B Cells in Rheumatoid Arthritis: From Pathogenic Players to Disease Biomarkers
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The therapeutic benefit of depleting B cells in rheumatoid arthritis (RA) has refocused attention on B cells with increasing awareness on their role in autoimmunity and their function beyond autoantibody production. The rapid increase in our comprehension of B-cell pathobiology is progressively opening novel perspectives in the area of B cell-targeted therapies with the expectation to define more specific approaches able to preserve the homeostasis of the humoral response while disrupting the pathogenic components. In parallel, B-cell activity in RA is starting to be explored in its clinical value, in search of novel biomarkers embedded in the pathogenic process that could help classifying the disease and predicting its heterogeneous outcome beyond inflammation dynamics. In this review, we summarize current knowledge on the multiple roles that B cells play in several aspects of RA. We also analyze their distribution and potential function in different anatomic compartments with specific reference to the main sites in which the disease may be sustained and exert its detrimental effects: the systemic circulation, synovium, bone marrow, and draining lymph nodes. We also highlight novel data encouraging further research in the field of biomarkers related to B cells and their regulatory factors.
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B lymphocytes and autoantibodies are key in aspects of RA pathogenesis, and the clinical success of B cell targeted therapies further strengthens this.
“It has recently been acknowledged that B lymphocytes and autoantibodies are key in aspects of RA pathogenesis [48, 49] and the clinical success of B cell targeted therapies further strengthens this [6, 50].”
From The oncoprotein TBX3 is controlling severity in experimental arthritis (2019) · cites this paper as [49]
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Bone erosion in rheumatoid arthritis: mechanisms, diagnosis and treatment
Schett, G., & Gravallese, E. (2012) · Nature Reviews Rheumatology · doi:10.1038/nrrheum.2012.153 · Cited by 947 · see citing works
Humby, F., Bombardieri, M., Manzo, A., Kelly, S., Blades, M. C., Kirkham, B., Spencer, J., & Pitzalis, C. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.0060001 · Cited by 537 · see citing works
Self-citationProinflammatory T helper type 17 cells are effective B-cell helpers
Mitsdoerffer, M., Lee, Y., Jäger, A., Kim, H.-J., Korn, T., Kolls, J. K., Cantor, H., Bettelli, E., & Kuchroo, V. K. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1009234107 · Cited by 534 · see citing works
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“It has recently been acknowledged that B lymphocytes and autoantibodies are key in aspects of RA pathogenesis [48, 49] and the clinical success of B cell targeted therapies further strengthens this [6, 50].”
Background
- Authors
- Bugatti, S., Vitolo, B., Caporali, R., Montecucco, C., & Manzo, A.
- Affiliations
- University of Pavia (IT)
- Corresponding author
- Bugatti, Serena
- Venue
- BioMed Research International
- Publisher
- Wiley
- Published
- 2014
- Volume
- 2014
- Pages
- 1-14
- ISSN
- 1110-7243 (ISSN-L)
- 2314-6133
- 2314-6141
- PMC
- PMC4022166
- OpenAlex
- W2021252940
- Cited by
- 170
- References
- 3
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 6 · 2023: 18 · 2022: 13 · 2021: 21 · 2020: 13 · 2019: 20 · 2018: 14 · 2017: 19 · 2016: 10 · 2015: 12 · 2014: 3 · 2013: 1
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- BioMed Research International (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Italian Ministry of Health (GR-2009-1608032)
- Fondazione Italiana per la Ricerca sull’Artrite FIRA Onlus (GR-2009-1608032)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Keywords
- rheumatoid arthritis, B cells, B-cell depletion, autoimmunity, B cell-targeted therapy, disease biomarkers, synovium, bone marrow, draining lymph nodes, systemic circulation, humoral immune response, disease heterogeneity
- MeSH terms
- Animals, Arthritis, Rheumatoid, Autoantibodies, B-Lymphocytes, Humans, Inflammation, Biomarkers
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