Skip to main content
Top
Published in:

02-09-2024 | Epstein-Barr Virus | REVIEW

The Impact of Epstein-Barr Virus on Autoimmune Neuromuscular Disorders: A Comparative Study of Myasthenia Gravis and Guillain–Barre Syndrome

Authors: Anu Shibi Anilkumar, Ramakrishnan Veerabathiran

Published in: Current Treatment Options in Neurology | Issue 11/2024

Login to get access

Abstract

Purpose of Review

The aim is to elucidate the mechanisms of autoimmune dysregulation that contribute to the onset and course of Guillain–Barre Syndrome (GBS) and Myasthenia Gravis (MG), with an emphasis on the important role that the Epstein-Barr virus (EBV) plays as an exacerbator or trigger of these autoimmune reactions. It further explores diagnostic strategies and therapeutic approaches to improve patient outcomes.

Recent Findings

Recent researches have underscored the challenging nature of EBV due to its insidious behavior and persistent latency, which make it difficult to create successful preventive and therapeutic approaches. These discoveries have revealed how EBV's ability to induce host immune dysfunction can exacerbate or spark inflammatory processes, leading to its association with various autoimmune diseases such as systemic lupus erythematosus, multiple sclerosis, rheumatoid arthritis, and Sjögren's syndrome. Moreover, this review will shed light on the intricate connections between EBV and autoimmune neuromuscular disorders like MG and GBS, emphasizing the urgent requirement for further investigation to devise effective strategies against EBV-related conditions.

Summary

MG and GBS, while both autoimmune illnesses affecting the neuromuscular system, differ greatly in their pathogenesis and clinical presentation. Viral infections, notably EBV, are vital in causing or aggravating these diseases. Understanding the link between EBV and autoimmune dysregulation could enhance diagnostic accuracy, therapeutic approaches, and preventive options, such as antiviral medications or vaccinations. Continued research and interdisciplinary collaboration are crucial to clarify how EBV affects MG and GBS, potentially leading to tailored treatments. Identifying precise biomarkers and pathways will improve clinical protocols, public health standards, and education on the EBV-autoimmunity relationship.
Literature
4.
go back to reference Gilhus NE, Skeie GO, Romi F, Lazaridis K, Zisimopoulou P, Tzartos S. Myasthenia gravis—autoantibody characteristics and their implications for therapy. Nat Rev Neurol. 2016;12(5):259–68.PubMedCrossRef Gilhus NE, Skeie GO, Romi F, Lazaridis K, Zisimopoulou P, Tzartos S. Myasthenia gravis—autoantibody characteristics and their implications for therapy. Nat Rev Neurol. 2016;12(5):259–68.PubMedCrossRef
5.
go back to reference Zhu Y, Wang B, Hao Y, Zhu R. Clinical features of myasthenia gravis with neurological and systemic autoimmune diseases. Front Immunol. 2023;14:1223322.PubMedPubMedCentralCrossRef Zhu Y, Wang B, Hao Y, Zhu R. Clinical features of myasthenia gravis with neurological and systemic autoimmune diseases. Front Immunol. 2023;14:1223322.PubMedPubMedCentralCrossRef
6.
go back to reference Salari N, Fatahi B, Bartina Y, Kazeminia M, Fatahian R, Mohammadi P, Shohaimi S, Mohammadi M. Global prevalence of myasthenia gravis and the effectiveness of common drugs in its treatment: a systematic review and meta-analysis. J Transl Med. 2021;19:1–23.CrossRef Salari N, Fatahi B, Bartina Y, Kazeminia M, Fatahian R, Mohammadi P, Shohaimi S, Mohammadi M. Global prevalence of myasthenia gravis and the effectiveness of common drugs in its treatment: a systematic review and meta-analysis. J Transl Med. 2021;19:1–23.CrossRef
7.
go back to reference Ganesan A, Gopalakrishnan S, Golla DV. A case report of Guillain-Barre syndrome with demyelinating polyradiculoneuropathy. Romanian J Diabetes Nutr Metab Dis. 2022;29(4):476–9. Ganesan A, Gopalakrishnan S, Golla DV. A case report of Guillain-Barre syndrome with demyelinating polyradiculoneuropathy. Romanian J Diabetes Nutr Metab Dis. 2022;29(4):476–9.
8.
go back to reference Jacob S, Kapadia R, Soule T, Luo H, Schellenberg KL, Douville RN, Pfeffer G. Neuromuscular complications of SARS-CoV-2 and other viral infections. Front Neurol. 2022;13:914411.PubMedPubMedCentralCrossRef Jacob S, Kapadia R, Soule T, Luo H, Schellenberg KL, Douville RN, Pfeffer G. Neuromuscular complications of SARS-CoV-2 and other viral infections. Front Neurol. 2022;13:914411.PubMedPubMedCentralCrossRef
9.
go back to reference Gilhus NE, Romi F, Hong Y, Skeie GO. Myasthenia gravis and infectious disease. J Neurol. 2018;265:1251–8.PubMedCrossRef Gilhus NE, Romi F, Hong Y, Skeie GO. Myasthenia gravis and infectious disease. J Neurol. 2018;265:1251–8.PubMedCrossRef
10.
go back to reference Li L, Xiong WC, Mei L. Neuromuscular junction formation, aging, and disorders. Annu Rev Physiol. 2018;80:159–88.PubMedCrossRef Li L, Xiong WC, Mei L. Neuromuscular junction formation, aging, and disorders. Annu Rev Physiol. 2018;80:159–88.PubMedCrossRef
11.
go back to reference Berrih-Aknin S, Le Panse R. Myasthenia gravis: a comprehensive review of immune dysregulation and etiological mechanisms. J Autoimmun. 2014;52:90–100.PubMedCrossRef Berrih-Aknin S, Le Panse R. Myasthenia gravis: a comprehensive review of immune dysregulation and etiological mechanisms. J Autoimmun. 2014;52:90–100.PubMedCrossRef
12.
go back to reference Dresser L, Wlodarski R, Rezania K, Soliven B. Myasthenia gravis: epidemiology, pathophysiology and clinical manifestations. J Clin Med. 2021;10(11):2235.PubMedPubMedCentralCrossRef Dresser L, Wlodarski R, Rezania K, Soliven B. Myasthenia gravis: epidemiology, pathophysiology and clinical manifestations. J Clin Med. 2021;10(11):2235.PubMedPubMedCentralCrossRef
13.
go back to reference Dong J, Duan RS, Zhang P. Causal relationship between the immune phenotype of monocytes and myasthenia gravis: A Mendelian randomization study. Heliyon. 2024;10(5):e26741.PubMedPubMedCentralCrossRef Dong J, Duan RS, Zhang P. Causal relationship between the immune phenotype of monocytes and myasthenia gravis: A Mendelian randomization study. Heliyon. 2024;10(5):e26741.PubMedPubMedCentralCrossRef
14.
go back to reference Uzawa A, Kuwabara S, Suzuki S, Imai T, Murai H, Ozawa Y, Yasuda M, Nagane Y, Utsugisawa K. Roles of cytokines and T cells in the pathogenesis of myasthenia gravis. Clin Exp Immunol. 2021;203(3):366–74.PubMedCrossRef Uzawa A, Kuwabara S, Suzuki S, Imai T, Murai H, Ozawa Y, Yasuda M, Nagane Y, Utsugisawa K. Roles of cytokines and T cells in the pathogenesis of myasthenia gravis. Clin Exp Immunol. 2021;203(3):366–74.PubMedCrossRef
15.
go back to reference Tadjievna KD, Bakhtiyarova IN. Incidence of thymus gland pathology in patients with myasthenia gravis (literature review). World Bull Pub Health. 2022;30(13):202–5. Tadjievna KD, Bakhtiyarova IN. Incidence of thymus gland pathology in patients with myasthenia gravis (literature review). World Bull Pub Health. 2022;30(13):202–5.
16.
go back to reference Misawa S, Suichi T. Guillain-Barré syndrome: Novel treatment by complement inhibition. Clin Exp Neuroimmunol. 2020;11(2):90–3.CrossRef Misawa S, Suichi T. Guillain-Barré syndrome: Novel treatment by complement inhibition. Clin Exp Neuroimmunol. 2020;11(2):90–3.CrossRef
17.
go back to reference Berciano J. Axonal pathology in early stages of Guillain-Barré syndrome. Neurologia. 2022;37(6):466–79.PubMedCrossRef Berciano J. Axonal pathology in early stages of Guillain-Barré syndrome. Neurologia. 2022;37(6):466–79.PubMedCrossRef
18.
go back to reference Patnaik UJ. Review article on COVID-19 and Guillain-Barré syndrome. Front Biosci-Sch. 2021;13(1):97–104.CrossRef Patnaik UJ. Review article on COVID-19 and Guillain-Barré syndrome. Front Biosci-Sch. 2021;13(1):97–104.CrossRef
20.
go back to reference Li T, Wolfert MA, Wei N, Huizinga R, Jacobs BC, Boons GJ. Chemoenzymatic synthesis of Campylobacter jejuni lipo-oligosaccharide core domains to examine Guillain-Barre syndrome serum antibody specificities. J Am Chem Soc. 2020;142(46):19611–21.PubMedPubMedCentralCrossRef Li T, Wolfert MA, Wei N, Huizinga R, Jacobs BC, Boons GJ. Chemoenzymatic synthesis of Campylobacter jejuni lipo-oligosaccharide core domains to examine Guillain-Barre syndrome serum antibody specificities. J Am Chem Soc. 2020;142(46):19611–21.PubMedPubMedCentralCrossRef
21.
go back to reference Khan SA, Das PR, Nahar Z, Dewan SM. An updated review on Guillain-Barré syndrome: Challenges in infection prevention and control in low-and middle-income countries. SAGE Open Med. 2024;12:20503121241239536.PubMedPubMedCentralCrossRef Khan SA, Das PR, Nahar Z, Dewan SM. An updated review on Guillain-Barré syndrome: Challenges in infection prevention and control in low-and middle-income countries. SAGE Open Med. 2024;12:20503121241239536.PubMedPubMedCentralCrossRef
22.
go back to reference Wu CL, Chao CH, Lin SW, Chien YY, Huang WY, Weng WC, Su FC, Wei YC. Case report: Plasma biomarkers reflect immune mechanisms of guillain-barré syndrome. Front Neurol. 2021;12:720794.PubMedPubMedCentralCrossRef Wu CL, Chao CH, Lin SW, Chien YY, Huang WY, Weng WC, Su FC, Wei YC. Case report: Plasma biomarkers reflect immune mechanisms of guillain-barré syndrome. Front Neurol. 2021;12:720794.PubMedPubMedCentralCrossRef
23.
go back to reference Yuan J, Zhang J, Zhang B, Hu W. The clinical features of patients concurrent with Guillain-Barre syndrome and myasthenia gravis. Neurosci J. 2018;23(1):66–70. Yuan J, Zhang J, Zhang B, Hu W. The clinical features of patients concurrent with Guillain-Barre syndrome and myasthenia gravis. Neurosci J. 2018;23(1):66–70.
24.
go back to reference Croitoru CG, Cuciureanu DI, Hodorog DN, Grosu C, Cianga P. Autoimmune myasthenia gravis and COVID-19. A case report-based review. J Int Med Res. 2023;51(8):03000605231191025.PubMedPubMedCentralCrossRef Croitoru CG, Cuciureanu DI, Hodorog DN, Grosu C, Cianga P. Autoimmune myasthenia gravis and COVID-19. A case report-based review. J Int Med Res. 2023;51(8):03000605231191025.PubMedPubMedCentralCrossRef
28.
go back to reference Cavalcante P, Marcuzzo S, Franzi S, et al. Epstein-Barr virus in tumor-infiltrating B cells of myasthenia gravis thymoma: an innocent bystander or an autoimmunity mediator? Oncotarget. 2017;8(56):95432–49.PubMedPubMedCentralCrossRef Cavalcante P, Marcuzzo S, Franzi S, et al. Epstein-Barr virus in tumor-infiltrating B cells of myasthenia gravis thymoma: an innocent bystander or an autoimmunity mediator? Oncotarget. 2017;8(56):95432–49.PubMedPubMedCentralCrossRef
29.
go back to reference Cavalcante P, Serafini B, Rosicarelli B, Maggi L, Barberis M, Antozzi C, Berrih-Aknin S, Bernasconi P, Aloisi F, Mantegazza R. Epstein-Barr virus persistence and reactivation in myasthenia gravis thymus. Ann Neurol. 2010;67(6):726–38.PubMedCrossRef Cavalcante P, Serafini B, Rosicarelli B, Maggi L, Barberis M, Antozzi C, Berrih-Aknin S, Bernasconi P, Aloisi F, Mantegazza R. Epstein-Barr virus persistence and reactivation in myasthenia gravis thymus. Ann Neurol. 2010;67(6):726–38.PubMedCrossRef
30.
go back to reference Nishio M, Saito M, Yoshimori M, Kumaki Y, Ohashi A, Susaki E, Yonese I, Sawada M, Arai A. Clinical significance of anti-Epstein–Barr virus antibodies in systemic chronic active Epstein-Barr virus disease. Front Microbiol. 2024;14:1320292.PubMedPubMedCentralCrossRef Nishio M, Saito M, Yoshimori M, Kumaki Y, Ohashi A, Susaki E, Yonese I, Sawada M, Arai A. Clinical significance of anti-Epstein–Barr virus antibodies in systemic chronic active Epstein-Barr virus disease. Front Microbiol. 2024;14:1320292.PubMedPubMedCentralCrossRef
31.
go back to reference Elendu C, Osamuyi EI, Afolayan IA, Opara NC, Chinedu-Anunaso NA, Okoro CB, Nwankwo AU, Ezidiegwu DO, Anunaso CA, Ogbu CC, Aghahowa SO. Clinical presentation and symptomatology of Guillain-Barré syndrome: A literature review. Medicine. 2024;103(30):e38890.PubMedPubMedCentralCrossRef Elendu C, Osamuyi EI, Afolayan IA, Opara NC, Chinedu-Anunaso NA, Okoro CB, Nwankwo AU, Ezidiegwu DO, Anunaso CA, Ogbu CC, Aghahowa SO. Clinical presentation and symptomatology of Guillain-Barré syndrome: A literature review. Medicine. 2024;103(30):e38890.PubMedPubMedCentralCrossRef
32.
go back to reference Mahmood H, Kiani M, Madani Y. ‘A kiss that took my legs away’: a rare presentation of Epstein-Barr virus in the older population. Clin Med. 2023;23(6):621–4.CrossRef Mahmood H, Kiani M, Madani Y. ‘A kiss that took my legs away’: a rare presentation of Epstein-Barr virus in the older population. Clin Med. 2023;23(6):621–4.CrossRef
33.
34.
go back to reference Head VA, Wakerley BR. Guillain-Barré syndrome in general practice: clinical features suggestive of early diagnosis. Br J Gen Pract. 2016;66(645):218–9.PubMedPubMedCentralCrossRef Head VA, Wakerley BR. Guillain-Barré syndrome in general practice: clinical features suggestive of early diagnosis. Br J Gen Pract. 2016;66(645):218–9.PubMedPubMedCentralCrossRef
35.
go back to reference Chakraborty U, Hati A, Chandra A. Covid-19 associated Guillain-Barré syndrome: A series of a relatively uncommon neurological complication. Diabetes Metab Syndr. 2021;15(6):102326.PubMedPubMedCentralCrossRef Chakraborty U, Hati A, Chandra A. Covid-19 associated Guillain-Barré syndrome: A series of a relatively uncommon neurological complication. Diabetes Metab Syndr. 2021;15(6):102326.PubMedPubMedCentralCrossRef
36.
go back to reference Tizaoui K, Shin JI, Jeong GH, Yang JW, Park S, Kim JH, Hwang SY, Park SJ, Koyanagi A, Smith L. Genetic polymorphism of PTPN22 in autoimmune diseases: a comprehensive review. Medicina. 2022;58(8):1034.PubMedPubMedCentralCrossRef Tizaoui K, Shin JI, Jeong GH, Yang JW, Park S, Kim JH, Hwang SY, Park SJ, Koyanagi A, Smith L. Genetic polymorphism of PTPN22 in autoimmune diseases: a comprehensive review. Medicina. 2022;58(8):1034.PubMedPubMedCentralCrossRef
37.
go back to reference Tizaoui K, Terrazzino S, Cargnin S, Lee KH, Gauckler P, Li H, Shin JI, Kronbichler A. The role of PTPN22 in the pathogenesis of autoimmune diseases: A comprehensive review. InSeminars in arthritis and rheumatism 2021.(Vol 51, No 3, pp 513–522). WB Saunders. Tizaoui K, Terrazzino S, Cargnin S, Lee KH, Gauckler P, Li H, Shin JI, Kronbichler A. The role of PTPN22 in the pathogenesis of autoimmune diseases: A comprehensive review. InSeminars in arthritis and rheumatism 2021.(Vol 51, No 3, pp 513–522). WB Saunders.
38.
go back to reference Hossen MM, Ma Y, Yin Z, Xia Y, Du J, Huang JY, Huang JJ, Zou L, Ye Z, Huang Z. Current understanding of CTLA-4: from mechanism to autoimmune diseases. Front Immunol. 2023;14:1198365.PubMedPubMedCentralCrossRef Hossen MM, Ma Y, Yin Z, Xia Y, Du J, Huang JY, Huang JJ, Zou L, Ye Z, Huang Z. Current understanding of CTLA-4: from mechanism to autoimmune diseases. Front Immunol. 2023;14:1198365.PubMedPubMedCentralCrossRef
39.
go back to reference Li X, Yang L, Wang G, Yuan Y, Wei N, Yang W, Wang X, Wang Z. Extensive cytokine biomarker analysis in serum of Guillain-Barré syndrome patients. Sci Rep. 2023;13(1):8354.PubMedPubMedCentralCrossRef Li X, Yang L, Wang G, Yuan Y, Wei N, Yang W, Wang X, Wang Z. Extensive cytokine biomarker analysis in serum of Guillain-Barré syndrome patients. Sci Rep. 2023;13(1):8354.PubMedPubMedCentralCrossRef
40.
go back to reference Goswami TK, Singh M, Dhawan M, Mitra S, Emran TB, Rabaan AA, Mutair AA, Alawi ZA, Alhumaid S, Dhama K. Regulatory T cells (Tregs) and their therapeutic potential against autoimmune disorders–Advances and challenges. Hum Vaccin Immunother. 2022;18(1):2035117.PubMedPubMedCentralCrossRef Goswami TK, Singh M, Dhawan M, Mitra S, Emran TB, Rabaan AA, Mutair AA, Alawi ZA, Alhumaid S, Dhama K. Regulatory T cells (Tregs) and their therapeutic potential against autoimmune disorders–Advances and challenges. Hum Vaccin Immunother. 2022;18(1):2035117.PubMedPubMedCentralCrossRef
41.
42.
go back to reference Yao J, Zhou R, Liu Y, Lu Z. Progress in Guillain-Barré syndrome immunotherapy—A narrative review of new strategies in recent years. Hum Vaccin Immunother. 2023;19(2):2215153.PubMedPubMedCentralCrossRef Yao J, Zhou R, Liu Y, Lu Z. Progress in Guillain-Barré syndrome immunotherapy—A narrative review of new strategies in recent years. Hum Vaccin Immunother. 2023;19(2):2215153.PubMedPubMedCentralCrossRef
44.
go back to reference Safa A, Azimi T, Sayad A, Taheri M, Ghafouri-Fard S. A review of the role of genetic factors in Guillain-Barré syndrome. J Mol Neurosci. 2021;71(5):902–20.PubMedCrossRef Safa A, Azimi T, Sayad A, Taheri M, Ghafouri-Fard S. A review of the role of genetic factors in Guillain-Barré syndrome. J Mol Neurosci. 2021;71(5):902–20.PubMedCrossRef
45.
go back to reference Liu H, Xing Y, Guo Y, Liu P, Zhang H, Xue B, Shou J, Qian J, Peng J, Wang R, Gao Y. Polymorphisms in exon 2 of CD1 genes are associated with susceptibility to Guillain-Barré syndrome. J Neurol Sci. 2016;369:39–42.PubMedCrossRef Liu H, Xing Y, Guo Y, Liu P, Zhang H, Xue B, Shou J, Qian J, Peng J, Wang R, Gao Y. Polymorphisms in exon 2 of CD1 genes are associated with susceptibility to Guillain-Barré syndrome. J Neurol Sci. 2016;369:39–42.PubMedCrossRef
46.
go back to reference Zarobkiewicz MK, Morawska I, Michalski A, Roliński J, Bojarska-Junak A. NKT and NKT-like cells in autoimmune neuroinflammatory diseases—multiple sclerosis, myasthenia gravis and guillain-barre syndrome. Int J Mol Sci. 2021;22(17):9520.PubMedPubMedCentralCrossRef Zarobkiewicz MK, Morawska I, Michalski A, Roliński J, Bojarska-Junak A. NKT and NKT-like cells in autoimmune neuroinflammatory diseases—multiple sclerosis, myasthenia gravis and guillain-barre syndrome. Int J Mol Sci. 2021;22(17):9520.PubMedPubMedCentralCrossRef
47.
go back to reference Wang JY, Pan J, Luo BY, Zhang YY. Temporal coincidence of myasthenia gravis and Guillain Barré syndrome associated with Hashimoto thyroiditis. Neurol Sci. 2011;32:515–7.PubMedCrossRef Wang JY, Pan J, Luo BY, Zhang YY. Temporal coincidence of myasthenia gravis and Guillain Barré syndrome associated with Hashimoto thyroiditis. Neurol Sci. 2011;32:515–7.PubMedCrossRef
48.
go back to reference Hsieh MY, Chan OW, Lin JJ, Lin KL, Hsia SH, Wang HS, Chiu CH. Combined Guillain-Barré syndrome and myasthenia gravis. Brain Develop. 2013;35(9):865–9.CrossRef Hsieh MY, Chan OW, Lin JJ, Lin KL, Hsia SH, Wang HS, Chiu CH. Combined Guillain-Barré syndrome and myasthenia gravis. Brain Develop. 2013;35(9):865–9.CrossRef
49.
go back to reference Leopardi V, Chang YM, Pham A, Luo J, Garden OA. A systematic review of the potential implication of infectious agents in myasthenia gravis. Front Neurol. 2021;14(12):618021.CrossRef Leopardi V, Chang YM, Pham A, Luo J, Garden OA. A systematic review of the potential implication of infectious agents in myasthenia gravis. Front Neurol. 2021;14(12):618021.CrossRef
50.
go back to reference Evoli A, Iorio R, Bartoccioni E. Overcoming challenges in the diagnosis and treatment of myasthenia gravis. Expert Rev Clin Immunol. 2016;12(2):157–68.PubMedCrossRef Evoli A, Iorio R, Bartoccioni E. Overcoming challenges in the diagnosis and treatment of myasthenia gravis. Expert Rev Clin Immunol. 2016;12(2):157–68.PubMedCrossRef
51.
go back to reference Tomschik M, Renaud E, Jäger F, Paternostro C, Rath J, Rinner W, Zulehner G, Zimprich F, Cetin H. The diagnostic and prognostic utility of repetitive nerve stimulation in patients with myasthenia gravis. Sci Rep. 2023;13(1):2985.PubMedPubMedCentralCrossRef Tomschik M, Renaud E, Jäger F, Paternostro C, Rath J, Rinner W, Zulehner G, Zimprich F, Cetin H. The diagnostic and prognostic utility of repetitive nerve stimulation in patients with myasthenia gravis. Sci Rep. 2023;13(1):2985.PubMedPubMedCentralCrossRef
52.
go back to reference Erdoğan Ç, Tekin S, Ünlütürk Z, Gedik DK. Myasthenia gravis, guillain–barré syndrome, or both? Ideggyogy Sz. 2020;73(1–2):60–4.PubMed Erdoğan Ç, Tekin S, Ünlütürk Z, Gedik DK. Myasthenia gravis, guillain–barré syndrome, or both? Ideggyogy Sz. 2020;73(1–2):60–4.PubMed
53.
go back to reference Ho S, Liu A. A co-occurrence of serologically proven myasthenia gravis and pharyngeal-cervical-brachial variant of guillain-barre syndrome. Case Rep Neurol Med. 2019;2019:1–3. Ho S, Liu A. A co-occurrence of serologically proven myasthenia gravis and pharyngeal-cervical-brachial variant of guillain-barre syndrome. Case Rep Neurol Med. 2019;2019:1–3.
Metadata
Title
The Impact of Epstein-Barr Virus on Autoimmune Neuromuscular Disorders: A Comparative Study of Myasthenia Gravis and Guillain–Barre Syndrome
Authors
Anu Shibi Anilkumar
Ramakrishnan Veerabathiran
Publication date
02-09-2024
Publisher
Springer US
Published in
Current Treatment Options in Neurology / Issue 11/2024
Print ISSN: 1092-8480
Electronic ISSN: 1534-3138
DOI
https://doi.org/10.1007/s11940-024-00809-3

Advances in Alzheimer's

Alzheimer's research and care is changing rapidly. Keep up with the latest developments from key international conferences, together with expert insights on how to integrate these advances into practice.

This content is intended for healthcare professionals outside of the UK.

Supported by:
  • Lilly
Developed by: Springer Healthcare IME
Learn more