Erschienen in:
01.02.2008
B-Cell Depletion and Repopulation in Autoimmune Diseases
verfasst von:
Jacques-Olivier Pers, Capucine Daridon, Boutahar Bendaoud, Valérie Devauchelle, Christian Berthou, Alain Saraux, Pierre Youinou
Erschienen in:
Clinical Reviews in Allergy & Immunology
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Ausgabe 1/2008
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Abstract
Although T-lymphocytes have long been regarded as the prime effector of autoimmune diseases, numerous studies have since highlighted a key role for B-lymphocytes. For example, disturbances in the distribution of circulating B-cell subsets were reported in primary Sjögren’s syndrome (pSS) and systemic lupus erythematosus (SLE). Consequently, this was the rationale to treat such patients for B-cell depletion with anti-CD20 monoclonal antibody (rituximab). The aim of this review is to describe and analyze the B-cell subset distribution at baseline and after rituximab therapy in patients with SLE, rheumatoid arthritis, and pSS. Finally, we will compare factors that may interfere with anti-CD20-mediated B-cell depletion in these autoimmune diseases.