PMID- 10499831 OWN - NLM STAT- MEDLINE DCOM- 19991109 LR - 20131121 IS - 0306-9877 (Print) IS - 0306-9877 (Linking) VI - 53 IP - 1 DP - 1999 Jul TI - Inhibition of TNF-alpha synthesis with thalidomide for prevention of acute exacerbations and altering the natural history of multiple sclerosis. PG - 76-7 AB - Multiple sclerosis (MS) is a common neurological disorder which has a relapsing/remitting course and is presently incurable. A variety of agents have been tried to prevent excerbations and alter the natural history of the disease. Tumor necrosis factor-alpha (TNF-alpha) has been implicated as the most important cytokine in the pathogenesis of MS. There is evidence that thalidomide is an agent which blocks production of TNF-alpha by a mechanism different from other agents. Hence it is hypothesized that using thalidomide as therapy would prevent acute exacerbations of MS as well as alter its natural history. FAU - Sastry, P S AU - Sastry PS AD - Leukaemia/Myeloma Unit, Royal Marsden Hospital, Sutton, Surrey, UK. LA - eng PT - Journal Article PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Tumor Necrosis Factor-alpha) RN - 4Z8R6ORS6L (Thalidomide) SB - IM MH - Disease Progression MH - Humans MH - Models, Neurological MH - Multiple Sclerosis/*drug therapy/physiopathology MH - Thalidomide/*therapeutic use MH - Tumor Necrosis Factor-alpha/*biosynthesis EDAT- 1999/09/28 00:00 MHDA- 1999/09/28 00:01 CRDT- 1999/09/28 00:00 PHST- 1999/09/28 00:00 [pubmed] PHST- 1999/09/28 00:01 [medline] PHST- 1999/09/28 00:00 [entrez] AID - S0306-9877(97)90719-2 [pii] AID - 10.1054/mehy.1997.0719 [doi] PST - ppublish SO - Med Hypotheses. 1999 Jul;53(1):76-7. doi: 10.1054/mehy.1997.0719.