Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Connective tissue diseases

Targeting B cells in SLE: good news at last!

After a half-century wait, a new drug has been approved for the treatment of systemic lupus erythematosus. The success of belimumab could bolster the feasibility of B-cell-targeted approaches to treating the disease.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: The known and predicted impact of BAFF blockade in SLE.

References

  1. Navarra, S. V. et al. Efficacy and safety of belimumab in patients with active systemic lupus erythematosus: a randomised, placebo-controlled, phase 3 trial. Lancet 377, 721–731 (2011).

    Article  CAS  Google Scholar 

  2. Manzi, S. et al. Belimumab, a BLyS-specific inhibitor, reduced disease activity across multiple organ domains: combined efficacy results from the phase 3 BLISS-52 and -76 studies [abstract 1456]. Arthritis Rheum. 62 (Suppl.), S607 (2010).

    Google Scholar 

  3. US Food and Drug Administration. FDA approves Benlysta to treat lupus [online], (2011).

  4. Wallace, D. J. et al. A phase II, randomized, double-blind, placebo-controlled, dose-ranging study of belimumab in patients with active systemic lupus erythematosus. Arthritis Rheum. 61, 1168–1178 (2009).

    Article  CAS  Google Scholar 

  5. Stohl, W., Scholz, J. L. & Cancro, M. P. Targeting BLyS in rheumatic disease: the sometimes-bumpy road from bench to bedside. Curr. Opin. Rheumatol. doi:10.1097/BOR.0b013e328344c15e.

  6. Yurasov, S. et al. Defective B cell tolerance checkpoints in systemic lupus erythematosus. J. Exp. Med. 201, 703–711 (2005).

    Article  CAS  Google Scholar 

  7. Jacobi, A. M. et al. Effect of long-term belimumab treatment on B cells in systemic lupus erythematosus: extension of a phase II, double-blind, placebo-controlled, dose-ranging study. Arthritis Rheum. 62, 201–210 (2010).

    Article  CAS  Google Scholar 

  8. Blair, P. A. et al. CD19+CD24hiCD38hi B cells exhibit regulatory capacity in healthy individuals but are functionally impaired in systemic lupus erythematosus patients. Immunity 32, 129–140 (2010).

    Article  CAS  Google Scholar 

  9. Yang, M. et al. Novel function of B cell-activating factor in the induction of IL-10-producing regulatory B cells. J. Immunol. 184, 3321–3325 (2010).

    Article  CAS  Google Scholar 

  10. Iwata, Y. et al. Characterization of a rare IL-10-competent B-cell subset in humans that parallels mouse regulatory B10 cells. Blood 117, 530–541 (2011).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The author offers sincere apologies to those whose work could not be cited because of space restrictions. This work was supported in part by a grant (U19 AI56390) from the NIH National Institute of Allergy and Infectious Disease.

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

The author has received grant/research support from Biogen and has acted as a consultant for GlaxoSmithKline.

Supplementary information

Supplementary Figure 1

The role of BAFF in B-cell development and the known and predicted impact of its blockade in SLE. (PDF 505 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sanz, I. Targeting B cells in SLE: good news at last!. Nat Rev Rheumatol 7, 255–256 (2011). https://doi.org/10.1038/nrrheum.2011.48

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrrheum.2011.48

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing