炎/临床表现/治疗措施

Key words

Myelin oligodendrocyte glycoprotein antibody/Optic neuritis/Clinical presentations/Treatment measures

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基金项目

国家重点研发计划项目(2018YFE0113900)

联勤保障部队第九八〇医院孵育计划项目(2024FYQNXM02)

河北省自然科学基金资助项目(H2024505013)

出版年

2024
中国眼耳鼻喉科杂志
复旦大学附属眼耳鼻喉科医院

中国眼耳鼻喉科杂志

CSTPCD
影响因子:0.555
ISSN:1671-2420
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