Multiple sclerosis: 2024 update

Multiple sclerosis (MS) is a complex immune-mediated disease that leads to neurological disability, with ongoing challenges in understanding its initiation, predicting progression, and optimizing personalized treatment. This review article summarizes key research findings from 2024, covering advanc...

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Main Authors: Luisa Klotz, Maija Saraste, Laura Airas, Tanja Kuhlmann
Format: Article
Language:English
Published: University of Münster / Open Journals System 2025-07-01
Series:Free Neuropathology
Subjects:
Online Access:https://www.uni-muenster.de/Ejournals/index.php/fnp/article/view/6762
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author Luisa Klotz
Maija Saraste
Laura Airas
Tanja Kuhlmann
author_facet Luisa Klotz
Maija Saraste
Laura Airas
Tanja Kuhlmann
author_sort Luisa Klotz
collection DOAJ
description Multiple sclerosis (MS) is a complex immune-mediated disease that leads to neurological disability, with ongoing challenges in understanding its initiation, predicting progression, and optimizing personalized treatment. This review article summarizes key research findings from 2024, covering advances in diagnostic criteria, understanding of pathophysiology, and treatment strategies. New studies reinforce the strong link between Epstein-Barr virus (EBV) and MS, while recent data point towards a role of genetics in MS disease progression. The 2024 McDonald criteria revision enhances diagnostic specificity and includes novel MRI markers and facilitates measurement of cerebrospinal fluid biomarkers. Additionally, recent genetic discoveries, advanced imaging techniques, and emerging biomarkers are refining disease monitoring and prognosis. Finally, we highlight promising therapeutic developments, including Bruton Tyrosine Kinase (BTK) inhibitors and CAR T-cell therapies, with the former representing a paradigm shift in the potential of targeting MS progression beyond focal inflammation.
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spelling doaj-art-e6143ed21e134faebf515046dcf7a41a2025-08-20T03:51:40ZengUniversity of Münster / Open Journals SystemFree Neuropathology2699-44452025-07-01610.17879/freeneuropathology-2025-6762Multiple sclerosis: 2024 updateLuisa Klotz0Maija Saraste1Laura Airas2Tanja Kuhlmann3Department of Neurology, University Hospital Münster, Münster, GermanyTurku PET Centre, Turku University Hospital, Turku, Finland; Neurocenter, Turku University Hospital, Turku, Finland; Clinical Neurosciences, University of Turku, Turku, Finland; InFLAMES Research Flagship, University of Turku, Turku, FinlandTurku PET Centre, Turku University Hospital, Turku, Finland; Neurocenter, Turku University Hospital, Turku, Finland; Clinical Neurosciences, University of Turku, Turku, Finland; InFLAMES Research Flagship, University of Turku, Turku, FinlandInstitute of Neuropathology, University Hospital Münster, Münster, Germany Multiple sclerosis (MS) is a complex immune-mediated disease that leads to neurological disability, with ongoing challenges in understanding its initiation, predicting progression, and optimizing personalized treatment. This review article summarizes key research findings from 2024, covering advances in diagnostic criteria, understanding of pathophysiology, and treatment strategies. New studies reinforce the strong link between Epstein-Barr virus (EBV) and MS, while recent data point towards a role of genetics in MS disease progression. The 2024 McDonald criteria revision enhances diagnostic specificity and includes novel MRI markers and facilitates measurement of cerebrospinal fluid biomarkers. Additionally, recent genetic discoveries, advanced imaging techniques, and emerging biomarkers are refining disease monitoring and prognosis. Finally, we highlight promising therapeutic developments, including Bruton Tyrosine Kinase (BTK) inhibitors and CAR T-cell therapies, with the former representing a paradigm shift in the potential of targeting MS progression beyond focal inflammation. https://www.uni-muenster.de/Ejournals/index.php/fnp/article/view/6762Multiple sclerosisGeneticsDisease courseDiagnostic criteriaBiomarkersImaging
spellingShingle Luisa Klotz
Maija Saraste
Laura Airas
Tanja Kuhlmann
Multiple sclerosis: 2024 update
Free Neuropathology
Multiple sclerosis
Genetics
Disease course
Diagnostic criteria
Biomarkers
Imaging
title Multiple sclerosis: 2024 update
title_full Multiple sclerosis: 2024 update
title_fullStr Multiple sclerosis: 2024 update
title_full_unstemmed Multiple sclerosis: 2024 update
title_short Multiple sclerosis: 2024 update
title_sort multiple sclerosis 2024 update
topic Multiple sclerosis
Genetics
Disease course
Diagnostic criteria
Biomarkers
Imaging
url https://www.uni-muenster.de/Ejournals/index.php/fnp/article/view/6762
work_keys_str_mv AT luisaklotz multiplesclerosis2024update
AT maijasaraste multiplesclerosis2024update
AT lauraairas multiplesclerosis2024update
AT tanjakuhlmann multiplesclerosis2024update