Department of Neurology, Hannover Medical School, D-30625 Hannover, Germany.
Department of Clinical Immunology & Rheumatology, Hannover Medical School, D-30625 Hannover, Germany.
Cells. 2018 Dec 28;8(1):12. doi: 10.3390/cells8010012.
Ocrelizumab, a humanized monoclonal anti-CD20 antibody, has shown pronounced effects in reduction of disease activity in multiple sclerosis (MS) patients and has recently been approved for the treatment of patients with relapsing MS (RMS) and primary progressive MS (PPMS). CD20 is mainly expressed by B cells, but a subset of T cells (CD3⁺CD20⁺ T cells) also expresses CD20, and these CD20⁺ T cells are known to be a highly activated cell population. The blood of MS patients was analyzed with multicolor flow cytometry before and two weeks after treatment with ocrelizumab regarding the phenotype of peripheral blood mononuclear cells. CD20-expressing CD3⁺ T cells were found in blood samples of all MS patients, accounted for 2.4% of CD45⁺ lymphocytes, and constituted a significant proportion (18.4%) of all CD20⁺ cells. CD3⁺CD20⁺ T cells and CD19⁺CD20⁺ B cells were effectively depleted two weeks after a single administration of 300 mg ocrelizumab. Our results demonstrate that treatment with ocrelizumab does not exclusively target B cells, but also CD20⁺ T cells, which account for a substantial amount of CD20-expressing cells. Thus, we speculate that the efficacy of ocrelizumab might also be mediated by the depletion of CD20-expressing T cells.
奥瑞珠单抗,一种人源化单克隆抗 CD20 抗体,在减少多发性硬化症(MS)患者的疾病活动方面表现出显著效果,最近已被批准用于治疗复发性多发性硬化症(RMS)和原发性进行性多发性硬化症(PPMS)患者。CD20 主要表达于 B 细胞,但一小部分 T 细胞(CD3⁺CD20⁺ T 细胞)也表达 CD20,已知这些 CD20⁺ T 细胞是一种高度活化的细胞群体。在使用奥瑞珠单抗治疗前和治疗后两周,通过多色流式细胞术分析多发性硬化症患者的外周血单个核细胞表型。在所有多发性硬化症患者的血液样本中均发现了表达 CD20 的 CD3⁺ T 细胞,占 CD45⁺淋巴细胞的 2.4%,并构成所有 CD20⁺细胞的显著比例(18.4%)。单次给予 300mg 奥瑞珠单抗治疗两周后,CD3⁺CD20⁺ T 细胞和 CD19⁺CD20⁺ B 细胞被有效耗竭。我们的结果表明,奥瑞珠单抗的治疗不仅靶向 B 细胞,还靶向 CD20⁺ T 细胞,这些细胞占表达 CD20 细胞的相当大比例。因此,我们推测奥瑞珠单抗的疗效也可能通过耗竭表达 CD20 的 T 细胞来介导。
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