B细胞激活因子水平与多发性硬化症和B细胞枯竭和重新定居后的不同B细胞标记物有关
Klara Asplund Högelin1, Beshoy Isac2, Mohsen Khademi1
1Neuroimmunology Unit, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Clinical immunology (Orlando, Fla.)
|December 15, 2023
概括
在多发性硬化症 (MS) 患者中,B细胞激活因子 (BAFF) 升高,并且在治疗期间与B细胞数量相反相关. BAFF水平提供了对MS病变发生过程中的B细胞动态的见解.
科学领域:
- 免疫学 免疫学 免疫学
- 神经免疫学 神经免疫学
- B细胞生物学B细胞生物学
背景情况:
- B细胞与多发性硬化症 (MS) 病原发生有关.
- B细胞激活因子 (BAFF) 和诱导A增殖的配体 (APRIL) 对于B细胞存活和恒温至关重要.
研究的目的:
- 研究BAFF和APRIL与MS中B细胞免疫标记物的相关性.
- 为了检查在Rituximab治疗后B细胞枯竭和重新聚居期间的BAFF和APRIL水平.
主要方法:
- 在MS患者和对照患者的血和脑脊液 (CSF) 中量化BAFF和APRIL.
- 对B细胞种群的分析,包括切换记忆B细胞.
- 与IgG指数和抗EBV-CA抗体等临床标记物的相关性分析.
主要成果:
- 与对照组相比,未经治疗的多发性硬化患者的血BAFF水平显著更高.
- 在Rituximab治疗后,BAFF水平增加,在B细胞重组期间降低,与B细胞计数相反相关.
- 脑液BAFF与IgG指数呈反相关性,BAFF水平与抗EBV-CA抗体相反相关.
结论:
- BAFF,但不是APRIL,是与MSB细胞动态相关的关键因素.
- 在接受B细胞枯竭治疗的多发性硬化患者中,BAFF水平可以作为B细胞重组和免疫复合的生物标志物.
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