Home > Publications database > Effects of disease-modifying therapy on peripheral leukocytes in patients with multiple sclerosis |
Journal Article | FZJ-2020-01453 |
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2021
Springer85301
Berlin
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Please use a persistent id in citations: http://hdl.handle.net/2128/28160 doi:10.1007/s00415-019-09690-6
Abstract: Modern disease-modifying therapies (DMTs) in multiple sclerosis (MS) have variable modes of action and selectively suppress or modulate the immune system. In this review, we summarize the predicted and intended as well as unwanted adverse effects on leukocytes in peripheral blood as a result of treatment with DMTs for MS. We link changes in laboratory tests to the possible therapeutic risks that include secondary autoimmunity, infections, and impaired response to vaccinations. Profound knowledge of the intended effects on leukocyte counts, in particular lymphocytes, explained by the mode of action, and adverse effects which may require additional laboratory and clinical vigilance or even drug discontinuation, is needed when prescribing DMTs to treat patients with MS.
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