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Eculizumab in Aquaporin-4–Positive Neuromyelitis Optica Spectrum Disorder
Author(s) -
Sean J. Pittock,
Achim Berthele,
Kazuo Fujihara,
Ho Jin Kim,
Michael Levy,
Jacqueline Palace,
Ichiro Nakashima,
Murat Terzi,
N. А. Totolyan,
Shanthi Viswanathan,
Kaichen Wang,
Amy Pace,
Kenji P. Fujita,
Róisín Armstrong,
Dean M. Wingerchuk
Publication year - 2019
Publication title -
new england journal of medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1900866
Subject(s) - neuromyelitis optica , eculizumab , spectrum disorder , aquaporin 4 , medicine , aquaporin , immunology , pathology , antibody , psychiatry , complement system , physiology
Neuromyelitis optica spectrum disorder (NMOSD) is a relapsing, autoimmune, inflammatory disorder that typically affects the optic nerves and spinal cord. At least two thirds of cases are associated with aquaporin-4 antibodies (AQP4-IgG) and complement-mediated damage to the central nervous system. In a previous small, open-label study involving patients with AQP4-IgG-positive disease, eculizumab, a terminal complement inhibitor, was shown to reduce the frequency of relapse.

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