PMID- 30820593 OWN - NLM STAT- MEDLINE DCOM- 20200622 LR - 20200622 IS - 1432-1440 (Electronic) IS - 0946-2716 (Linking) VI - 97 IP - 4 DP - 2019 Apr TI - Insight into the mechanism of action of dimethyl fumarate in multiple sclerosis. PG - 463-472 LID - 10.1007/s00109-019-01761-5 [doi] AB - Dimethyl fumarate (DMF) is an oral, disease-modifying agent for the treatment of relapsing-remitting multiple sclerosis (RRMS). However, details regarding its mode of action are still emerging. It is believed that the mode of action of DMF involves both nuclear factor erythroid-derived 2-related factor (Nrf2)-dependent and independent pathways, which lead to an anti-inflammatory immune response due to type II myeloid cell and Th2 cell differentiation and neuroprotection. In this review, we will focus on the molecular and signaling effects of DMF that lead to changes in peripheral immune cell composition and function, alteration in CNS cell-specific functions, and effect on the blood-brain barrier. FAU - Yadav, Sudhir Kumar AU - Yadav SK AD - Department of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, 08854, USA. FAU - Soin, Devika AU - Soin D AD - Department of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, 08854, USA. FAU - Ito, Kouichi AU - Ito K AD - Department of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, 08854, USA. FAU - Dhib-Jalbut, Suhayl AU - Dhib-Jalbut S AD - Department of Neurology, Rutgers-Robert Wood Johnson Medical School, Piscataway, NJ, 08854, USA. jalbutsu@rwjms.rutgers.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20190228 PL - Germany TA - J Mol Med (Berl) JT - Journal of molecular medicine (Berlin, Germany) JID - 9504370 RN - 0 (Immunosuppressive Agents) RN - 0 (NF-E2-Related Factor 2) RN - FO2303MNI2 (Dimethyl Fumarate) SB - IM MH - Animals MH - Dimethyl Fumarate/pharmacology/*therapeutic use MH - Humans MH - Immunosuppressive Agents/pharmacology/*therapeutic use MH - Multiple Sclerosis, Relapsing-Remitting/*drug therapy/immunology MH - NF-E2-Related Factor 2/immunology MH - Th2 Cells/drug effects/immunology OTO - NOTNLM OT - Dimethyl fumarate OT - Immunomodulation OT - Neuroprotection OT - Nuclear factor erythroid-derived 2-related factor OT - Relapsing-remitting multiple sclerosis EDAT- 2019/03/02 06:00 MHDA- 2020/06/23 06:00 CRDT- 2019/03/02 06:00 PHST- 2018/12/08 00:00 [received] PHST- 2019/02/19 00:00 [accepted] PHST- 2019/02/15 00:00 [revised] PHST- 2019/03/02 06:00 [pubmed] PHST- 2020/06/23 06:00 [medline] PHST- 2019/03/02 06:00 [entrez] AID - 10.1007/s00109-019-01761-5 [pii] AID - 10.1007/s00109-019-01761-5 [doi] PST - ppublish SO - J Mol Med (Berl). 2019 Apr;97(4):463-472. doi: 10.1007/s00109-019-01761-5. Epub 2019 Feb 28.