Evidence map›Paper›PMID 39445025›Full record

ReviewFrontiers in immunology2024

Cutting-edge approaches to B-cell depletion in autoimmune diseases.

William H Robinson, David Fiorentino, Lorinda Chung, Larry W Moreland, Malavika Deodhar, Mary Beth Harler, Carrie Saulsbery, Rebecca Kunder

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Resetting immunometabolic set points in autoimmune disease.Journal of translational autoimmunity · 2026
    Review
  4. Article
  5. Article
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  8. Article
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  12. Article
  13. Landscape ofMolecular therapy. Methods & clinical development · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

William H RobinsonDepartment of Medicine, Division of Immunology and Rheumatology, Stanford University, Stanford, CA, United States.
David FiorentinoDepartment of Medicine, Division of Immunology and Rheumatology, Stanford University, Stanford, CA, United States.
Lorinda ChungDepartment of Medicine, Division of Immunology and Rheumatology, Stanford University, Stanford, CA, United States.
Larry W MorelandDivision of Rheumatology, School of Medicine, University of Colorado Anschutz, Aurora, CO, United States.
Malavika DeodharIGM Biosciences, Mountain View, CA, United States.
Mary Beth HarlerIGM Biosciences, Mountain View, CA, United States.
Carrie SaulsberyIGM Biosciences, Mountain View, CA, United States.
Rebecca KunderIGM Biosciences, Mountain View, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

B-cell depletion therapy (BCDT) has been employed to treat autoimmune disease for ~20 years. Immunoglobulin G1 (IgG1) monoclonal antibodies targeting CD20 and utilizing effector function (eg, antibody-dependent cellular cytotoxicity, complement-dependent cytotoxicity, antibody-dependent cellular phagocytosis) to eliminate B cells have historically been the predominant therapeutic approaches. More recently, diverse BCDT approaches targeting a variety of B-cell surface antigens have been developed for use in hematologic malignancies, including effector-function-enhanced monoclonal antibodies, chimeric antigen receptor T-cell (CAR-T) treatment, and bispecific T-cell engagers (TCEs). The latter category of antibodies employs CD3 engagement to augment the killing of target cells. Given the improvement in B-cell depletion observed with CAR-T and TCEs compared with conventional monospecific antibodies for treatment of hematologic malignancies and the recent case reports demonstrating therapeutic benefit of CAR-T in autoimmune disease, there is potential for these mechanisms to be effective for B-cell-mediated autoimmune disease. In this review, we discuss the various BCDTs that are being developed in autoimmune diseases, describing the molecule designs, depletion mechanisms, and potential advantages and disadvantages of each approach as they pertain to safety, efficacy, and patient experience. Additionally, recent advances and strategies with TCEs are presented to help broaden understanding of the potential for bispecific antibodies to safely and effectively engage T cells for deep B-cell depletion in autoimmune diseases.

Indexed as

Autoimmune DiseasesB-LymphocytesImmunotherapy, AdoptiveLymphocyte DepletionAnimalsAntibodies, BispecificAntibodies, MonoclonalHumansReceptors, Chimeric AntigenT-LymphocytesAntibodies, BispecificAntibodies, MonoclonalReceptors, Chimeric Antigenautoimmune diseaseB-cell depletion therapyeffector function-enhanced monoclonal antibodiesimvotamabT-cell engager

Identifiers

PMID39445025
PMCPMC11497632

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.