CD20

Source: Wikipedia, the free encyclopedia.
MS4A1
Gene ontology
Molecular function
Cellular component
Biological process
Sources:Amigo / QuickGO
Ensembl
UniProt
RefSeq (mRNA)

NM_152866
NM_021950
NM_152867

NM_007641

RefSeq (protein)

NP_068769
NP_690605
NP_690606

NP_031667

Location (UCSC)Chr 11: 60.46 – 60.47 MbChr 19: 11.23 – 11.24 Mb
PubMed search[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

B-lymphocyte antigen CD20 or CD20 is expressed on the surface of all

CD117+) and progressively increasing in concentration until maturity.[5]

In humans CD20 is encoded by the MS4A1 gene.[6][7]

This gene encodes a member of the

plasma cells. This family member is localized to 11q12, among a cluster of family members. Alternative splicing of the human MS4A1 gene results in at least three transcript variants (1 to 3) that encode the same protein.[7] Variants 1 and 2 are poorly translated due to inhibitory upstream open reading frames and stem-loop structures within their 5' untranslated regions. The relative abundance of translation-competent variant 3, as opposed to the poorly translated variants 1 and 2, may be a key determinant of CD20 levels in normal and malignant human B cells and their responses to CD20-directed immunotherapies. [8]

Function

The protein has no known natural

CXCL12) chemokine signaling and the molecular function of CD20 has been linked to the signaling propensity of B-cell receptor (BCR) in this context.[11]

Expression

CD20 is expressed on all stages of B cell development except the first and last; it is present from

Antibody FMC7 (Flinders Medical Centre) appears to recognise a conformational variant of CD20[16][17] also known as the FMC7 antigen.[18]

Clinical significance

CD20 is the target of the

leukemias
, and B cell-mediated autoimmune diseases.

The anti-CD20 mAB ofatumumab (Genmab) was approved by FDA in October 2009 for chronic lymphocytic leukemia.

The anti-CD20 mAB obinutuzumab (Gazyva) was approved by FDA in November 2013 for chronic lymphocytic leukemia.

systemic lupus erythematosus were discontinued in 2010 due to an infection related safety risk.[19]

Although phase II trials for the use of

myalgic encephalomyelitis showed promising results, these could not be replicated in a large randomized controlled trial [20] and preliminary results from a Phase III trial were negative.[21]

Additional anti-CD20 antibody therapeutics under development (phase II or III clinical trials in 2008) include :

B cells, CD20, and diabetes mellitus

A link between the

antibodies against these cells, causing them to become less responsive to insulin by an as-yet-unknown mechanism and promoting hypertension, hypertriglyceridemia, and arteriosclerosis, hallmarks of the metabolic syndrome. Obese mice administered anti-B cell CD-20 antibodies, however, did not become less responsive to insulin and as a result, did not develop diabetes mellitus or the metabolic syndrome, the posited mechanism being that anti-CD20 antibodies rendered the T cell antibodies dysfunctional and therefore powerless to cause insulin insensitivity by a B cell antibody-modulated autoimmune response. The protection afforded by anti-CD-20 lasted approximately forty days—the time it takes the body to replenish its supply of B cells—after which repetition was necessary to restore it. Hence, it has been argued that diabetes mellitus be reclassified as an autoimmune disease rather than a purely metabolic one and focus treatment for it on immune system modulation.[25]

References

  1. ^ a b c GRCh38: Ensembl release 89: ENSG00000156738Ensembl, May 2017
  2. ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000024673Ensembl, May 2017
  3. ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. .
  6. .
  7. ^ a b "Entrez Gene: MS4A1 membrane-spanning 4-domains, subfamily A, member 1".
  8. S2CID 261620430
    .
  9. .
  10. .
  11. .
  12. .
  13. .
  14. .
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  16. .
  17. .
  18. .
  19. ^ "Roche and Biogen Idec Announce Their Decision to Discontinue the ocrelizumab Clinical Development Programme in Patients with Rheumatoid Arthritis". investors.biogen.com. Retrieved 6 January 2022.
  20. S2CID 91186383
    .
  21. ^ "ME-studie med negative resultater". Dagens Medicin (in Norwegian). Retrieved 6 January 2022.
  22. ^ "Trubion announces Pfizer's decision to discontinue development of TRU-015 for RA". Trubion Pharmaceuticals, Inc. press release. 15 June 2010.
  23. Mary Ann Liebert, Inc. p. 36. Archived from the original
    on 13 February 2009. Retrieved 6 July 2008.
  24. .
  25. ^ "Diabetes Mellitus". The Lecturio Medical Concept Library. Retrieved 9 July 2021.

Further reading

External links

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