Rituximab targets which B-cell marker?

Prepare for the CMS II Rheumatology E1 Exam with interactive flashcards and multiple choice questions, each equipped with hints and explanations. Ace your exam today!

Multiple Choice

Rituximab targets which B-cell marker?

Explanation:
Rituximab binds to CD20 on B cells. It’s a monoclonal antibody that marks CD20-positive B cells for destruction, mainly through complement-dependent cytotoxicity and antibody-dependent cellular cytotoxicity, with some direct pro-apoptotic signaling as well. CD20 is expressed on most mature B cells (from pre-B to memory B cells) but not on stem cells or plasma cells, so depleting CD20-positive cells reduces circulating B cells and autoantibody production while allowing eventual B-cell reconstitution. Among the listed markers, CD20 is the one rituximab targets. CD19 is another B-cell marker but not the rituximab target in standard therapy; CD3 is a T-cell marker; CD80 is a co-stimulatory molecule on antigen-presenting cells and not the target here.

Rituximab binds to CD20 on B cells. It’s a monoclonal antibody that marks CD20-positive B cells for destruction, mainly through complement-dependent cytotoxicity and antibody-dependent cellular cytotoxicity, with some direct pro-apoptotic signaling as well. CD20 is expressed on most mature B cells (from pre-B to memory B cells) but not on stem cells or plasma cells, so depleting CD20-positive cells reduces circulating B cells and autoantibody production while allowing eventual B-cell reconstitution. Among the listed markers, CD20 is the one rituximab targets. CD19 is another B-cell marker but not the rituximab target in standard therapy; CD3 is a T-cell marker; CD80 is a co-stimulatory molecule on antigen-presenting cells and not the target here.

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