The effect of glatiramer acetate therapy on functional properties of B cells from patients with relapsing-remitting multiple sclerosis.

The effect of glatiramer acetate therapy on functional properties of B cells from patients with relapsing-remitting multiple sclerosis.
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DOI:
10.1001/jamaneurol.2014.1472
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发表时间:
2014-11
期刊:
影响因子:
29
通讯作者:
Monson, Nancy L.
Monson, Nancy L.
中科院分区:
医学1区
文献类型:
--
作者:
Ireland, Sara J.;Guzman, Alyssa A.;O'Brien, Dina E.;Hughes, Samuel;Greenberg, Benjamin;Flores, Angela;Graves, Donna;Remington, Gina;Frohman, Elliot M.;Davis, Laurie S.;Monson, Nancy L.

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This study describes what is, to our knowledge, the previously unknown effect of glatiramer acetate therapy on B cells in patients with relapsing-remitting multiple sclerosis (MS). To determine whether glatiramer acetate therapy normalizes dysregulated B-cell proliferation and cytokine production in patients with MS. Twenty-two patients with MS who were receiving glatiramer acetate therapy and 22 treatment-naive patients with MS were recruited at The University of Texas Southwestern Medical Center multiple sclerosis clinic. Cell samples from healthy donors were obtained from HemaCare or Carter Blood Bank. Treatment-naive patients with MS had not received any disease-modifying therapies for at least 3 months before the study. Glatiramer acetate therapy for at least 3 months at the time of the study. B-cell phenotype and proliferation and immunoglobulin and cytokine secretion. A restoration of interleukin 10 production by peripheral B cells was observed in patients undergoing glatiramer acetate therapy as well as a significant reduction of interleukin 6 production in a subset of patients who received therapy for less than 32 months. Furthermore, proliferation in response to high-dose Cluster of Differentiation 40 Ligand (CD40L) was altered and immunoglobulin production was elevated in in vitro–activated B cells obtained from patients who received glatiramer acetate. Glatiramer acetate therapy remodels the composition of the B-cell compartment and influences cytokine secretion and immunoglobulin production. These data suggest that glatiramer acetate therapy affects several aspects of dysregulated B-cell function in MS that may contribute to the therapeutic mechanisms of glatiramer acetate.
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