Emerging B-Cell Therapies in Systemic Lupus Erythematosus

Ayse Bag-Ozbek,1 Joyce S Hui-Yuen2– 4 1Division of Rheumatology, Renaissance School of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA; 2Division of Pediatric Rheumatology, Steven and Alexandra Cohen Children Medical Center, New Hyde Park, NY, USA; 3Zucker School of M...

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Autores principales: Bag-Ozbek A, Hui-Yuen JS
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:0f39e0e280bd46ca8abcec20e52204ff2021-12-02T13:52:04ZEmerging B-Cell Therapies in Systemic Lupus Erythematosus1178-203Xhttps://doaj.org/article/0f39e0e280bd46ca8abcec20e52204ff2021-01-01T00:00:00Zhttps://www.dovepress.com/emerging-b-cell-therapies-in-systemic-lupus-erythematosus-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XAyse Bag-Ozbek,1 Joyce S Hui-Yuen2– 4 1Division of Rheumatology, Renaissance School of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA; 2Division of Pediatric Rheumatology, Steven and Alexandra Cohen Children Medical Center, New Hyde Park, NY, USA; 3Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA; 4Center for Autoimmune, Musculoskeletal, and Hematopoietic Diseases Research, Feinstein Institute for Medical Research, Manhasset, NY, USACorrespondence: Joyce S Hui-YuenDivision of Pediatric Rheumatology, Steven and Alexandra Cohen Children Medical Center, 1991 Marcus Avenue, Suite M100, New Hyde Park, NY 11040, USATel +1 516.472.3700Fax +1 516.472.3752Email jhuiyuen@nshs.eduAbstract: Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease of unknown etiology, whose hallmark is the production of autoantibodies. B cells are promising targets for novel SLE therapies. In 2011, belimumab (Benlysta®), a fully humanized monoclonal antibody inhibiting B-cell activation and proliferation, was the first medication in 50 years to be approved by the US Food and Drug Administration to treat adult SLE. This review discusses the current experience with B-cell-targeted therapies, including those targeting B-cell-surface antigens (rituximab, ocrelizumab, ofatumumab, obinutuzumab, obexelimab, epratuzumab, daratumumab), B-cell survival factors (belimumab, tabalumab, atacicept, blisibimod), or B-cell intracellular functions (ibrutinib, fenebrutinib, proteasome inhibitors), for the management of SLE. It focuses on ongoing clinical trials and real-world post-marketing use, where available, including their safety profiles, and concludes with our recommendations for B-cell-centric approaches to the management of SLE.Keywords: systemic lupus erythematosus, treatment, novel B-cell therapies, belimumab, rituximab, epratuzumabBag-Ozbek AHui-Yuen JSDove Medical Pressarticlesystemic lupus erythematosustreatmentnovel b cell therapiesbelimumabrituximabepratuzumabTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 39-54 (2021)
institution DOAJ
collection DOAJ
language EN
topic systemic lupus erythematosus
treatment
novel b cell therapies
belimumab
rituximab
epratuzumab
Therapeutics. Pharmacology
RM1-950
spellingShingle systemic lupus erythematosus
treatment
novel b cell therapies
belimumab
rituximab
epratuzumab
Therapeutics. Pharmacology
RM1-950
Bag-Ozbek A
Hui-Yuen JS
Emerging B-Cell Therapies in Systemic Lupus Erythematosus
description Ayse Bag-Ozbek,1 Joyce S Hui-Yuen2– 4 1Division of Rheumatology, Renaissance School of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA; 2Division of Pediatric Rheumatology, Steven and Alexandra Cohen Children Medical Center, New Hyde Park, NY, USA; 3Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA; 4Center for Autoimmune, Musculoskeletal, and Hematopoietic Diseases Research, Feinstein Institute for Medical Research, Manhasset, NY, USACorrespondence: Joyce S Hui-YuenDivision of Pediatric Rheumatology, Steven and Alexandra Cohen Children Medical Center, 1991 Marcus Avenue, Suite M100, New Hyde Park, NY 11040, USATel +1 516.472.3700Fax +1 516.472.3752Email jhuiyuen@nshs.eduAbstract: Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease of unknown etiology, whose hallmark is the production of autoantibodies. B cells are promising targets for novel SLE therapies. In 2011, belimumab (Benlysta®), a fully humanized monoclonal antibody inhibiting B-cell activation and proliferation, was the first medication in 50 years to be approved by the US Food and Drug Administration to treat adult SLE. This review discusses the current experience with B-cell-targeted therapies, including those targeting B-cell-surface antigens (rituximab, ocrelizumab, ofatumumab, obinutuzumab, obexelimab, epratuzumab, daratumumab), B-cell survival factors (belimumab, tabalumab, atacicept, blisibimod), or B-cell intracellular functions (ibrutinib, fenebrutinib, proteasome inhibitors), for the management of SLE. It focuses on ongoing clinical trials and real-world post-marketing use, where available, including their safety profiles, and concludes with our recommendations for B-cell-centric approaches to the management of SLE.Keywords: systemic lupus erythematosus, treatment, novel B-cell therapies, belimumab, rituximab, epratuzumab
format article
author Bag-Ozbek A
Hui-Yuen JS
author_facet Bag-Ozbek A
Hui-Yuen JS
author_sort Bag-Ozbek A
title Emerging B-Cell Therapies in Systemic Lupus Erythematosus
title_short Emerging B-Cell Therapies in Systemic Lupus Erythematosus
title_full Emerging B-Cell Therapies in Systemic Lupus Erythematosus
title_fullStr Emerging B-Cell Therapies in Systemic Lupus Erythematosus
title_full_unstemmed Emerging B-Cell Therapies in Systemic Lupus Erythematosus
title_sort emerging b-cell therapies in systemic lupus erythematosus
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/0f39e0e280bd46ca8abcec20e52204ff
work_keys_str_mv AT bagozbeka emergingbcelltherapiesinsystemiclupuserythematosus
AT huiyuenjs emergingbcelltherapiesinsystemiclupuserythematosus
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