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Published on: August 16, 2019
B cell targeted therapies in autoimmune disease
Jennifer L Barnas1, Richard John Looney1, Jennifer H Anolik1
1Department of Medicine, Division of Allergy Immunology and Rheumatology, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, United States.
B cell-targeted therapies are effective for various autoimmune diseases, but patient responses vary due to diverse B cell subsets. This review explores these differences and new therapeutic strategies for autoimmune conditions.
Area of Science:
- Immunology
- Autoimmunity
- Therapeutics
Background:
- B cell-targeted therapies are approved for numerous autoimmune diseases, including organ-specific and systemic conditions.
- Pathogenic roles of B cells, both autoantibody-dependent and independent, vary across diseases and patient subsets.
- Recent findings highlight the diversity of human B cell subsets involved in disease pathogenesis and novel activation pathways.
Purpose of the Study:
- To review the variability in patient responses to B cell-targeted therapies.
- To focus on the diversity of human B cells and plasma cells in autoimmunity.
- To discuss promising new B cell-targeted therapies.
Main Methods:
- Literature review of recent advances in B cell subsets and function.
- Analysis of pathogenic roles of B cells in autoimmune diseases.
- Discussion of novel pathways of B cell activation and therapeutic approaches.
Main Results:
- Significant advances in understanding human B cell subsets and their functions in autoimmunity.
- A nuanced view of how diverse B cells contribute to autoimmune diseases.
- An expanding range of B cell-targeted therapies available.
Conclusions:
- Understanding B cell diversity is crucial for optimizing B cell-targeted therapies.
- New approaches are emerging to target autoreactive B cells and plasma cells effectively.
- Personalized therapeutic strategies may improve outcomes in autoimmune diseases.
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