Abstract

Natalizumab (Tysabri) is a relatively new biological monoclonal antibody to α4β1 integrin, a molecule important in the mobilisation of lymphocytes and other non-neutrophil leukocytes from the circulation into the brain. It is available as treatment for relapsing remitting MS since autumn last year and the number of patients is steadily increasing. Despite its effectiveness, it is usually used as second line treatment due to several reports of Progressive Multifocal Leukoencephalopathy.

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