B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential

Autoimmune encephalitis (AE) broadly refers to inflammation of the brain parenchyma mediated by autoimmune mechanisms. In most patients with AE, autoantibodies against neuronal cell surface antigens are produced by B-cells and induce neuronal dysfunction through various mechanisms, ultimately leadin...

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Main Authors: Haodong Shang, Xinru Shen, Xiaoxiao Yu, Jing Zhang, Yongliang Jia, Feng Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1368275/full
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author Haodong Shang
Haodong Shang
Xinru Shen
Xinru Shen
Xiaoxiao Yu
Xiaoxiao Yu
Jing Zhang
Jing Zhang
Yongliang Jia
Yongliang Jia
Feng Gao
Feng Gao
author_facet Haodong Shang
Haodong Shang
Xinru Shen
Xinru Shen
Xiaoxiao Yu
Xiaoxiao Yu
Jing Zhang
Jing Zhang
Yongliang Jia
Yongliang Jia
Feng Gao
Feng Gao
author_sort Haodong Shang
collection DOAJ
description Autoimmune encephalitis (AE) broadly refers to inflammation of the brain parenchyma mediated by autoimmune mechanisms. In most patients with AE, autoantibodies against neuronal cell surface antigens are produced by B-cells and induce neuronal dysfunction through various mechanisms, ultimately leading to disease progression. In recent years, B-cell targeted therapies, including monoclonal antibody (mAb) therapy and chimeric antigen receptor T-cell (CAR-T) therapy, have been widely used in autoimmune diseases. These therapies decrease autoantibody levels in patients and have shown favorable results. This review summarizes the mechanisms underlying these two B-cell targeted therapies and discusses their clinical applications and therapeutic potential in AE. Our research provides clinicians with more treatment options for AE patients whose conventional treatments are not effective.
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spelling doaj.art-af62be1d84f444c793ab28b75c0367092024-03-18T04:54:34ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-03-011510.3389/fimmu.2024.13682751368275B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potentialHaodong Shang0Haodong Shang1Xinru Shen2Xinru Shen3Xiaoxiao Yu4Xiaoxiao Yu5Jing Zhang6Jing Zhang7Yongliang Jia8Yongliang Jia9Feng Gao10Feng Gao11Department of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaDepartment of Neuroimmunology, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, Henan, ChinaBGI College, Zhengzhou University, Zhengzhou, Henan, ChinaAutoimmune encephalitis (AE) broadly refers to inflammation of the brain parenchyma mediated by autoimmune mechanisms. In most patients with AE, autoantibodies against neuronal cell surface antigens are produced by B-cells and induce neuronal dysfunction through various mechanisms, ultimately leading to disease progression. In recent years, B-cell targeted therapies, including monoclonal antibody (mAb) therapy and chimeric antigen receptor T-cell (CAR-T) therapy, have been widely used in autoimmune diseases. These therapies decrease autoantibody levels in patients and have shown favorable results. This review summarizes the mechanisms underlying these two B-cell targeted therapies and discusses their clinical applications and therapeutic potential in AE. Our research provides clinicians with more treatment options for AE patients whose conventional treatments are not effective.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1368275/fullautoimmune encephalitisB cell targeted therapiesmonoclonal antibodieschimeric antigen receptorsimmunotherapy
spellingShingle Haodong Shang
Haodong Shang
Xinru Shen
Xinru Shen
Xiaoxiao Yu
Xiaoxiao Yu
Jing Zhang
Jing Zhang
Yongliang Jia
Yongliang Jia
Feng Gao
Feng Gao
B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
Frontiers in Immunology
autoimmune encephalitis
B cell targeted therapies
monoclonal antibodies
chimeric antigen receptors
immunotherapy
title B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
title_full B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
title_fullStr B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
title_full_unstemmed B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
title_short B-cell targeted therapies in autoimmune encephalitis: mechanisms, clinical applications, and therapeutic potential
title_sort b cell targeted therapies in autoimmune encephalitis mechanisms clinical applications and therapeutic potential
topic autoimmune encephalitis
B cell targeted therapies
monoclonal antibodies
chimeric antigen receptors
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1368275/full
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