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Interleukin‐10 producing‐B cells and their association with responsiveness to rituximab in myasthenia gravis
Authors:Feng Sun MD  Shafeeq S. Ladha MD  Li Yang MD  PhD  Qiang Liu MD  PhD  Samuel Xiang‐Yu Shi BS  Ning Su MD  Roberto Bomprezzi MD  PhD  Fu‐Dong Shi MD  PhD
Affiliation:1. Department of Neurology and Tianjin Neurological Institute, Tianjin Medical University General Hospital, , Tianjin, 300052 China;2. Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, , Phoenix, Arizona, USA
Abstract:
Introduction: A subset of regulatory B cells in humans and mice has been defined functionally by their ability to produce interleukin (IL)‐10. We characterized IL‐10‐producing B (B10) cells in myasthenia gravis (MG) patients and correlated them with disease activity and responsiveness to rituximab therapy. Methods: Frequencies of B10 cells from MG patients and healthy controls were monitored by fluorescence‐activated cell sorting (FACS). Results: MG patients had fewer B10 cells than controls, which was associated with more severe disease status. Moreover, patients who responded well to rituximab therapy exhibited rapid repopulation of B10 cells, whereas in patients who did not respond well to rituximab, B10 cell repopulation was delayed. The kinetics of B10 cells were related to the responsiveness to rituximab in MG. Conclusions: We have characterized a specific subset of B10 cells in MG patients which may serve as a marker for disease activity and responsiveness to immune therapy. Muscle Nerve 49:487–494, 2014
Keywords:B10 cells  MG  FACS  MGFA  Rituximab
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