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B cells in systemic sclerosis: from pathophysiology to treatment
Konstantinos Melissaropoulos1, Dimitrios Daoussis2
1Department of Rheumatology, Agios Andreas Hospital, Patras, Greece.
Clinical Rheumatology
|March 21, 2021
Summary
Systemic sclerosis involves B cell dysregulation, with activated effector cells and impaired regulatory function. Targeting B cells shows promise as a therapeutic strategy for this autoimmune disease.
Area of Science:
- Immunology
- Rheumatology
- Autoimmune Diseases
Background:
- Systemic sclerosis is a severe autoimmune condition with poorly understood origins.
- Vascular and immune system abnormalities precede the characteristic fibrosis.
- B cells, a component of adaptive immunity, are notably dysregulated in patients.
Purpose of the Study:
- To review B cell aberrations in systemic sclerosis models and patients.
- To summarize current data on therapeutic B cell targeting in systemic sclerosis.
Main Methods:
- Review of existing literature on B cell function in systemic sclerosis.
- Analysis of B cell subsets in peripheral blood and affected tissues.
- Examination of animal models and human patient data.
Main Results:
- B cells exhibit aberrant activation and impaired regulatory capacity in systemic sclerosis.
- B cell infiltration of skin and lungs suggests a role in pathogenesis.
- B cell depletion strategies demonstrate therapeutic potential.
Conclusions:
- Dysregulated B cell homeostasis is a key feature of systemic sclerosis.
- Targeting B cells represents a promising therapeutic avenue.
- Further research into B cell-targeted therapies is warranted.
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