NR AMEX
AU Walter,M.C.; Lochmüller,H.; Schlotter,B.; Reilich,P.; Müller-Felber,W.; Pongratz,D.
TI [New insights in pathogenesis and therapy of sporadic inclusion body myositis (s-IBM)]
OT Neue Gesichtspunkte zur Pathogenese und Therapie der sporadischen Einschlusskorpermyositis (s-IBM)
QU Der Nervenarzt 2001 Feb; 72(2): 117-21
PT journal article; review; review, tutorial
AB Sporadic inclusion body myositis (s-IBM) is a chronic progressive inflammatory myopathy which occurs preferentially in older patients. Histologic hallmarks are rimmed vacuoles and eosinophilic cytoplasmatic inclusions. The etiology is still unknown, but different pathogenetic mechanisms such as slow virus infection, autoimmunopathogenesis, myonuclear alterations, and mitochondrial defects have been implicated. A relation to neurodegenerative disorders and prion diseases has also been suggested. There is a poor response if any to immunosuppressive therapy. Stabilization of disease progression was shown only by intravenous immunoglobulin (IVIG) therapy. Future findings in the field of s-IBM pathogenesis may result in better therapeutic options.
ZR 54
MH Aged; Antilymphocyte Serum/therapeutic use; Crystallins/*genetics; Drug Therapy, Combination; English Abstract; Gene Expression Regulation/genetics/immunology; Genetic Predisposition to Disease; Human; Immunosorbent Techniques; Immunosuppressive Agents/therapeutic use; Immunotherapy/*methods; Methotrexate/therapeutic use; Middle Age; Myosin Heavy Chains/genetics; Myositis, Inclusion Body/*etiology/genetics/pathology/*therapy; NF-kappa B/immunology; Physical Therapy Techniques
AD Friedrich-Baur-Institut, Medizinische Klink, Klinikum der Ludwig-Maximilians-Universität, Ziemssenstr. 1a, 80336 München. Maggie.Walter@lrz.uni-muenchen.de
SP deutsch
PO Deutschland