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* Research Service, Harry S. Truman Memorial Veterans Affairs Hospital, Columbia, MO 65201;
Department of Internal Medicine and
Department of Molecular Microbiology and Immunology, University of Missouri, Columbia, MO 65212; and
Biogen Idec, San Diego, CA 92122
B cells are important for the development of most autoimmune diseases. B cell depletion immunotherapy has emerged as an effective treatment for several human autoimmune diseases, although it is unclear whether B cells are necessary for disease induction, autoantibody production, or disease progression. To address the role of B cells in a murine model of spontaneous autoimmune thyroiditis (SAT), B cells were depleted from adult NOD.H-2h4 mice using anti-mouse CD20 mAb. Anti-CD20 depleted most B cells in peripheral blood and cervical lymph nodes and 50–80% of splenic B cells. Flow cytometry analysis showed that marginal zone B cells in the spleen were relatively resistant to depletion by anti-CD20, whereas most follicular and transitional (T2) B cells were depleted after anti-CD20 treatment. When anti-CD20 was administered before development of SAT, development of SAT and anti-mouse thyroglobulin autoantibody responses were reduced. Anti-CD20 also reduced SAT severity and inhibited further increases in anti-mouse thyroglobulin autoantibodies when administered to mice that already had autoantibodies and thyroid inflammation. The results suggest that B cells are necessary for initiation as well as progression or maintenance of SAT in NOD.H-2h4 mice.
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1 This work was supported by a Merit Review Grant from the Department of Veterans Affairs, the Arthritis National Research Foundation, Childrens Miracle Network, and the Lottie Caroline Hardy Trust.
2 Address correspondence and reprint requests to Dr. Helen Braley-Mullen, Department of Internal Medicine, Division of Immunology and Rheumatology, University of Missouri, M307 Health Science Center, One Hospital Drive, Columbia, MO 65212. E-mail address: mullenh{at}health.missouri.edu
3 Abbreviations used in this paper: SAT, spontaneous autoimmune thyroiditis; MTg, mouse thyroglobulin; SLE, systemic lupus erythematosus; RA, rheumatoid arthritis; MZ, marginal zone; FO, follicular; CLN, cervical lymph node; hCD20, human CD20.
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