Anti‐B cell therapies in multiple sclerosis

نویسندگان

چکیده

Multiple sclerosis (MS) has long been considered a T-cell-mediated autoimmune disease of the central nervous system. However, newer evidence shows that B cells play crucial role in pathogenesis MS via antibody production, antigen presentation, T cell stimulation and activation, production pro-inflammatory cytokines. Developing express CD20 molecule from pre-B to plasmablast stage, anti-CD20 monoclonal antibodies rituximab, ocrelizumab, ofatumumab ublituximab are either use or being developed for treatment as cell-depleting therapies. They have shown profound efficacy strongly suppressing relapse radiological activity. Another promising approach is inhibition Bruton’s tyrosine kinase (BTK), key enzyme intricately involved signaling receptor Fc receptors myeloid cells. BTK an essential differentiation survival B-lineage cells, may dampen not only activation but also innate immune MS. Trials inhibitors ongoing establish their safety relapsing progressive The main issue with persistent depletion increased risk infection, possibly including severe COVID-19; unfortunately, vaccine responses against COVID-19 be blunted by antibodies.

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ژورنال

عنوان ژورنال: Clinical and Experimental Neuroimmunology

سال: 2021

ISSN: ['1759-1961']

DOI: https://doi.org/10.1111/cen3.12679