Intrathecal anti‐ CD 20 efficiently depletes meningeal B cells in CNS autoimmunity

Autor: Silke Kinzel, Claude C.A. Bernard, Sarah Traffehn, Bernhard Hemmer, Linda Feldmann, Klaus Lehmann-Horn, Christine Stadelmann, Wolfgang Brück, Martin S. Weber, Florentine Radelfahr
Rok vydání: 2014
Předmět:
Zdroj: Annals of Clinical and Translational Neurology
ISSN: 2328-9503
DOI: 10.1002/acn3.71
Popis: Clinical trials revealed that systemic administration of B-cell-depleting anti-CD20 antibodies can hold lesion formation in the early relapsing-remitting phase of multiple sclerosis (MS). Throughout the secondary-progressive (SP) course of MS, pathogenic B cells may, however, progressively replicate within the central nervous system (CNS) itself, which is largely inaccessible to systemic anti-CD20 treatment. Utilizing the murine MS model of experimental autoimmune encephalomyelitis, we show that intrathecal (i.t.) administration of anti-CD20 alone very efficiently depletes meningeal B cells from established CNS lesions. In SP-MS patients, adding i.t. administration of anti-CD20 to its systemic use may be a valuable strategy to target pathogenic B-cell function. peerReviewed
Databáze: OpenAIRE
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