在类风湿性疾病中,B细胞向疗法的演变和发展轨迹
Lucy Marie Carter1, Michael R Ehrenstein2, Edward M Vital3
1Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Freeman Hospital, Newcastle, UK; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
The Lancet. Rheumatology
|March 9, 2025
概括
针对B细胞的治疗方法如rituximab已经改变了自身免疫性类风湿性疾病的治疗方法. 这些方法提供了对疾病和未来治疗进展至关重要的B细胞子集的见解.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 异常的B细胞功能是自身免疫性类风湿性疾病发病的核心.
- 乙细胞是唯一具有特定枯竭疗法和流细胞计生物标志物的细胞类型.
- 利图西马布和贝利穆马布是关键的B细胞向疗法在风湿病学.
研究的目的:
- 审查20年的临床和转化见解从B细胞向疗法在成人自身免疫性类风湿性疾病.
- 突出B细胞枯竭疗法对了解疾病发病因子的影响.
- 讨论这些疗法如何为未来的治疗发展提供信息.
主要方法:
- 从B细胞向疗法的临床和转化数据的审查.
- 对B细胞枯竭,临床结果和疾病复发的分析.
- 检查B细胞子集的身份,表型,生物学和动力学.
主要成果:
- 针对B细胞的向疗法,包括rituximab和belimumab,已经显著影响了自身免疫性类风湿性疾病.
- 通过对治疗结果的检查,对疾病的核心B细胞子集的理解得到了深入.
- 治疗性B细胞枯竭提供了对疾病机制和运动学的见解.
结论:
- 针对B细胞的向疗法彻底改变了成人自身免疫性风湿性疾病的治疗方法.
- 从这些疗法中获得的洞察力使我们对疾病中B细胞子集的理解得到了进一步的发展.
- 这一审查为未来的B细胞导向治疗发展的新时代奠定了基础.
相关概念视频
B Cell Activation and Differentiation
1.4K
The adaptive immune response, a sophisticated defense mechanism, relies on the activation and differentiation of B lymphocytes, or B cells. These processes enable our bodies to mount a tailored response against specific pathogens such as bacteria, free virus particles, toxins, and parasites.
When naive B cells encounter a specific antigen that can bind to the B cell receptor (BCR) on their surface, they undergo sensitization to respond to the antigen's presence. Sensitization begins with...
When naive B cells encounter a specific antigen that can bind to the B cell receptor (BCR) on their surface, they undergo sensitization to respond to the antigen's presence. Sensitization begins with...
1.4K
Targeted Cancer Therapies
7.4K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.4K
T Cell Types and Functions
756
When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
756
Cells of the Adaptive Immune Response
762
The T and B lymphocytes of the adaptive immune system develop from common lymphoid progenitor cells in the bone marrow. These progenitors give rise to precursors that eventually develop into both T and B lymphocytes. As these precursors mature, they gain the ability to detect and respond to foreign antigens in the body, a process known as immunocompetence. Additionally, these precursors acquire self-tolerance, a process that ensures they do not react to self-antigens. This intricate system...
762
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
107
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
107
Special Features of Adaptive Immunity
707
The adaptive immune system, a crucial component of the overall immune response, offers a highly specialized defense against pathogens. It involves specific cell types and features, enabling it to combat infections effectively and efficiently.
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...
707


