Targeting B cells in treatment of autoimmunity.

Targeting B cells in treatment of autoimmunity.
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DOI:
10.1016/j.coi.2016.09.003
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发表时间:
2016-12
影响因子:
7
通讯作者:
Cambier JC
Cambier JC
中科院分区:
医学2区
文献类型:
--
作者:
Franks SE;Getahun A;Hogarth PM;Cambier JC

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B 细胞已成为自身免疫治疗干预的有效靶标,其中最终效应器是抗体,而 T 细胞是炎症的主要驱动因素。这一原理的证明主要来自于利妥昔单抗(一种抗 CD20 单克隆抗体,可消耗 B 细胞)在各种自身免疫环境中的功效研究。这些成功激发了人们努力开发针对特定需求的更有效的抗 CD20,以及抑制 B 细胞功能且不存在 B 细胞耗竭固有风险的生物制品和小分子。在此我们回顾一下 B 细胞靶向治疗自身免疫的现状。
B cells have emerged as effective targets for therapeutic intervention in autoimmunities in which the ultimate effectors are antibodies, as well as those in which T cells are primary drivers of inflammation. Proof of this principle has come primarily from studies of the efficacy of Rituximab, an anti-CD20 mAb that depletes B cells, in various autoimmune settings. These successes have inspired efforts to develop more effective anti-CD20s tailored for specific needs, as well as biologicals and small molecules that suppress B cell function without the risks inherent in B cell depletion. Here we review the current status of B cell-targeted therapies for autoimmunity.