Prospects of anti-B-cell therapy for systemic sclerosis

Systemic sclerosis (SSc) is a severe systemic autoimmune rheumatic disease (SARD), pathogenetically associated with inflammation and pathological disorders in the microvascular bed, leading to the development of autoimmune fibrosis and vasculopathy. An important role in the pathogenesis of SSc is pl...

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Main Authors: E. L. Nasonov, L. P. Ananyeva
Format: Article
Language:Russian
Published: IMA PRESS LLC 2025-07-01
Series:Научно-практическая ревматология
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Online Access:https://rsp.mediar-press.net/rsp/article/view/3757
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author E. L. Nasonov
L. P. Ananyeva
author_facet E. L. Nasonov
L. P. Ananyeva
author_sort E. L. Nasonov
collection DOAJ
description Systemic sclerosis (SSc) is a severe systemic autoimmune rheumatic disease (SARD), pathogenetically associated with inflammation and pathological disorders in the microvascular bed, leading to the development of autoimmune fibrosis and vasculopathy. An important role in the pathogenesis of SSc is played by pathological activation of B-cell immunity, manifested in the disruption of B-cell signaling, B-cell homeostasis, hyperproduction of “profibrotic” cytokines and “pathogenic” autoantibodies. Despite the fact that the pathogenetic mechanisms of SSc associated with dysregulation of B cells and the synthesis of “sclerodermic” autoantibodies have not been sufficiently studied, anti-B-cell therapy is considered one of the important areas of treatment for this disease. The article examines modern concepts about the place of anti-B-cell therapy in the treatment of SSc, primarily in relation to the progression of interstitial lung diseases and skin lesions, and discusses the results of the use of new types of monoclonal antibodies to B-cells and CAR-T-cell therapy.
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institution Kabale University
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spelling doaj-art-c7529cfc61b64e118d601eed77ac5cbb2025-08-20T03:37:54ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922025-07-0163321922810.47360/1995-4484-2025-219-2283069Prospects of anti-B-cell therapy for systemic sclerosisE. L. Nasonov0L. P. Ananyeva1V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologySystemic sclerosis (SSc) is a severe systemic autoimmune rheumatic disease (SARD), pathogenetically associated with inflammation and pathological disorders in the microvascular bed, leading to the development of autoimmune fibrosis and vasculopathy. An important role in the pathogenesis of SSc is played by pathological activation of B-cell immunity, manifested in the disruption of B-cell signaling, B-cell homeostasis, hyperproduction of “profibrotic” cytokines and “pathogenic” autoantibodies. Despite the fact that the pathogenetic mechanisms of SSc associated with dysregulation of B cells and the synthesis of “sclerodermic” autoantibodies have not been sufficiently studied, anti-B-cell therapy is considered one of the important areas of treatment for this disease. The article examines modern concepts about the place of anti-B-cell therapy in the treatment of SSc, primarily in relation to the progression of interstitial lung diseases and skin lesions, and discusses the results of the use of new types of monoclonal antibodies to B-cells and CAR-T-cell therapy.https://rsp.mediar-press.net/rsp/article/view/3757systemic sclerosisanti-b-cell therapyrituximabdevosilimabsystemic autoimmune rheumatic diseasescar-t-cell therapy
spellingShingle E. L. Nasonov
L. P. Ananyeva
Prospects of anti-B-cell therapy for systemic sclerosis
Научно-практическая ревматология
systemic sclerosis
anti-b-cell therapy
rituximab
devosilimab
systemic autoimmune rheumatic diseases
car-t-cell therapy
title Prospects of anti-B-cell therapy for systemic sclerosis
title_full Prospects of anti-B-cell therapy for systemic sclerosis
title_fullStr Prospects of anti-B-cell therapy for systemic sclerosis
title_full_unstemmed Prospects of anti-B-cell therapy for systemic sclerosis
title_short Prospects of anti-B-cell therapy for systemic sclerosis
title_sort prospects of anti b cell therapy for systemic sclerosis
topic systemic sclerosis
anti-b-cell therapy
rituximab
devosilimab
systemic autoimmune rheumatic diseases
car-t-cell therapy
url https://rsp.mediar-press.net/rsp/article/view/3757
work_keys_str_mv AT elnasonov prospectsofantibcelltherapyforsystemicsclerosis
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