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Published in: Current Neurology and Neuroscience Reports 4/2024

28-02-2024 | Multiple Sclerosis | Review

The Impact of Aging on Multiple Sclerosis

Authors: Christopher E. Goyne, Ashley E. Fair, Paige E. Sumowski, Jennifer S. Graves

Published in: Current Neurology and Neuroscience Reports | Issue 4/2024

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Abstract

Purpose of Review

Multiple sclerosis (MS) is a chronic, immune-mediated demyelinating disorder of the central nervous system. Age is one of the most important factors in determining MS phenotype. This review provides an overview of how age influences MS clinical characteristics, pathology, and treatment.

Recent findings

New methods for measuring aging have improved our understanding of the aging process in MS. New studies have characterized the molecular and cellular composition of chronic active or smoldering plaques in MS. These lesions are important contributors to disability progression in MS. These studies highlight the important role of immunosenescence and the innate immune system in sustaining chronic inflammation. Given these changes in immune function, several studies have assessed optimal treatment strategies in aging individuals with MS.

Summary

MS phenotype is intimately linked with chronologic age and immunosenescence. While there are many unanswered questions, there has been much progress in understanding this relationship which may lead to more effective treatments for progressive disease.
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Metadata
Title
The Impact of Aging on Multiple Sclerosis
Authors
Christopher E. Goyne
Ashley E. Fair
Paige E. Sumowski
Jennifer S. Graves
Publication date
28-02-2024
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 4/2024
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-024-01333-2