Use of rituximab in patients with systemic lupus erythematosus: an update.

Abstract:

:Systemic lupus erythematosus (SLE) is a chronic, occasionally life threatening, multisystem disorder. Patients suffer from a wide group of symptoms and have a variable prognosis that depends of the severity and type of organ involvement. The clinical manifestations include fever, skin lesions, arthritis, neurologic, renal, cardiac, and pulmonary disease. The pathogenesis of this serious multisystem autoimmune disease is based on polyclonal B cell immunity, which involves connective tissue and blood vessels. The novel biologic therapies have raised hope for more effective and safer treatment for SLE. Although definitive studies are still under development, the impressive preliminary results of therapies specifically targeting B cells and the signaling pathways involved in B-T-cell interactions suggest that the depletion of memory cells accounts, at least in part, for the clinical efficacy of rituximab therapy in patients whose disease is resistant to other immunosuppressive therapies. However these findings, although provocative, require further investigation in larger cohorts.

journal_name

Autoimmun Rev

journal_title

Autoimmunity reviews

authors

García-Carrasco M,Jiménez-Hernández M,Escárcega RO,Mendoza-Pinto C,Galarza-Maldonado C,Sandoval-Cruz M,Zamudio-Huerta L,López-Colombo A,Cervera R

doi

10.1016/j.autrev.2008.11.006

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

343-8

issue

4

eissn

1568-9972

issn

1873-0183

pii

S1568-9972(08)00224-3

journal_volume

8

pub_type

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