Ectopic germinal centers, BAFF and anti-B-cell therapy in myasthenia gravis

被引:73
作者
Berrih-Aknin, Sonia [1 ]
Ragheb, Samia [2 ]
Le Panse, Rozen [1 ]
Lisak, Robert P. [3 ,4 ]
机构
[1] Grp Hosp Pitie Salpetriere, Unite Mixte Rech, CNRS UMR7215 INSERM U974 UPMC UM76 AIM Therapie M, F-75651 Paris, France
[2] OUWB, Sch Med, Dept Biomed Sci, Rochester, MI 48309 USA
[3] Wayne State Univ, Sch Med, Dept Neurol & Immunol, Detroit, MI 48201 USA
[4] Wayne State Univ, Sch Med, Dept Microbiol, Detroit, MI 48201 USA
关键词
Myasthenia gravis; B cells; Anti-acetylcholine receptor antibodies; Germinal centers; BAFF; Anti-B-cell therapies; SYSTEMIC-LUPUS-ERYTHEMATOSUS; ANTIACETYLCHOLINE RECEPTOR ANTIBODIES; PRIMARY SJOGRENS-SYNDROME; NECROSIS-FACTOR FAMILY; RITUXIMAB-TREATED PATIENTS; BARR-VIRUS INFECTION; LIVED PLASMA-CELLS; T-CELL; TNF FAMILY; ACETYLCHOLINE-RECEPTOR;
D O I
10.1016/j.autrev.2013.03.011
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Myasthenia gravis (MG) is an autoimmune disease mediated by antibodies directed to molecules of the endplate of the neuromuscular junction. B cells play a major role in MG disease since they produce the pathogenic antibodies and therapies targeting B cells are effective. The aim of this article was to review the role of B cells in myasthenia gravis. We will first describe what we know about B cells in this disease and examine the involvement of the B cells in the thymus of MG patients. We will detail the role of factors associated with B-cell function such as BAFF. Finally, we will discuss the effects of therapy targeting B cells. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:885 / 893
页数:9
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