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  1. Article ; Online: Critical role of WASp in germinal center tolerance through regulation of B cell apoptosis and diversification.

    Descatoire, Marc / Fritzen, Remi / Rotman, Samuel / Kuntzelman, Genevieve / Leber, Xavier Charles / Droz-Georget, Stephanie / Thrasher, Adrian J / Traggiai, Elisabetta / Candotti, Fabio

    Cell reports

    2022  Volume 38, Issue 10, Page(s) 110474

    Abstract: A main feature of Wiskott-Aldrich syndrome (WAS) is increased susceptibility to autoimmunity. A key contribution of B cells to development of these complications has been demonstrated through studies of samples from affected individuals and mouse models ... ...

    Abstract A main feature of Wiskott-Aldrich syndrome (WAS) is increased susceptibility to autoimmunity. A key contribution of B cells to development of these complications has been demonstrated through studies of samples from affected individuals and mouse models of the disease, but the role of the WAS protein (WASp) in controlling peripheral tolerance has not been specifically explored. Here we show that B cell responses remain T cell dependent in constitutive WASp-deficient mice, whereas selective WASp deletion in germinal center B cells (GCBs) is sufficient to induce broad development of self-reactive antibodies and kidney pathology, pointing to loss of germinal center tolerance as a primary cause leading to autoimmunity. Mechanistically, we show that WASp is upregulated in GCBs and regulates apoptosis and plasma cell differentiation in the germinal center and that the somatic hypermutation-derived diversification is the basis of autoantibody development.
    MeSH term(s) Animals ; Apoptosis ; Autoantibodies ; Germinal Center/pathology ; Mice ; Mice, Knockout ; Wasps ; Wiskott-Aldrich Syndrome/pathology
    Chemical Substances Autoantibodies
    Language English
    Publishing date 2022-03-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2649101-1
    ISSN 2211-1247 ; 2211-1247
    ISSN (online) 2211-1247
    ISSN 2211-1247
    DOI 10.1016/j.celrep.2022.110474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Les lymphocytes B IgM+IgD+CD27+ chez l'homme--Un rôle essentiel dans la défense contre les bactéries encapsulées.

    Weller, Sandra / Descatoire, Marc

    Medecine sciences : M/S

    2015  Volume 31, Issue 6-7, Page(s) 647–653

    Abstract: In humans, CD27+ blood B cells with mutated immunoglobulin (Ig) receptors comprise two major populations: isotype-switched memory cells (IgG+ or IgA+CD27+) and IgM+IgD+CD27+ cells. While switched CD27+ cells are generated in germinal centers (GC) by T- ... ...

    Title translation IgM+IgD+CD27+ B cells in human: an essential role in the protection against encapsulated bacteria.
    Abstract In humans, CD27+ blood B cells with mutated immunoglobulin (Ig) receptors comprise two major populations: isotype-switched memory cells (IgG+ or IgA+CD27+) and IgM+IgD+CD27+ cells. While switched CD27+ cells are generated in germinal centers (GC) by T-dependent (TD) responses, the origin of IgM+IgD+CD27+ cells is still controversial. Data including ours support the view that these cells can develop and mutate along a GC-independent pathway and that they represent circulating marginal zone B (MZB) cells involved in T-independent (TI) responses. Our data provide evidence for a developmental diversification of these MZB cells, at least in very young children, outside of TD and TI immune responses. The identification of a human MZB cell precursor with NOTCH2-dependent differentiation properties further argue in favor of the existence of a MZB cell lineage in humans, like in rodents. At last, a role for Toll-like receptors in the development and/or maintenance of IgM+IgD+CD27+ B cells is proposed.
    MeSH term(s) Animals ; B-Lymphocytes/metabolism ; B-Lymphocytes/physiology ; Bacteria/immunology ; Bacteria/pathogenicity ; Bacterial Capsules/immunology ; Cell Differentiation/immunology ; Humans ; Immunity, Cellular/physiology ; Immunoglobulin D/metabolism ; Immunoglobulin M/metabolism ; Tumor Necrosis Factor Receptor Superfamily, Member 7/metabolism
    Chemical Substances Immunoglobulin D ; Immunoglobulin M ; Tumor Necrosis Factor Receptor Superfamily, Member 7
    Language French
    Publishing date 2015-06
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 632733-3
    ISSN 1958-5381 ; 0767-0974
    ISSN (online) 1958-5381
    ISSN 0767-0974
    DOI 10.1051/medsci/20153106018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: AKT activity orchestrates marginal zone B cell development in mice and humans.

    Cox, Eva-Maria / El-Behi, Mohamed / Ries, Stefanie / Vogt, Johannes F / Kohlhaas, Vivien / Michna, Thomas / Manfroi, Benoît / Al-Maarri, Mona / Wanke, Florian / Tirosh, Boaz / Pondarre, Corinne / Lezeau, Harry / Yogev, Nir / Mittenzwei, Romy / Descatoire, Marc / Weller, Sandra / Weill, Jean-Claude / Reynaud, Claude-Agnès / Boudinot, Pierre /
    Jouneau, Luc / Tenzer, Stefan / Distler, Ute / Rensing-Ehl, Anne / König, Christoph / Staniek, Julian / Rizzi, Marta / Magérus, Aude / Rieux-Laucat, Frederic / Wunderlich, F Thomas / Hövelmeyer, Nadine / Fillatreau, Simon

    Cell reports

    2023  Volume 42, Issue 4, Page(s) 112378

    Abstract: The signals controlling marginal zone (MZ) and follicular (FO) B cell development remain incompletely understood. Here, we show that AKT orchestrates MZ B cell formation in mice and humans. Genetic models that increase AKT signaling in B cells or abolish ...

    Abstract The signals controlling marginal zone (MZ) and follicular (FO) B cell development remain incompletely understood. Here, we show that AKT orchestrates MZ B cell formation in mice and humans. Genetic models that increase AKT signaling in B cells or abolish its impact on FoxO transcription factors highlight the AKT-FoxO axis as an on-off switch for MZ B cell formation in mice. In humans, splenic immunoglobulin (Ig) D
    MeSH term(s) Humans ; Mice ; Animals ; Proto-Oncogene Proteins c-akt ; B-Lymphocytes ; Lymphoid Tissue ; Signal Transduction ; Spleen
    Chemical Substances Proto-Oncogene Proteins c-akt (EC 2.7.11.1)
    Language English
    Publishing date 2023-04-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2649101-1
    ISSN 2211-1247 ; 2211-1247
    ISSN (online) 2211-1247
    ISSN 2211-1247
    DOI 10.1016/j.celrep.2023.112378
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A human equivalent of mouse B-1 cells?

    Descatoire, Marc / Weill, Jean-Claude / Reynaud, Claude-Agnès / Weller, Sandra

    The Journal of experimental medicine

    2011  Volume 208, Issue 13, Page(s) 2563–2564

    MeSH term(s) Antigens, CD/immunology ; B-Lymphocytes/immunology ; Humans ; Leukocytes/immunology ; Umbilical Cord/immunology
    Chemical Substances Antigens, CD
    Language English
    Publishing date 2011-12-19
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 218343-2
    ISSN 1540-9538 ; 0022-1007
    ISSN (online) 1540-9538
    ISSN 0022-1007
    DOI 10.1084/jem.20112232
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: IgM memory B cells: a mouse/human paradox.

    Reynaud, Claude-Agnès / Descatoire, Marc / Dogan, Ismail / Huetz, François / Weller, Sandra / Weill, Jean-Claude

    Cellular and molecular life sciences : CMLS

    2012  Volume 69, Issue 10, Page(s) 1625–1634

    Abstract: Humoral memory is maintained by two types of persistent cells, memory B cells and plasma cells, which have different phenotypes and functions. Long-lived plasma cells can survive for a lifespan within a complex niche in the bone marrow and provide ... ...

    Abstract Humoral memory is maintained by two types of persistent cells, memory B cells and plasma cells, which have different phenotypes and functions. Long-lived plasma cells can survive for a lifespan within a complex niche in the bone marrow and provide continuous protective serum antibody levels. Memory B cells reside in secondary lymphoid organs, where they can be rapidly mobilized upon a new antigenic encounter. Surface IgG has long been taken as a surrogate marker for memory in the mouse. Recently, however, we have brought evidence for a long-lived IgM memory B cell population in the mouse, while we have also argued that, in humans, these same cells are not classical memory B cells but marginal zone (MZ) B cells which, as opposed to their mouse MZ counterpart, recirculate and carry a mutated B cell receptor. In this review, we will discuss these apparently paradoxical results.
    MeSH term(s) Animals ; B-Lymphocytes/immunology ; B-Lymphocytes/physiology ; Humans ; Immunoglobulin M/chemistry ; Immunologic Memory ; Mice ; Receptors, Antigen, B-Cell/genetics ; Species Specificity
    Chemical Substances Immunoglobulin M ; Receptors, Antigen, B-Cell
    Language English
    Publishing date 2012-04-06
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 1358415-7
    ISSN 1420-9071 ; 1420-682X
    ISSN (online) 1420-9071
    ISSN 1420-682X
    DOI 10.1007/s00018-012-0971-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: IL-4Rα Signaling in Keratinocytes and Early IL-4 Production Are Dispensable for Generating a Curative T Helper 1 Response in

    Descatoire, Marc / Hurrell, Benjamin P / Govender, Melissa / Passelli, Katiuska / Martinez-Salazar, Berenice / Hurdayal, Ramona / Brombacher, Frank / Guler, Reto / Tacchini-Cottier, Fabienne

    Frontiers in immunology

    2017  Volume 8, Page(s) 1265

    Abstract: Experimental infection with the protozoan ... ...

    Abstract Experimental infection with the protozoan parasite
    Language English
    Publishing date 2017-10-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2606827-8
    ISSN 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2017.01265
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A highly potent antibody effective against SARS-CoV-2 variants of concern.

    Fenwick, Craig / Turelli, Priscilla / Perez, Laurent / Pellaton, Céline / Esteves-Leuenberger, Line / Farina, Alex / Campos, Jérémy / Lana, Erica / Fiscalini, Flurin / Raclot, Charlène / Pojer, Florence / Lau, Kelvin / Demurtas, Davide / Descatoire, Marc / Joo, Victor S / Foglierini, Mathilde / Noto, Alessandra / Abdelnabi, Rana / Foo, Caroline S /
    Vangeel, Laura / Neyts, Johan / Du, Wenjuan / Bosch, Berend-Jan / Veldman, Geertruida / Leyssen, Pieter / Thiel, Volker / LeGrand, Roger / Lévy, Yves / Trono, Didier / Pantaleo, Giuseppe

    Cell reports

    2021  Volume 37, Issue 2, Page(s) 109814

    Abstract: Control of the ongoing SARS-CoV-2 pandemic is endangered by the emergence of viral variants with increased transmission efficiency, resistance to marketed therapeutic antibodies, and reduced sensitivity to vaccine-induced immunity. Here, we screen B ... ...

    Abstract Control of the ongoing SARS-CoV-2 pandemic is endangered by the emergence of viral variants with increased transmission efficiency, resistance to marketed therapeutic antibodies, and reduced sensitivity to vaccine-induced immunity. Here, we screen B cells from COVID-19 donors and identify P5C3, a highly potent and broadly neutralizing monoclonal antibody with picomolar neutralizing activity against all SARS-CoV-2 variants of concern (VOCs) identified to date. Structural characterization of P5C3 Fab in complex with the spike demonstrates a neutralizing activity defined by a large buried surface area, highly overlapping with the receptor-binding domain (RBD) surface necessary for ACE2 interaction. We further demonstrate that P5C3 shows complete prophylactic protection in the SARS-CoV-2-infected hamster challenge model. These results indicate that P5C3 opens exciting perspectives either as a prophylactic agent in immunocompromised individuals with poor response to vaccination or as combination therapy in SARS-CoV-2-infected individuals.
    MeSH term(s) Animals ; Antibodies, Neutralizing/immunology ; Antibodies, Viral/immunology ; B-Lymphocytes/immunology ; Broadly Neutralizing Antibodies/immunology ; Broadly Neutralizing Antibodies/therapeutic use ; COVID-19/immunology ; Cell Line ; Cricetinae ; Disease Models, Animal ; Epitopes/immunology ; Humans ; Immunoglobulin Fab Fragments/immunology ; Immunoglobulin Fab Fragments/metabolism ; Neutralization Tests ; Protein Binding/immunology ; SARS-CoV-2/immunology ; SARS-CoV-2/pathogenicity ; Spike Glycoprotein, Coronavirus/immunology ; Spike Glycoprotein, Coronavirus/ultrastructure ; Structure-Activity Relationship ; Vaccination ; COVID-19 Drug Treatment
    Chemical Substances Antibodies, Neutralizing ; Antibodies, Viral ; Broadly Neutralizing Antibodies ; Epitopes ; Immunoglobulin Fab Fragments ; Spike Glycoprotein, Coronavirus ; spike protein, SARS-CoV-2
    Language English
    Publishing date 2021-09-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2649101-1
    ISSN 2211-1247 ; 2211-1247
    ISSN (online) 2211-1247
    ISSN 2211-1247
    DOI 10.1016/j.celrep.2021.109814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Identification of a human splenic marginal zone B cell precursor with NOTCH2-dependent differentiation properties.

    Descatoire, Marc / Weller, Sandra / Irtan, Sabine / Sarnacki, Sabine / Feuillard, Jean / Storck, Sébastien / Guiochon-Mantel, Anne / Bouligand, Jérôme / Morali, Alain / Cohen, Joseph / Jacquemin, Emmanuel / Iascone, Maria / Bole-Feysot, Christine / Cagnard, Nicolas / Weill, Jean-Claude / Reynaud, Claude-Agnès

    The Journal of experimental medicine

    2014  Volume 211, Issue 5, Page(s) 987–1000

    Abstract: Mouse splenic marginal zone precursors (MZPs) differentiate into marginal zone B (MZB) cells under a signaling pathway involving Notch2 and its ligand, delta-like 1 ligand (Dll1). We report the identification of an MZP subset in the spleen of young ... ...

    Abstract Mouse splenic marginal zone precursors (MZPs) differentiate into marginal zone B (MZB) cells under a signaling pathway involving Notch2 and its ligand, delta-like 1 ligand (Dll1). We report the identification of an MZP subset in the spleen of young children. These MZPs differentiate into MZ-like B cells in vitro in the presence of OP9 cells expressing human DLL1, as demonstrated by the up-regulation of classical MZB cell markers. A set of diagnostic genes discriminating IgM(+)IgD(+)CD27(+) blood and splenic MZB cells from switched B cells was identified (up-regulation of SOX7, down-regulation of TOX, COCH, and HOPX), and their expression during the induction assay mirrored the one of MZB cells. Moreover, Alagille patients with a NOTCH2 haploinsufficiency display a marked reduction of IgM(+)IgD(+)CD27(+) B cells in blood, whereas their switched memory B cells are not affected. Altogether, these results argue in favor of the existence of a rodent-like MZB cell lineage in humans.
    MeSH term(s) Calcium-Binding Proteins ; Cell Differentiation/immunology ; Flow Cytometry ; Fluorescent Antibody Technique ; Humans ; Intercellular Signaling Peptides and Proteins/metabolism ; Membrane Proteins/metabolism ; Microarray Analysis ; Microscopy, Fluorescence ; Precursor Cells, B-Lymphoid/immunology ; Precursor Cells, B-Lymphoid/metabolism ; Real-Time Polymerase Chain Reaction ; Receptor, Notch2/metabolism ; Signal Transduction/immunology ; Spleen/cytology ; Spleen/immunology
    Chemical Substances Calcium-Binding Proteins ; DLK1 protein, human ; Intercellular Signaling Peptides and Proteins ; Membrane Proteins ; NOTCH2 protein, human ; Receptor, Notch2
    Language English
    Publishing date 2014-04-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 218343-2
    ISSN 1540-9538 ; 0022-1007
    ISSN (online) 1540-9538
    ISSN 0022-1007
    DOI 10.1084/jem.20132203
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  9. Article ; Online: Human Adaptive Immunity Rescues an Inborn Error of Innate Immunity.

    Israel, Laura / Wang, Ying / Bulek, Katarzyna / Della Mina, Erika / Zhang, Zhao / Pedergnana, Vincent / Chrabieh, Maya / Lemmens, Nicole A / Sancho-Shimizu, Vanessa / Descatoire, Marc / Lasseau, Théo / Israelsson, Elisabeth / Lorenzo, Lazaro / Yun, Ling / Belkadi, Aziz / Moran, Andrew / Weisman, Leonard E / Vandenesch, François / Batteux, Frederic /
    Weller, Sandra / Levin, Michael / Herberg, Jethro / Abhyankar, Avinash / Prando, Carolina / Itan, Yuval / van Wamel, Willem J B / Picard, Capucine / Abel, Laurent / Chaussabel, Damien / Li, Xiaoxia / Beutler, Bruce / Arkwright, Peter D / Casanova, Jean-Laurent / Puel, Anne

    Cell

    2017  Volume 168, Issue 5, Page(s) 789–800.e10

    Abstract: The molecular basis of the incomplete penetrance of monogenic disorders is unclear. We describe here eight related individuals with autosomal recessive TIRAP deficiency. Life-threatening staphylococcal disease occurred during childhood in the proband, ... ...

    Abstract The molecular basis of the incomplete penetrance of monogenic disorders is unclear. We describe here eight related individuals with autosomal recessive TIRAP deficiency. Life-threatening staphylococcal disease occurred during childhood in the proband, but not in the other seven homozygotes. Responses to all Toll-like receptor 1/2 (TLR1/2), TLR2/6, and TLR4 agonists were impaired in the fibroblasts and leukocytes of all TIRAP-deficient individuals. However, the whole-blood response to the TLR2/6 agonist staphylococcal lipoteichoic acid (LTA) was abolished only in the index case individual, the only family member lacking LTA-specific antibodies (Abs). This defective response was reversed in the patient, but not in interleukin-1 receptor-associated kinase 4 (IRAK-4)-deficient individuals, by anti-LTA monoclonal antibody (mAb). Anti-LTA mAb also rescued the macrophage response in mice lacking TIRAP, but not TLR2 or MyD88. Thus, acquired anti-LTA Abs rescue TLR2-dependent immunity to staphylococcal LTA in individuals with inherited TIRAP deficiency, accounting for incomplete penetrance. Combined TIRAP and anti-LTA Ab deficiencies underlie staphylococcal disease in this patient.
    MeSH term(s) Adaptive Immunity ; Antibodies, Monoclonal/administration & dosage ; Child ; Female ; Fibroblasts/metabolism ; Humans ; Immunity, Innate ; Lipopolysaccharides/immunology ; Lipopolysaccharides/metabolism ; Macrophages/immunology ; Male ; Membrane Glycoproteins/analysis ; Membrane Glycoproteins/deficiency ; Membrane Glycoproteins/genetics ; Monocytes/metabolism ; Myeloid Differentiation Factor 88/metabolism ; Pedigree ; Phagocytes/metabolism ; Point Mutation ; Protein Isoforms/analysis ; Protein Isoforms/genetics ; Receptors, Interleukin-1/analysis ; Receptors, Interleukin-1/deficiency ; Receptors, Interleukin-1/genetics ; Staphylococcal Infections/drug therapy ; Staphylococcal Infections/genetics ; Staphylococcal Infections/immunology ; Teichoic Acids/immunology ; Teichoic Acids/metabolism ; Toll-Like Receptor 2/metabolism ; Toll-Like Receptors/agonists ; Toll-Like Receptors/metabolism
    Chemical Substances Antibodies, Monoclonal ; Lipopolysaccharides ; MYD88 protein, human ; Membrane Glycoproteins ; Myeloid Differentiation Factor 88 ; Protein Isoforms ; Receptors, Interleukin-1 ; TIRAP protein, human ; TLR2 protein, human ; Teichoic Acids ; Toll-Like Receptor 2 ; Toll-Like Receptors ; lipoteichoic acid (56411-57-5)
    Language English
    Publishing date 2017-04-15
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 187009-9
    ISSN 1097-4172 ; 0092-8674
    ISSN (online) 1097-4172
    ISSN 0092-8674
    DOI 10.1016/j.cell.2017.01.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: B cell depletion in immune thrombocytopenia reveals splenic long-lived plasma cells.

    Mahévas, Matthieu / Patin, Pauline / Huetz, François / Descatoire, Marc / Cagnard, Nicolas / Bole-Feysot, Christine / Le Gallou, Simon / Khellaf, Mehdi / Fain, Olivier / Boutboul, David / Galicier, Lionel / Ebbo, Mikael / Lambotte, Olivier / Hamidou, Mohamed / Bierling, Philippe / Godeau, Bertrand / Michel, Marc / Weill, Jean-Claude / Reynaud, Claude-Agnès

    The Journal of clinical investigation

    2012  Volume 123, Issue 1, Page(s) 432–442

    Abstract: Primary immune thrombocytopenia (ITP) is a disorder caused by autoantibody-mediated platelet destruction and decreased platelet production. Rituximab, a B cell-depleting agent, has become the first-line treatment for ITP; however, patients with ... ...

    Abstract Primary immune thrombocytopenia (ITP) is a disorder caused by autoantibody-mediated platelet destruction and decreased platelet production. Rituximab, a B cell-depleting agent, has become the first-line treatment for ITP; however, patients with refractory disease usually require splenectomy. We identified antibody-secreting cells as the major splenic B cell population that is resistant to rituximab. The phenotype, antibody specificity, and gene expression profile of these cells were characterized and compared to those of antibody-secreting cells from untreated ITP spleens and from healthy tissues. Antiplatelet-specific plasma cells (PC) were detected in the spleens of patients with ITP up to 6 months after rituximab treatment, and the PC population displayed a long-lived program similar to the one of bone marrow PC, thus explaining for most of these patients the absence of response to rituximab and the response to splenectomy. When analyzed by multiplex PCR at the single-cell level, normal splenic PC showed a markedly different gene expression profile, with an intermediate signature, including genes characteristic of both long-lived PC and proliferating plasmablasts. Surprisingly, long-lived PC were not detected in untreated ITP spleens. These results suggest that the milieu generated by B cell depletion promotes the differentiation and settlement of long-lived PC in the spleen.
    MeSH term(s) Adult ; Aged ; Antibodies, Monoclonal, Murine-Derived/administration & dosage ; Autoantibodies/blood ; Cell Proliferation ; Female ; Humans ; Immunologic Factors/administration & dosage ; Lymphocyte Depletion ; Male ; Middle Aged ; Multiplex Polymerase Chain Reaction ; Plasma Cells/metabolism ; Plasma Cells/pathology ; Purpura, Thrombocytopenic, Idiopathic/metabolism ; Purpura, Thrombocytopenic, Idiopathic/pathology ; Purpura, Thrombocytopenic, Idiopathic/therapy ; Rituximab ; Spleen/metabolism ; Spleen/pathology ; Spleen/surgery ; Splenectomy ; Time Factors ; Transcriptome
    Chemical Substances Antibodies, Monoclonal, Murine-Derived ; Autoantibodies ; Immunologic Factors ; Rituximab (4F4X42SYQ6)
    Language English
    Publishing date 2012-12-17
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3067-3
    ISSN 1558-8238 ; 0021-9738
    ISSN (online) 1558-8238
    ISSN 0021-9738
    DOI 10.1172/JCI65689
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