Abstract

During the last decade, the role of B cells in the pathogenesis of autoimmune diseases has been highlighted. Treatment selectively targeting B cells has been made available through the development of (humanized) monoclonal antibodies. Rituximab (anti-CD20) depletes mature B cells and has been successfully used in several systemic autoimmune diseases. At present, only one randomized controlled trial has been performed, and more trials are planned. Additionally, other B-cell targeting monoclonals, such as epratuzumab (anti-CD22) and belimumab (anti-BLyS/BAFF) are being tested. In this article, the presently published (open) studies using these monoclonal therapies are reviewed and future perspectives in this area are discussed.

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