Continued dysregulation of the B cell lineage promotes multiple sclerosis activity despite disease modifying therapies [version 3; peer review: 2 approved]

Abstract

A clear understanding of the origin and role of the different subtypes of the B cell lineage involved in the activity or remission of multiple sclerosis (MS) is important for the treatment and follow-up of patients living with this disease. B cells, however, are dynamic and can play an anti-inflammatory or pro-inflammatory role, depending on their milieu. Depletion of B cells has been effective in controlling the progression of MS, but it can have adverse side effects. A better understanding of the role of the B cell subtypes, through the use of surface biomarkers of cellular activity with special attention to the function of memory and other regulatory B cells (Bregs), will be necessary in order to offer specific treatments without inducing undesirable effects.

Keywords

• Multiple sclerosis
• antibody secreting cell
• memory B cell
• naïve B cell
• B regulatory cell
• eng