Publications by authors named "S E Rapecki"

Rheumatoid arthritis (RA) is an immune-mediated, chronic inflammatory condition. With modern therapeutics and evidence-based management strategies, achieving sustained remission is increasingly common. To prevent complications associated with prolonged use of immunosuppressants, drug tapering or withdrawal is recommended.

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  • * The study found that rozanolixizumab can bind to Fc gamma receptors (FcγRs) and mediate a process called antibody bipolar bridging, which influences macrophage surface proteins, but this effect can be inhibited by the presence of human IgG.
  • * Importantly, experiments showed that rozanolixizumab's binding to its receptors did not trigger cellular activation, raising questions about its actual engagement with FcγRs in clinical settings where competing IgG is present.
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Bispecific antibodies can uniquely influence cellular responses, but selecting target combinations for optimal functional activity remains challenging. Here we describe a high-throughput, combinatorial, phenotypic screening approach using a new bispecific antibody target discovery format, allowing screening of hundreds of target combinations. Simple mixing of Fab-fusion proteins from a diverse library enables the generation of thousands of screen-ready bispecific antibodies for high-throughput, biologically relevant assays.

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  • Interleukin (IL)-17A plays a critical role in inflammation and is a target for treatments using monoclonal antibodies, particularly in diseases like psoriasis and psoriatic arthritis.
  • Researchers developed a humanized antibody, 496.g3, which improved the binding capability to both IL-17A and IL-17F, demonstrating greater efficacy than existing treatments.
  • Early clinical studies of 496.g3, now called bimekizumab, show promising results in treating various IL-17-mediated inflammatory diseases, indicating potential benefits of targeting both IL-17A and IL-17F simultaneously.
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B cells are postulated to be central in seropositive rheumatoid arthritis (RA). Here, we use exploratory mass cytometry (n = 23) and next-generation sequencing (n = 19) to study B-cell repertoire shifts in RA patients. Expression of several B-cell markers were significantly different in ACPA RA compared to healthy controls, including an increase in HLA-DR across subsets, CD22 in clusters of IgM B cells and CD11c in IgA memory.

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