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B Cell Numbers Predict Humoral and Cellular Response Upon SARS-CoV-2 Vaccination Among Patients Treated With Rituximab.

Ana Luisa StefanskiHector Rincon-ArevaloEva SchrezenmeierKirsten KarbergFranziska SzelinskiJacob RitterBernd JahrsdörferHubert SchrezenmeierCarolin LudwigArne SattlerKatja KotschYidan ChenAnne ClaußnitzerHildrun HaibelFabian ProftGabriela GuerraPawel DurekFrederik HeinrichMarta Ferreira-GomesGerd R BurmesterAndreas RadbruchMir-Farzin MashreghiAndreia C LinoThomas Dörner
Published in: Arthritis & rheumatology (Hoboken, N.J.) (2022)
In RTX-treated patients, a minimum of 10 B cells per microliter in the peripheral circulation is a candidate biomarker for a high likelihood of an appropriate cellular and humoral response after SARS-CoV-2 vaccination. Mechanistically, the data emphasize the crucial role of costimulatory B cell functions for the proper induction of CD4 responses propagating vaccine-specific B cell and plasma cell differentiation.
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