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10.1111/cei.12472

http://scihub22266oqcxt.onion/10.1111/cei.12472
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C4337674!4337674!25339550
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suck abstract from ncbi


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pmid25339550      Clin+Exp+Immunol 2015 ; 179 (3): 414-25
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  • Effect of rituximab on B cell phenotype and serum B cell-activating factor levels in patients with thrombotic thrombocytopenic purpura #MMPMID25339550
  • Becerra E; Scully MA; Leandro MJ; Heelas EO; Westwood JP; De La Torre I; Cambridge G
  • Clin Exp Immunol 2015[Mar]; 179 (3): 414-25 PMID25339550show ga
  • Autoantibodies inhibiting the activity of the metalloproteinase, ADAMTS13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13), underlie the pathogenesis of thrombotic thrombocytopenic purpura (TTP). Rituximab (RTX) combined with plasma-exchange (PEX) is an effective treatment in TTP. Patients can remain in remission for extended periods following PEX/RTX, and this is associated with continuing reduction in antibodies to ADAMTS13. Factors controlling B cell differentiation to autoantibody production, including stimulation through the B cell receptor and interactions with the B cell-activating factor (BAFF), may thus impact length of remission. In this cross-sectional study, we measured naive and memory B cell phenotypes [using CD19/immunoglobulin (Ig)D/CD27] following PEX/RTX treatment in TTP patients at B cell return (n?=?6) and in 12 patients in remission 10?68 months post-RTX. We also investigated relationships among serum BAFF, soluble CD23 (sCD23? a surrogate measure of acquiring B memory (CD27+) phenotype) and BAFF receptor (BAFF-R) expression. At B cell return after PEX/RTX, naive B cells predominated and BAFF-R expression was reduced compared to healthy controls (P?
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