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Published in: Clinical Autonomic Research 1/2016

01-02-2016 | Review Article

Autonomic dysfunction, immune regulation, and multiple sclerosis

Authors: Juan Manuel Racosta, Kurt Kimpinski

Published in: Clinical Autonomic Research | Issue 1/2016

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Abstract

Objective

To review existing evidence regarding interactions between the autonomic nervous system and the immune system functions in multiple sclerosis.

Methods

We reviewed the literature regarding new insights linking autonomic dysfunction to immune deregulation in multiple sclerosis, with particular focus on the specific influence of sympathetic and parasympathetic dysfunction on inflammatory and neurodegenerative processes.

Results

Autonomic dysfunction is common in multiple sclerosis, representing a significant cause of disability. Several connections between pathologic immune pathways and the autonomic nervous system function were found.

Conclusions

Autonomic dysfunction may enhance inflammatory and neurodegenerative pathways that are of major importance in multiple sclerosis. Autonomic dysfunction can present with highly variable manifestations. Sympathetic and parasympathetic dysfunction displays different patterns in multiple sclerosis, with specific impact on inflammation and neurodegeneration.
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Metadata
Title
Autonomic dysfunction, immune regulation, and multiple sclerosis
Authors
Juan Manuel Racosta
Kurt Kimpinski
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
Clinical Autonomic Research / Issue 1/2016
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-015-0325-7

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