Optic neuritis in the era of biomarkers.
aquaporin-4 antibodies (AQP4-IgG)
multiple sclerosis
myelin oligodendrocyte glycoprotein antibodies (MOG-IgG)
neuromyelitis optica spectrum disorder (NMOSD)
optic neuritis
Journal
Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551
Informations de publication
Date de publication:
Historique:
received:
05
06
2019
revised:
24
07
2019
accepted:
05
08
2019
pubmed:
20
8
2019
medline:
4
3
2021
entrez:
20
8
2019
Statut:
ppublish
Résumé
The Optic Neuritis Treatment Trial, a landmark study completed in 1991, stratified the risk of multiple sclerosis in patients with optic neuritis. Since that time, unique biomarkers for optic neuritis have been found. The antibody against aquaporin-4 (AQP4)-immunoglobulin G (IgG) discovered in 2004 was found to be both the pathologic cause and a reliable biomarker for neuromyelitis optica spectrum disorders. This finding enabled an expanded definition of the phenotype of neuromyelitis optica spectrum disorder and improved treatment of the disease. Subsequently, myelin oligodendrocyte glycoprotein (MOG) IgG was recognized to be a marker for MOG-IgG-associated disorder, a central demyelinating disease characterized by recurrent optic neuritis, prominent disk edema, and perineural optic nerve enhancement on magnetic resonance imaging. Most multiple sclerosis disease-modifying agents are ineffective for AQP4-IgG-positive neuromyelitis optica spectrum disorder and MOG-IgG-associated disorder. Because there are crucial differences in treatment and prognosis between multiple sclerosis, AQP4-IgG-positive neuromyelitis optica spectrum disorder, and MOG-IgG-associated disorder, ophthalmologists should be aware of these new biomarkers of optic neuritis and incorporate their testing in all patients with atypical optic neuritis.
Identifiants
pubmed: 31425702
pii: S0039-6257(19)30246-2
doi: 10.1016/j.survophthal.2019.08.001
pii:
doi:
Substances chimiques
Aquaporin 4
0
Biomarkers
0
Myelin-Oligodendrocyte Glycoprotein
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
12-17Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.