B-cell survival factors in autoimmune rheumatic disorders

作者: Sandra A. Morais , Andreia Vilas-Boas , David A. Isenberg

DOI: 10.1177/1759720X15586782

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摘要: Autoimmune rheumatic disorders have complex etiopathogenetic mechanisms in which B cells play a central role. The importance of factors stimulating cells, notably the B-cell activating factor (BAFF) and A proliferation inducing ligand (APRIL) axis is now recognized. BAFF APRIL are cytokines essential for survival from immature stages to development plasma cells. Their levels increased some subsets patients with autoimmune disorders. Several recent biologic drugs been developed block this axis, namely belimumab [already licensed systemic lupus erythematosus (SLE) treatment], tabalumab, atacicept blisibimod. Many clinical trials evaluate safety efficacy these several ongoing, or completed recently. This review updates information on use agents blocking BAFF/APRIL SLE, rheumatoid arthritis, Sjogren's syndrome myositis.

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