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|a 10.1016/j.clim.2024.109894
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|a DE-627
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|e rakwb
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|a eng
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|a Beckers, L
|e verfasserin
|4 aut
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|a Alterations in the innate and adaptive immune system in a real-world cohort of multiple sclerosis patients treated with ocrelizumab
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|c 2024
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
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|2 rdacarrier
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|a Date Completed 29.01.2024
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|a Date Revised 10.04.2024
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|a published: Print-Electronic
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|a Citation Status MEDLINE
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|a Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.
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|a B cell depletion by the anti-CD20 antibody ocrelizumab is effective in relapsing-remitting (RR) and primary progressive (PP) multiple sclerosis (MS). We investigated immunological changes in peripheral blood of a real-world MS cohort after 6 and 12 months of ocrelizumab. All RRMS and most PPMS patients (15/20) showed treatment response. Ocrelizumab not only reduced CD20+ B cells, but also numbers of CD20+ T cells. Absolute numbers of monocytes, dendritic cells and CD8+ T cells were increased, while CD56hi natural killer cells were reduced after ocrelizumab. The residual B cell population shifted towards transitional and activated, IgA+ switched memory B cells, double negative B cells, and antibody-secreting cells. Delaying the treatment interval by 2-3 months increased mean B cell frequencies and enhanced naive B cell repopulation. Ocrelizumab reduced plasma levels of interleukin(IL)-12p70 and interferon(IFN)-α2. These findings will contribute to understanding ineffective treatment responses, dealing with life-threatening infections and further unravelling MS pathogenesis
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|a Journal Article
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|a Research Support, Non-U.S. Gov't
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|a B cells
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|a Extended interval dosing
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|a High-dimensional flow cytometry
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|a Multiple sclerosis
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|a Ocrelizumab
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|a Treatment response
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|a ocrelizumab
|2 NLM
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|a A10SJL62JY
|2 NLM
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|a Immunologic Factors
|2 NLM
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|a Interleukin-12
|2 NLM
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|a 187348-17-0
|2 NLM
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|a Antibodies, Monoclonal, Humanized
|2 NLM
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|a Baeten, P
|e verfasserin
|4 aut
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|a Popescu, V
|e verfasserin
|4 aut
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|a Swinnen, D
|e verfasserin
|4 aut
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|a Cardilli, A
|e verfasserin
|4 aut
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|a Hamad, I
|e verfasserin
|4 aut
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|a Van Wijmeersch, B
|e verfasserin
|4 aut
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|a Tavernier, S J
|e verfasserin
|4 aut
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|a Kleinewietfeld, M
|e verfasserin
|4 aut
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|a Broux, B
|e verfasserin
|4 aut
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|a Fraussen, J
|e verfasserin
|4 aut
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|a Somers, V
|e verfasserin
|4 aut
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|i Enthalten in
|t Clinical immunology (Orlando, Fla.)
|d 1999
|g 259(2024) vom: 06. Feb., Seite 109894
|w (DE-627)NLM098196855
|x 1521-7035
|7 nnas
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|g volume:259
|g year:2024
|g day:06
|g month:02
|g pages:109894
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|u http://dx.doi.org/10.1016/j.clim.2024.109894
|3 Volltext
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