Going through Changes: Surface IgM Levels during CLL Therapy with Ibrutinib.

Burger, Jan A · Clin Cancer Res · 2019

editorial · Level V

Where this comes from

Abstract

Continuous B-cell receptor (BCR) stimulation by antigens in secondary lymphoid tissues is a key pathogenic mechanism in chronic lymphocytic leukemia (CLL). Therapy with ibrutinib mobilizes tissue CLL cells into the peripheral blood (PB), away from tissue antigen. Consequently, mobilized antigen-deprived CLL cells upregulate surface immunoglobulin M (IgM), providing robust evidence for this mechanism of pathogenesis.<i>See related article by Drennan et al., p. 2503</i>.

Medical subject headings