Neurol. praxi. 2016;17(1):63-66 | DOI: 10.36290/neu.2016.013

Teriflunomide in treating relapsing-remitting multiple sclerosis - immunomodulatory mechanisms

doc. MUDr. Vojtěch Thon, Ph.D.
Ústav klinické imunologie a alergologie Lékařské fakulty Masarykovy univerzity a FN u sv. Anny,
Centrum pro výzkum toxických látek v prostředí (RECETOX) Přírodovědecké fakulty Masarykovy univerzity v Brně

Multiple sclerosis (MS) is a chronic autoimmune disorder affecting the central nervous system through demyelination and neurodegeneration. Autoreactive lymphocytes penetrate the blood-brain barrier to attack the nervous system. Teriflunomide has recently been approved as a treatment of relapsing forms of MS. The main therapeutic effect is considered to be mediated via the inhibition of the de novo synthesis of pyrimidine leading to a reduction in proliferation of activated T and B cells without causing cell death. Vaccination with inactivated vaccines is possible during treatment with teriflunomide and leads to sufficient immune response.

Keywords: multiple sclerosis, teriflunomide, immunomodulation, autoimmunity, PML, vaccination

Published: February 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Thon V. Teriflunomide in treating relapsing-remitting multiple sclerosis - immunomodulatory mechanisms. Neurol. praxi. 2016;17(1):63-66. doi: 10.36290/neu.2016.013.
Download citation

References

  1. Bar-Or A. Teriflunomide (Aubagio(R)) for the treatment of multiple sclerosis. Exp Neurol. 2014; 262: 57-65. Go to original source... Go to PubMed...
  2. Bar-Or A, Freedman MS, Kremenchutzky M, Menguy-Vacheron F, Bauer D, Jodl S, Truffinet P, Benamor M, Chambers S, O'Connor PW. Teriflunomide effect on immune response to influenza vaccine in patients with multiple sclerosis. Neurology. 2013; 81(6): 552-558. Go to original source... Go to PubMed...
  3. Bar-Or A, Pachner A, Menguy-Vacheron F, Kaplan J, Wiendl H. Teriflunomide and its mechanism of action in multiple sclerosis. Drugs. 2014; 74(6): 659-674. Go to original source... Go to PubMed...
  4. Bar-Or A, Wiendl H, Miller B, Benamor M, Truffinet P, Church M, Menguy-Vacheron F. Randomized study of teriflunomide effects on immune responses to neoantigen and recall antigens. Neurol Neuroimmunol Neuroinflamm. 2015; 2(2): e70. doi: 10.1212/NXI.0000000000000070. Go to original source... Go to PubMed...
  5. Bayas A, Mäurer M. Teriflunomide for the treatment of relapsing-remitting multiple sclerosis: patient preference and adherence. Patient Prefer Adherence. 2015; 9: 265-274. Go to original source... Go to PubMed...
  6. Brent RL. Teratogen update: reproductive risks of leflunomide (Arava); a pyrimidine synthesis inhibitor: counseling women taking leflunomide before or during pregnancy and men taking leflunomide who are contemplating fathering a child. Teratology. 2001; 63(2): 106-112. Go to original source... Go to PubMed...
  7. Confavreux C, O'Connor P, Comi G, Freedman MS, Miller AE, Olsson TP, Wolinsky JS, Bagulho T, Delhay JL, Dukovic D, Truffinet P, Kappos L; TOWER Trial Group. Oral teriflunomide for patients with relapsing multiple sclerosis (TOWER): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Neurol. 2014; 13(3): 247-256. Go to original source... Go to PubMed...
  8. Gold R, Wolinsky JS. Pathophysiology of multiple sclerosis and the place of teriflunomide. Acta Neurol Scand. 2011 Aug; 124(2): 75-84. Go to original source... Go to PubMed...
  9. Kieseier BC, Benamor M. Pregnancy outcomes following maternal and paternal exposure to teriflunomide during treatment for relapsing-remitting multiple sclerosis. Neurol Ther. 2014; 3(2): 133-138. Go to original source... Go to PubMed...
  10. Miller AE, Wolinsky JS, Kappos L, Comi G, Freedman MS, Olsson TP, Bauer D, Benamor M, Truffinet P, O'Connor PW; TOPIC Study Group. Oral teriflunomide for patients with a first clinical episode suggestive of multiple sclerosis (TOPIC): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Neurol. 2014; 13(10): 977-986. Go to original source... Go to PubMed...
  11. Noseworthy JH, Lucchinetti C, Rodriguez M, Weinshenker BG. Multiple sclerosis. N Engl J Med. 2000;343(13): 938-52. Go to original source... Go to PubMed...
  12. O'Connor P, Wolinsky JS, Confavreux C, Comi G, Kappos L, Olsson TP, Benzerdjeb H, Truffinet P, Wang L, Miller A, Freedman MS; TEMSO Trial Group. Randomized trial of oral teriflunomide for relapsing multiple sclerosis. N Engl J Med. 2011; 365(14): 1293-1303. Go to original source... Go to PubMed...
  13. Oh J, O'Connor PW. Established disease-modifying treatments in relapsing-remitting multiplesclerosis. Curr Opin Neurol. 2015; 28(3): 220-209. Go to original source... Go to PubMed...
  14. Paul F, Ruprecht K. Aktuelle Immuntherapie der Multiplen Sklerose. Nervenarzt. 2015; 86(8): 1031-1042. Go to original source... Go to PubMed...
  15. Selmi C, Mix E, Zettl UK. A clear look at the neuroimmunology of multiple sclerosis and beyond. Autoimmun Rev. 2012; 11(3): 159-162. Go to original source... Go to PubMed...
  16. Tallantyre E, Evangelou N, Constantinescu CS. Spotlight on teriflunomide. Int MS J. 2008; 15(2): 62-68. Go to PubMed...
  17. Thon V. Imunologické aspekty moderní léčby roztroušené sklerózy. Klinická imunológia a alergológia. 2015; in press.
  18. Vermersch P, Czlonkowska A, Grimaldi LM, Confavreux C, Comi G, Kappos L, Olsson TP, Benamor M, Bauer D, Truffinet P, Church M, Miller AE, Wolinsky JS, Freedman MS, O'Connor P; TENERE Trial Group. Teriflunomide versus subcutaneous interferon beta-1a in patients with relapsing multiple sclerosis: a randomised, controlled phase 3 trial. Mult Scler. 2014; 20(6): 705-716. Go to original source... Go to PubMed...
  19. Warnke C, Stüve O, Kieseier BC Teriflunomide for the treatment of multiple sclerosis. Clin Neurol Neurosurg. 2013; 115(Suppl 1): S90-94. Go to original source... Go to PubMed...




Neurology for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.