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. Author manuscript; available in PMC: 2019 Sep 9.
Published in final edited form as: Nat Rev Nephrol. 2017 Oct 17;13(11):712–720. doi: 10.1038/nrneph.2017.138

Table 1 |.

Therapeutic agents that target B cells

Agent Mechanism of action Approved indications
Anti-CD20 mAb (rituximab)* B cell lysis Non-Hodgkin lymphoma, chronic lymphocytic leukaemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis
Anti-CD20 mAb (obinutuzumab) B cell lysis; greater antibody-dependent cellular cytotoxicity and direct cell death than with rituximab Chronic lymphocytic leukaemia, follicular lymphoma
Anti-CD20 mAb (ofatumumab) B cell lysis; binds the extracellular (large and small) loops of the CD20 molecule Untreated or refractory chronic lymphocytic leukaemia
Anti-CD20 mAb (ocrelizumab) B cell lysis Multiple sclerosis
Anti-CD22 mAb (epratuzumab) B cell lysis No approved indications to date
Human anti-BLyS mAb (belimumab) Blocks binding of soluble BLyS to B cell receptors, thereby inhibiting the survival of B cells and their differentiation into plasma cells Active, autoantibody positive systemic lupus erythematous
TACI-Ig (atacicept) blocks BLyS and APRIL thereby inhibiting B cell survival No approved indications to date
Human anti-BLyS mAb (tabalumab) Neutralizes the soluble form and the membrane form of BLyS No approved indications to date
*

Rituximab is the only B cell-targeted agent that has been tested in patients with type 1 diabetes mellitus. APRIL, A proliferation-inducing ligand; BLyS, B lymphocyte stimulator (also known as BAFF); mAb, monoclonal antibody.