Interleukin-10 producing-B cells and their association with responsiveness to rituximab in myasthenia gravis

Muscle Nerve. 2014 Apr;49(4):487-94. doi: 10.1002/mus.23951. Epub 2014 Feb 27.

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.

Keywords: B10 cells; FACS; MG; MGFA; Rituximab.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Antibodies, Monoclonal, Murine-Derived / pharmacology
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use*
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / metabolism*
  • Biomarkers / metabolism
  • Female
  • Follow-Up Studies
  • Humans
  • Immunologic Factors / pharmacology
  • Immunologic Factors / therapeutic use*
  • Interleukin-10 / biosynthesis*
  • Male
  • Middle Aged
  • Myasthenia Gravis / drug therapy*
  • Myasthenia Gravis / metabolism*
  • Prospective Studies
  • Rituximab
  • Treatment Outcome
  • Young Adult

Substances

  • Antibodies, Monoclonal, Murine-Derived
  • Biomarkers
  • IL10 protein, human
  • Immunologic Factors
  • Interleukin-10
  • Rituximab