Novel Immunotherapeutic Strategies in Chronic Inflammatory Demyelinating Polyneuropathy

Immunotherapy. 2016 Feb;8(2):165-78. doi: 10.2217/imt.15.107. Epub 2016 Jan 25.

Abstract

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a chronic immune-mediated neuropathy: it is clinically heterogeneous (relapsing-remitting form, chronic progressive form, monophasic form or CIDP having a Guillain-Barré syndrome-like onset), but potentially treatable. Although its pathophysiology remains largely unknown, CIDP is considered an immune-mediated neuropathy. Therefore, many immunotherapies have been proposed in this peripheral nervous system disorder, the most known efficient treatments being intravenous immunoglobulin, corticosteroids and plasma exchange. However, these therapies remain unsatisfactory for many patients, so numerous other immunotherapeutic strategies have been evaluated, based on their immunosuppressant or immunomodulatory potency. We have performed a large review of the literature about treatment in CIDP, with a special emphasis on novel and alternative immunotherapeutic strategies.

Keywords: CIDP; IVIg; chronic inflammatory demyelinating polyneuropathy; corticosteroids; immunomodulation; immunosuppressant; intravenous immunoglobulin; plasma exchange.

Publication types

  • Review

MeSH terms

  • Guillain-Barre Syndrome / immunology*
  • Guillain-Barre Syndrome / therapy*
  • Humans
  • Immunotherapy / methods*
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / immunology*
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating / therapy*