2021
DOI: 10.1111/imr.13015
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On the road to eliminating long‐lived plasma cells—“are we there yet?”

Abstract: Central to protective humoral immunity is the activation of B cells and their terminal differentiation into antibody‐secreting plasma cells. Long‐lived plasma cells (LLPC) may survive for years to decades. Such long‐lived plasma cells are also responsible for producing pathogenic antibodies that cause a variety of challenges such as autoimmunity, allograft rejection, and drug neutralization. Up to now, various therapeutic strategies aimed at durably eliminating pathogenic antibodies have failed, in large part … Show more

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Cited by 14 publications
(13 citation statements)
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References 172 publications
(211 reference statements)
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“…Further, this raises an intriguing possibility that targeting CD102 or other cellular adhesion markers in humans could provide therapeutic efficacy for treating human disease driven by abnormal PC responses. Multiple myeloma, a PC cancer, and lupus, an autoimmune disorder driven by self-reactive antibody, are two diseases that could benefit from new therapeutic modalities 63 . Multiple myeloma is typically treated with chemotherapy, radiation, or stem cell transplantation 64 .…”
Section: Discussionmentioning
confidence: 99%
“…Further, this raises an intriguing possibility that targeting CD102 or other cellular adhesion markers in humans could provide therapeutic efficacy for treating human disease driven by abnormal PC responses. Multiple myeloma, a PC cancer, and lupus, an autoimmune disorder driven by self-reactive antibody, are two diseases that could benefit from new therapeutic modalities 63 . Multiple myeloma is typically treated with chemotherapy, radiation, or stem cell transplantation 64 .…”
Section: Discussionmentioning
confidence: 99%
“…Rituximab depletes peripheral B cells (>90%) but has no effect on memory B, plasma, and T cells. 12,13 The rates of CR in small series of adult and pediatric populations were 61% and 40%, respectively. Not surprisingly, the efficacy of rituximab without ITI is modest or even poor.…”
Section: The Role Of Ist Coupled With Itimentioning
confidence: 98%
“…Although FO B cells also participate in T-cell-independent (TI) IgM responses, they are mainly differentiated with the help of T lymphocytes into long-lived plasma cells and classswitched memory B cells that produce high-affinity IgG antibodies and mediate the classical humoral immune response [30]. Long-lived plasma cells consistently produce highaffinity antibodies, and although they do not express antigen receptors and cannot sense antigens, they continue to release their products as high-affinity antibody factories as the first line of defense against reinfection [42][43][44]. Class-switched memory B cells express specific antigen receptors that trigger a memory response when the antigen is encountered again.…”
Section: The Significance Of B Cells In Sepsismentioning
confidence: 99%