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B cells in Sjogren's syndrome: from pathophysiology to therapeutic target

期刊

RHEUMATOLOGY
卷 60, 期 6, 页码 2545-2560

出版社

OXFORD UNIV PRESS
DOI: 10.1093/rheumatology/key332

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B cells; primary Sjogren's syndrome; autoreactivity; regulation; ectopic germinal centers; epigenetics; cytokines; immunotherapy; lymphoma; BAFF

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The biological abnormalities associated with B lymphocytes in patients with primary Sjogren's syndrome are a hallmark of the disease, playing a critical role in the immunopathology. Current knowledge on B cells in this syndrome has been summarized and trials targeting B cells have been described.
Biological abnormalities associated with B lymphocytes are a hallmark of patients with primary Sjogren's syndrome. Those patients present abnormal distribution of B lymphocytes in peripheral blood and B cells in exocrine glands. B cells produce auto-antibodies, cytokines and present antigens but can also suppressive functions. In this review, we will summarize current knowledge on B cells in primary Sjogren's syndrome patients, demonstrate their critical role in the immunopathology of the disease and describe the past and current trials targeting B cells.

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