B细胞
美罗华
发病机制
免疫学
多发性硬化
医学
调节性B细胞
实验性自身免疫性脑脊髓炎
疾病
抗体
病理
作者
H.-Christian von Büdingen,Arumugam Palanichamy,Klaus Lehmann-Horn,Brady Michel,Scott S. Zamvil
出处
期刊:European Neurology
[S. Karger AG]
日期:2015-03-25
卷期号:73 (3-4): 238-246
被引量:1014
摘要
<b><i>Background:</i></b> Collectively, research on the role of B-cells in the pathogenesis of multiple sclerosis (MS) illustrates how translational medicine has given rise to promising therapeutic approaches for one of the most debilitating chronic neurological diseases in young adults. First described in 1935, the experimental autoimmune/allergic encephalomyelitis model is a key animal model that has provided the foundation for important developments in targeted therapeutics. <b><i>Summary:</i></b> While additional B-cell therapies for MS are presently being developed by the pharmaceutical industry, much remains to be understood about the role played by B-cells in MS. The goal of this review is to summarize how B-cells may contribute to MS pathogenesis and thereby provide a basis for understanding why B-cell depletion is so effective in the treatment of this disease. <b><i>Key Messages:</i></b> B-cells are key players in the pathogenesis of MS, and their depletion via B-cell-targeted therapy ameliorates disease activity. <b><i>Clinical Implications:</i></b> In 2008, data from the first CD20-targeting B-cell depleting therapeutic trials using rituximab in MS were published. Since then, there has been a large body of evidence demonstrating the effectiveness of B-cell depletion mediated via anti-CD20 antibodies. Intense research efforts focusing on the immunopathological relevance of B-cells has gained significant momentum and given rise to a constellation of promising therapeutic agents for this complex B-cell-driven disease, including novel anti-CD20 antibodies, as well as agents targeting CD19 and BAFF-R.
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