Document Detail


Anticytokine therapy impacting on B cells in autoimmune diseases.
MedLine Citation:
PMID:  19346949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To evaluate the impact of particular anticytokine therapies able to indirectly target B cells with emphasis on the tumor necrosis factor (TNF) family members, B cell activating factor/B lymphocyte stimulator (BAFF/BLyS) and a proliferation-inducing ligand (APRIL). RECENT FINDINGS: Although blockade of TNF/lymphotoxin by etanercept has been shown to have an impact on memory B cells, recent studies of inhibiting the TNF family members BAFF/BlyS or simultaneously blocking BAFF/BlyS and APRIL in rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) clearly demonstrated biologic activity, including reductions of immunoglobulin levels. However, clear evidence of clinical activity by any of the compounds interfering with BAFF/BLys or APRIL has not yet been shown. SUMMARY: Although anticytokine therapies mainly blocking signaling pathways of innate immunity, that is TNF-alpha, have shown efficacy in the treatment of arthritides and have partial effects on memory B cells, current studies evaluate effects on adaptive immunity by blocking BAFF/BlyS and/or APRIL which indirectly act on B and plasma cells.
Authors:
Capucine Daridon; Gerd R Burmester; Thomas Dörner
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current opinion in rheumatology     Volume:  21     ISSN:  1531-6963     ISO Abbreviation:  Curr Opin Rheumatol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-23     Completed Date:  2009-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9000851     Medline TA:  Curr Opin Rheumatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  205-10     Citation Subset:  IM    
Affiliation:
Department of Rheumatology and Clinical Immunology, Charité University Medicine Berlin and Deutsches, Rheumaforschungszentrum, Berlin 10098, Germany.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Monoclonal / therapeutic use
Arthritis, Rheumatoid / immunology,  therapy
Autoimmune Diseases / immunology*,  therapy*
B-Cell Activating Factor / antagonists & inhibitors
B-Lymphocytes / immunology*
Cytokines / antagonists & inhibitors*
Humans
Immunotherapy / methods
Lupus Erythematosus, Systemic / immunology,  therapy
Models, Immunological
Recombinant Fusion Proteins / therapeutic use
Tumor Necrosis Factor Ligand Superfamily Member 13 / antagonists & inhibitors
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/B-Cell Activating Factor; 0/Cytokines; 0/Recombinant Fusion Proteins; 0/TACI receptor-IgG Fc fragment fusion protein; 0/TNFSF13 protein, human; 0/TNFSF13B protein, human; 0/Tumor Necrosis Factor Ligand Superfamily Member 13; 356547-88-1/belimumab

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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