B cell-targeted therapies in Sjogren's syndrome

被引:31
|
作者
Tobon, Gabriel J.
Pers, Jacques Olivier
Youinou, Pierre
Saraux, Alain
机构
[1] CHU Brest, Serv Rhumatol, F-29285 Brest, France
[2] Univ Bretagne Occidentale, EA2216, IFR148, Brest, France
关键词
Sjogren's syndrome; B cell; Rituximab; Epratuzumab; BAFF; SALIVARY-GLANDS; RITUXIMAB; BAFF; LYMPHOCYTES; RECEPTOR; CD22; EFFICACY; BLOOD; OVEREXPRESSION; CLASSIFICATION;
D O I
10.1016/j.autrev.2009.08.001
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Sjogren's syndrome (SS) or autoimmune epithelitis is characterized by focal lymphocytic infiltrates surrounding the tubular epithelium of exocrine glands and by overactivity of the B-cell population. Although T cells were long considered the main effectors in SS, recent findings indicating a key role for B cells have prompted studies of treatments designed to deplete the B-cell population. Among molecules that can be targeted to achieve B-cell depletion, CD20 and CD22 are surface antigens expressed specifically by B lymphocytes; and the cytokine B-cell-activating factor belonging to the TNF family (BAFF) is a TNF receptor ligand involved in B-cell differentiation, survival, and activation. The aim of this review is to discuss the clinical outcomes of SS patients treated with B-cell depletion. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:224 / 228
页数:5
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