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The Usefulness of Immunotherapy in Pediatric Neurodegenerative Disorders: A Systematic Review of Literature Data Publisher Pubmed



Vitaliti G1 ; Tabatabaie O2 ; Matin N2 ; Ledda C3 ; Pavone P1 ; Lubrano R4 ; Serra A5 ; Di Mauro P5 ; Cocuzza S5 ; Falsaperla R1
Authors
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Authors Affiliations
  1. 1. Acute and Emergency Paediatric and General Paediatric Operative Unit, Policlinico-Vittorio Emanuele Hospital, University of Catania, Catania, Italy
  2. 2. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Hygiene and Public Health, Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, Italy
  4. 4. Pediatric Department, Pediatric Nephrology Operative Unit of the Sapienza University of Rome, Rome, Italy
  5. 5. ENT Department G.F. Ingrassia, Policlinico-Vittorio Emanuele University Hospital, University of Catania, Catania, Italy

Source: Human Vaccines and Immunotherapeutics Published:2015


Abstract

Immunotherapeutic strategies to treat neurodegenerative disorders have inspired the scientific community. The aim of our review is to address the translational aspects of neuroimmunology to describe the efficacy of immunotherapy in the treatment of pediatric neurodegenerative disorders. In the studies we analyzed IVIG were found to be efficient in the treatment of post-streptococcal neurodegenerative disorders, even if in PANDAS, plasma-exchange (PE) showed a higher efficiency. IVIG were also successfully used in ADEM and Guillan-Barre syndrome. In Sydenham Chorea the use of methylprednisolone was found in most cases as efficient as IVIG, while in Tourette’s Syndrome, Colecoxib was successfully used in one patient. Pediatric Multiple Sclerosis seems to respond better to immunosuppressant agents (Mitoxantrone, Cyclophosphamide, Natalizumab), as well as Neuromyelitis optica (Rituximab, Mycofenolate). The importance of this review relies in the attempt to draw standardized guidelines for immunotherapy in pediatric neurodegeneratve disorders ©2015 Taylor & Francis Group, LLC.
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