Functional implications of B lymphocytes in the development of rheumatoid arthritis
B cells play a key role in regulating the immune system by producingantibodies, acting as antigen-presenting cells, providing support toother mononuclear cells, and contributing directly to inflammatorypathways. Accumulating evidence indicates that there is a disruptionof these regulated processes i...
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| Autores principales: | , , |
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| Formato: | article |
| Lenguaje: | ES |
| Publicado: |
Universidad Autonoma de Bucaramanga
2006
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/ba204019f8494ec19452279e57d8ddfb |
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| Sumario: | B cells play a key role in regulating the immune system by producingantibodies, acting as antigen-presenting cells, providing support toother mononuclear cells, and contributing directly to inflammatorypathways. Accumulating evidence indicates that there is a disruptionof these regulated processes in the pathogenesis of autoimmunediseases, including rheumatoid arthritis (RA). In RA there is a chronic inflammation in the affected joints leading to the development of ectopic germinal centers. A micro-environment is established which supports B cell activation and differentiation. Plasma cells may develop which secrete autoantibodies of high affinity directly into the synovial tissue. As a result, antigen/antibody complex formation, the activation of the complement cascade and the stimulation of macrophages may contribute to the destruction of joints. B cells also play a pivotal role in the activation of synovial T cells and the induction of cytokine secretion. Finally, the success of B cell depletion therapy by using monoclonal antibodies against CD20 further emphasized the importance of B cells in the pathogenesis of RA |
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