The role of B lymphocyte stimulator in B cell biology: implications for the treatment of lupus

JL Scholz, MA Oropallo, V Sindhava, R Goenka… - Lupus, 2013 - journals.sagepub.com
JL Scholz, MA Oropallo, V Sindhava, R Goenka, MP Cancro
Lupus, 2013journals.sagepub.com
B lymphocyte stimulator (BLyS; also known as B cell activating factor (BAFF)) plays a key
role in peripheral B cell tolerance. Mounting evidence indicates that B cell tolerance can be
either broken or modulated by deliberately manipulating BLyS levels, and belimumab, a
BLyS-neutralizing antibody, was recently approved for the treatment of systemic lupus
erythematosus (SLE). Thus, intense investigation has focused on understanding how
therapeutics targeting BLyS may work, and accumulating evidence suggests multiple points …
B lymphocyte stimulator (BLyS; also known as B cell activating factor (BAFF)) plays a key role in peripheral B cell tolerance. Mounting evidence indicates that B cell tolerance can be either broken or modulated by deliberately manipulating BLyS levels, and belimumab, a BLyS-neutralizing antibody, was recently approved for the treatment of systemic lupus erythematosus (SLE). Thus, intense investigation has focused on understanding how therapeutics targeting BLyS may work, and accumulating evidence suggests multiple points of action. BLyS signaling, in conjunction with B cell receptor (BCR) signaling, determines the size and quality of the mature primary B cell compartment. Moreover, BLyS family members play roles in antigen-experienced B cell selection and differentiation. Together, these findings have implications for the continued development of novel therapeutics that target BLyS.
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