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.
منابع مشابه
Multiple sclerosis therapies in pediatric patients with refractory multiple sclerosis.
BACKGROUND Currently available disease-modifying therapies (DMTs) are known to be only partially effective in adults with multiple sclerosis (MS). Little is known about pediatric patients with MS who experience refractory disease while receiving first-line DMTs. OBJECTIVE To assess the occurrence and management of refractory disease in a group of pediatric patients with MS treated with first-...
متن کاملEmerging Therapies of Multiple Sclerosis
5. Monoclonal Anti body Multi ple sclerosis (MS) is a complex immunopathologic disorder of the central nervous system (CNS). For the past several years, there have been six agents approved by regulatory agencies to treat relapsing forms of multi ple sclerosis (MS): interferon beta-1b, intramuscular interferon beta-1a, subcutaneous interferon beta-1a, glati ramer acetate, natalizumab, and mitoxa...
متن کاملEmerging multiple sclerosis oral therapies.
Currently, patients suffering from multiple sclerosis (MS), a chronic demyelinating disorder of the CNS, must be injected with medication to provide modest relief for their symptoms. Five orally available therapies are being evaluated in phase II/III clinical trials. If these therapies prove safe and tolerable, oral compounds may improve patient endorsement and compliance. Fingolimod, a novel i...
متن کاملP 151: Clinical Trial in Cell Therapy of Multiple Sclerosis
Neuroinflammation is a disorder that causes neurological disease. Neuroinflammation has a significant role in induce of Multiple sclerosis (MS) and one of the situations that must be treated stops the ongoing process of inflammation against the CNS by self-reactive lymphocytes. According to the successful results that were obtained from the pre-clinical phase of cell therapy, many studies were ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Clinical and Experimental Neuroimmunology
سال: 2021
ISSN: ['1759-1961']
DOI: https://doi.org/10.1111/cen3.12679