Cited by 260Multiple Sclerosis Research StudiesPsoriasis: Treatment and PathogenesisPolyomavirus and related diseases

Ageing and multiple sclerosis

Open access
Graves, Jennifer S, Krysko, Kristen M, Hua, Le H, Absinta, Martina, Franklin, Robin J M, Segal, Benjamin M·2023·The Lancet Neurology

Abstract

The factor that is most relevant and strongly associated with the clinical course of multiple sclerosis is chronological age. Very young patients exclusively have relapsing remitting disease, whereas those with later onset disease face a more rapid development of permanent disability. For people with progressive multiple sclerosis, the poor response to current disease modifying therapies might be related to ageing in the immune system and CNS. Ageing is also associated with increased risks of side-effects caused by some multiple sclerosis therapies. Both somatic and reproductive ageing processes might contribute to development of progressive multiple sclerosis. Understanding the role of ageing in immune and neural cell function in patients with multiple sclerosis might be key to halting non-relapse-related progression. The growing literature on potential therapies that target senescent cells and ageing processes might provide effective strategies for remyelination and neuroprotection.

Integrity signals

Registry

Crossref · 10.1016/s1474-4422(22)00184-3

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111 of 111 references verified0 citation errors · 0 not checkable

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Authors
Graves, J. S., Krysko, K. M., Hua, L. H., Absinta, M., Franklin, R. J. M., & Segal, B. M.
Affiliations
  • United States Department of Veterans Affairs (US)
  • St. Michael's Hospital (CA)
  • Cleveland Clinic (US)
  • Johns Hopkins University (US)
  • Wellcome/MRC Cambridge Stem Cell Institute (GB)
  • The Ohio State University (US)
Corresponding author
Graves, Jennifer S
Venue
The Lancet Neurology
Publisher
Elsevier BV
Published
2023-01
Volume
22
Issue
1
Pages
66-77
ISSN
1474-4422 (ISSN-L)
OpenAlex
W4303473149
Cited by
260
References
113
Citations by year
2026: 74 · 2025: 84 · 2024: 68 · 2023: 33
FWCI
7.62
Type
journal article
Language
en
Open access
Locations
  • The Lancet Neurology (acceptedVersion)
  • PubMed (publishedVersion)
Funders
  • Medical Research Council
  • National Institute of Neurological Disorders and Stroke
  • Multiple Sclerosis Society (MS50)
  • Conrad N. Hilton Foundation (17313)
  • Fondazione Cariplo (1677)
  • Dr. Miriam and Sheldon G. Adelson Medical Research Foundation
  • Fondazione per la Ricerca Biomedica (1750327)
  • Ohio State University
  • Wellcome - MRC Cambridge Stem Cell Institute, University of Cambridge (203151/Z/16/Z)
  • Wellcome Trust
  • National Eye Institute
  • National Institutes of Health (R01EY028350, R01EY029159, R01NS105385)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
  • Health Sciences › Medicine › Oncology › Polyomavirus and related diseases
Keywords
multiple sclerosis, aging, age of onset, relapsing-remitting multiple sclerosis, progressive multiple sclerosis, disability progression, immunosenescence, disease-modifying therapy, adverse drug reactions, reproductive aging, cellular senescence, senolytics, remyelination, neuroprotection
MeSH terms
Aging, Disabled Persons, Persons with Disabilities, Humans, Multiple Sclerosis, Disease Progression, Multiple Sclerosis, Chronic Progressive, Multiple Sclerosis, Relapsing-Remitting

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