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黑人患者在接受抗 CD20 输注后,B 细胞的恢复速度比患有神经系统疾病的白人患者更快。

Faster B-cell repletion after anti-CD20 infusion in Black patients compared to white patients with neurologic diseases.

机构信息

Department of Neurology, NYU Langone Medical Center, New York, NY, USA.

Department of Pathology, NYU Langone Medical Center, New York, NY, USA.

出版信息

Mult Scler Relat Disord. 2022 Jul;63:103830. doi: 10.1016/j.msard.2022.103830. Epub 2022 Apr 25.

Abstract

This retrospective, single-center study aimed to characterize and compare the kinetics of B-cell reemergence following anti-CD20 infusion (anti-CD20i) in African American (AA) and white patients with MS or NMOSD. In a logistic regression model that included race, time since anti-CD20i, body mass index, and diagnosis, only AA race (p=0.01) and time since anti-CD20i (p=0.0003) were significant predictors of B-cell repletion. However, B-cell subset composition was similar between AA and white patients with detectable CD19+ B-cell counts. These findings highlight the importance of including a diverse study population in future studies of anti-CD20 therapies.

摘要

本回顾性单中心研究旨在描述和比较抗 CD20 输注(抗 CD20i)后非洲裔美国(AA)和白人患者多发性硬化症或 NMOSD 患者 B 细胞再出现的动力学。在包含种族、抗 CD20i 后时间、体重指数和诊断的逻辑回归模型中,只有 AA 种族(p=0.01)和抗 CD20i 后时间(p=0.0003)是 B 细胞补充的显著预测因子。然而,在可检测到 CD19+B 细胞计数的 AA 和白人患者中,B 细胞亚群组成相似。这些发现强调了在未来抗 CD20 治疗研究中纳入多样化研究人群的重要性。

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