Expanding our understanding of Guillain–Barré syndrome: Recent advances and clinical implications

Author:

Ripellino Paolo12,Schreiner Bettina34,Latorre Daniela5ORCID

Affiliation:

1. Department of Neurology Neurocenter of Southern Switzerland EOC Lugano Switzerland

2. Faculty of Biomedical Sciences Università della Svizzera Italiana Lugano Switzerland

3. Department of Neurology University Hospital Zurich Zurich Switzerland

4. Institute of Experimental Immunology University of Zurich Zurich Switzerland

5. Institute of Microbiology ETH Zurich Switzerland

Abstract

AbstractGuillain–Barré syndrome (GBS) is a rare yet potentially life‐threatening disorder of the peripheral nervous system (PNS), characterized by substantial clinical heterogeneity. Although classified as an autoimmune disease, the immune mechanisms underpinning distinct GBS subtypes remain largely elusive. Traditionally considered primarily antibody‐mediated, the pathophysiology of GBS lacks clarity, posing challenges in the development of targeted and effective treatments. Nevertheless, recent investigations have substantially expanded our understanding of the disease, revealing an involvement of autoreactive T cell immunity in a major subtype of GBS patients and opening new biomedical perspectives. This review highlights these discoveries and offers a comprehensive overview of current knowledge about GBS, including ongoing challenges in disease management.

Funder

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung

GBS/CIDP Foundation International

Helmut Horten Stiftung

Publisher

Wiley

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