Single-cell profiling reveals preferential reduction of memory B cell subsets in cladribine patients that correlates with treatment response.
Valerie E TeschnerAnn-Katrin FleckCarolin WalterAnna-Sophie SchwarzeMelanie EschbornTimo WirthOlga V SteinbergAndreas Schulte-MecklenbeckI-Na LuMarisol Herrera-RiveroClaudia JanoschkaJan D LünemannNicholas SchwabGerd Meyer Zu HörsteJulian VargheseCatharina C GrossRefik PulChristoph KleinschnitzSimone MaderEdgar MeinlMonika StollHeinz WiendlLuisa KlotzPublished in: Therapeutic advances in neurological disorders (2023)
We describe a pronounced and sustained effect of cladribine on the memory B cell compartment, and the resulting change in B cell subset composition causes a significant alteration of B cell transcriptional profiles resulting in reduced proinflammatory and T cell activating capacities. The extent of reduction in selected memory B cell clusters by cladribine may predict treatment response.