CDP-choline to promote remyelination in multiple sclerosis:the need for a clinical trial  

作　　者：Viktoria Gudi PawełGrieb Ralf ALinker Thomas Skripuletz 

机构地区：[1]Department of Neurology,Hannover Medical School,Hannover,Germany [2]Department of Experimental Pharmacology,Mossakowski Medical Research Institute,Polish Academy of Sciences,Warsaw,Poland [3]Department of Neurology,University Hospital Regensburg,Regensburg,Germany

出　　处：《Neural Regeneration Research》2023年第12期2599-2605,共7页中国神经再生研究（英文版）

摘　　要：Multiple sclerosis is a multifactorial chronic inflammatory disease of the central nervous system that leads to demyelination and neuronal cell death,resulting in functional disability.Remyelination is the natural repair process of demyelination,but it is often incomplete or fails in multiple sclerosis.Available therapies reduce the inflammatory state and prevent clinical relapses.However,therapeutic approaches to increase myelin repair in humans are not yet available.The substance cytidine-5′-diphosphocholine,CDP-choline,is ubiquitously present in eukaryotic cells and plays a crucial role in the synthesis of cellular phospholipids.Regenerative properties have been shown in various animal models of diseases of the central nervous system.We have already shown that the compound CDPcholine improves myelin regeneration in two animal models of multiple sclerosis.However,the results from the animal models have not yet been studied in patients with multiple sclerosis.In this review,we summarise the beneficial effects of CDP-choline on biolipid metabolism and turnover with regard to inflammatory and regenerative processes.We also explain changes in phospholipid and sphingolipid homeostasis in multiple sclerosis and suggest a possible therapeutic link to CDP-choline.

关 键 词：ASTROCYTES CDP-CHOLINE CUPRIZONE microglia multiple sclerosis OLIGODENDROCYTES 

分 类 号：R744.51[医药卫生—神经病学与精神病学]