Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?

B lymphocytes play critical roles in the development of autoimmunity, acting as autoantibody manufacturers, antigen-presenting cells, and producers of cytokines. Pan-B cell depletion has demonstrated efficacy in treatment of many autoimmune disorders, but carries with it an unfavorable safety profil...

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Main Authors: Zachary C. Stensland, John C. Cambier, Mia J. Smith
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/1/83
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author Zachary C. Stensland
John C. Cambier
Mia J. Smith
author_facet Zachary C. Stensland
John C. Cambier
Mia J. Smith
author_sort Zachary C. Stensland
collection DOAJ
description B lymphocytes play critical roles in the development of autoimmunity, acting as autoantibody manufacturers, antigen-presenting cells, and producers of cytokines. Pan-B cell depletion has demonstrated efficacy in treatment of many autoimmune disorders, but carries with it an unfavorable safety profile due to global immune suppression. Hence, attention has turned to the potential of autoantigen-specific B cell targeted therapies, which would deplete or silence pathogenic self-antigen-reactive cells while sparing B cells needed for immune defense. Here, we discuss the antigen-specific B cell-targeted approaches that are under development or are under consideration, that could be employed to allow for more precise therapy in the treatment of autoimmunity. Lastly, we discuss some of the challenges associated with antigen-specific B cell targeting that may impact their clinical applicability.
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spelling doaj.art-5b6072cde55c49f4855d557cb46cd4e92023-12-03T13:30:36ZengMDPI AGBiomedicines2227-90592021-01-01918310.3390/biomedicines9010083Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?Zachary C. Stensland0John C. Cambier1Mia J. Smith2Barbara Davis Center for Diabetes, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USADepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO 80045, USABarbara Davis Center for Diabetes, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO 80045, USAB lymphocytes play critical roles in the development of autoimmunity, acting as autoantibody manufacturers, antigen-presenting cells, and producers of cytokines. Pan-B cell depletion has demonstrated efficacy in treatment of many autoimmune disorders, but carries with it an unfavorable safety profile due to global immune suppression. Hence, attention has turned to the potential of autoantigen-specific B cell targeted therapies, which would deplete or silence pathogenic self-antigen-reactive cells while sparing B cells needed for immune defense. Here, we discuss the antigen-specific B cell-targeted approaches that are under development or are under consideration, that could be employed to allow for more precise therapy in the treatment of autoimmunity. Lastly, we discuss some of the challenges associated with antigen-specific B cell targeting that may impact their clinical applicability.https://www.mdpi.com/2227-9059/9/1/83B cellsautoimmunityself-antigenantigen-specific therapiestoleranceB lymphocytes
spellingShingle Zachary C. Stensland
John C. Cambier
Mia J. Smith
Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
Biomedicines
B cells
autoimmunity
self-antigen
antigen-specific therapies
tolerance
B lymphocytes
title Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
title_full Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
title_fullStr Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
title_full_unstemmed Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
title_short Therapeutic Targeting of Autoreactive B Cells: Why, How, and When?
title_sort therapeutic targeting of autoreactive b cells why how and when
topic B cells
autoimmunity
self-antigen
antigen-specific therapies
tolerance
B lymphocytes
url https://www.mdpi.com/2227-9059/9/1/83
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