Schweitzer, F., Laurent, S., Fink, G. R., Barnett, Michael H., Hartung, H. P. and Warnke, C. . Effects of disease-modifying therapy on peripheral leukocytes in patients with multiple sclerosis. J. Neurol.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1459

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Abstract

Modern disease-modifying therapies (DMTs) in multiple sclerosis (MS) have variable modes of action and selectively suppress or modulate the immune system. In this review, we summarize the predicted and intended as well as unwanted adverse effects on leukocytes in peripheral blood as a result of treatment with DMTs for MS. We link changes in laboratory tests to the possible therapeutic risks that include secondary autoimmunity, infections, and impaired response to vaccinations. Profound knowledge of the intended effects on leukocyte counts, in particular lymphocytes, explained by the mode of action, and adverse effects which may require additional laboratory and clinical vigilance or even drug discontinuation, is needed when prescribing DMTs to treat patients with MS.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schweitzer, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Laurent, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fink, G. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Barnett, Michael H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hartung, H. P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Warnke, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-345211
DOI: 10.1007/s00415-019-09690-6
Journal or Publication Title: J. Neurol.
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1432-1459
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY; PLACEBO-CONTROLLED TRIAL; LYMPHOCYTE SUBSETS; TREATED PATIENTS; ALEMTUZUMAB; NATALIZUMAB; FINGOLIMOD; OCRELIZUMAB; LYMPHOPENIA; MECHANISMMultiple languages
Clinical NeurologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/34521

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