Alterations in the innate and adaptive immune system in a real-world cohort of multiple sclerosis patients treated with ocrelizumab

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

Détails bibliographiques
Publié dans:Clinical immunology (Orlando, Fla.). - 1999. - 259(2024) vom: 06. Feb., Seite 109894
Auteur principal: Beckers, L (Auteur)
Autres auteurs: Baeten, P, Popescu, V, Swinnen, D, Cardilli, A, Hamad, I, Van Wijmeersch, B, Tavernier, S J, Kleinewietfeld, M, Broux, B, Fraussen, J, Somers, V
Format: Article en ligne
Langue:English
Publié: 2024
Accès à la collection:Clinical immunology (Orlando, Fla.)
Sujets:Journal Article Research Support, Non-U.S. Gov't B cells Extended interval dosing High-dimensional flow cytometry Multiple sclerosis Ocrelizumab Treatment response ocrelizumab A10SJL62JY plus... Immunologic Factors Interleukin-12 187348-17-0 Antibodies, Monoclonal, Humanized
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520 |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 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a B cells 
650 4 |a Extended interval dosing 
650 4 |a High-dimensional flow cytometry 
650 4 |a Multiple sclerosis 
650 4 |a Ocrelizumab 
650 4 |a Treatment response 
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650 7 |a A10SJL62JY  |2 NLM 
650 7 |a Immunologic Factors  |2 NLM 
650 7 |a Interleukin-12  |2 NLM 
650 7 |a 187348-17-0  |2 NLM 
650 7 |a Antibodies, Monoclonal, Humanized  |2 NLM 
700 1 |a Baeten, P  |e verfasserin  |4 aut 
700 1 |a Popescu, V  |e verfasserin  |4 aut 
700 1 |a Swinnen, D  |e verfasserin  |4 aut 
700 1 |a Cardilli, A  |e verfasserin  |4 aut 
700 1 |a Hamad, I  |e verfasserin  |4 aut 
700 1 |a Van Wijmeersch, B  |e verfasserin  |4 aut 
700 1 |a Tavernier, S J  |e verfasserin  |4 aut 
700 1 |a Kleinewietfeld, M  |e verfasserin  |4 aut 
700 1 |a Broux, B  |e verfasserin  |4 aut 
700 1 |a Fraussen, J  |e verfasserin  |4 aut 
700 1 |a Somers, V  |e verfasserin  |4 aut 
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