Natalizumab: clinical use

Evidence-based neurology checklist on natalizumab: clinical use: Mode of action Natalizumab is a humanised monoclonal antibody It binds to α4β1-integrin on the surface of lymphocytes and monocytes It thereby inhibits lymphocyte migration into the central nervous system The effect lasts up to 6…

Mode of action

  • Natalizumab is a humanised monoclonal antibody
  • It binds to α4β1-integrin on the surface of lymphocytes and monocytes
  • It thereby inhibits lymphocyte migration into the central nervous system
  • The effect lasts up to 6 months

Clinical benefits of Natalizumab

Dose

Acronym

References

  1. Dargahi N, Katsara M, Tselios T, et al. Multiple sclerosis: immunopathology and treatment update. Brain Sci 2017; 7(7) pii: E78. 
  2. Wingerchuk DM, Weinshenker BG. Disease modifying therapies for relapsing multiple sclerosis. BMJ 2016; 354:i3518.
  3. Vargas DL, Tyor WR. Update on disease-modifying therapies for multiple sclerosis. J Investig Med 2017; 65:883-891.
  4. Stuve O, Marra CM, Cravens PD, et al. Potential risk of progressive multifocal leukoencephalopathy with natalizumab therapy. Arch Neurol 2007; 64: 169-176.
  5. Warnke C, Menge T, Hartung H-P, et al. Natalizumab and progressive multifocal leukoencephalopathy. Arch Neurol 2010; 67:923-930.
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