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Volume 350:2546-2548 June 17, 2004 Number 25
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B Cells, Be Gone — B-Cell Depletion in the Treatment of Rheumatoid Arthritis
George C. Tsokos, M.D.

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 by Edwards, J. C.W.
-PubMed Citation
CD20 protein is expressed on the surface membrane of pre-B lymphocytes and mature B lymphocytes. The protein is located in the B-cell membrane, with 44 amino acids exposed in the extracellular space. Rituximab is a chimeric anti-CD20 antibody whose variable (antigen-binding) region was derived from a mouse antibody so that it has high affinity for CD20. The binding of rituximab to the CD20 antigen interferes with the activation and differentiation of B cells.1

Hematopoietic stem cells, pro-B lymphocytes, and plasma cells do not express CD20. This distribution permits the specific elimination of B cells without preventing the regeneration of B . . . [Full Text of this Article]


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From the Walter Reed Army Institute of Research, Silver Spring, Md.


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