Abstract:
:B cells, plasma cells and antibodies may play a key role in the pathogenesis of multiple sclerosis (MS). This notion is supported by various immunological changes observed in MS patients, such as activation and pro-inflammatory differentiation of peripheral blood B cells, the persistence of clonally expanded plasma cells producing immunoglobulins in the cerebrospinal fluid, as well as the composition of inflammatory central nervous system lesions frequently containing co-localizing antibody depositions and activated complement. In recent years, the perception of a respective pathophysiological B cell involvement was vividly promoted by the empirical success of anti-CD20-mediated B cell depletion in clinical trials; based on these findings, the first monoclonal anti-CD20 antibody-ocrelizumab-is currently in the process of being approved for treatment of MS. In this review, we summarize the current knowledge on the role of B cells, plasma cells and antibodies in MS and elucidate how approved and future treatments, first and foremost anti-CD20 antibodies, therapeutically modify these B cell components. We will furthermore describe regulatory functions of B cells in MS and discuss how the evolving knowledge of these therapeutically desirable B cell properties can be harnessed to improve future safety and efficacy of B cell-directed therapy in MS.
journal_name
Int J Mol Scijournal_title
International journal of molecular sciencesauthors
Lehmann-Horn K,Kinzel S,Weber MSdoi
10.3390/ijms18102048subject
Has Abstractpub_date
2017-09-23 00:00:00issue
10issn
1422-0067pii
ijms18102048journal_volume
18pub_type
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journal_title:International journal of molecular sciences
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journal_title:International journal of molecular sciences
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journal_title:International journal of molecular sciences
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journal_title:International journal of molecular sciences
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更新日期:2019-01-08 00:00:00
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journal_title:International journal of molecular sciences
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journal_title:International journal of molecular sciences
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pub_type: 杂志文章
doi:10.3390/ijms12106966
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journal_title:International journal of molecular sciences
pub_type: 杂志文章
doi:10.3390/ijms20205076
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journal_title:International journal of molecular sciences
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doi:10.3390/ijms21145058
更新日期:2020-07-17 00:00:00
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journal_title:International journal of molecular sciences
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