Quilizumab is an afucosylated monoclonal antibody against the M1 prime domain of human membrane IgE [29], which enables the direct therapeutic targeting of IgE-switched cells. The effect of quilizumab on IgE production has been assessed in three independent small phase I and II studies [54••]. In patients

with mild asthma, quilizumab treatment completely inhibited new allergen-specific IgE production induced by whole lung allergen challenge [54••]. In addition, quilizumab treatment resulted in a gradual reduction in total serum IgE levels in healthy volunteers, patients with allergic rhinitis, and patients with mild asthma [54••]. The kinetics and extent of serum IgE reduction were MDV3100 research buy similar following one or several dose administrations of quilizumab and were also similar to the reductions in total serum IgE observed upon blockade of IL-13 or IL-4Rα, consistent with this proportion of total serum IgE arising from short-lived plasma cells generated from ongoing IgE B cell responses. The residual total serum IgE levels that were not affected by quilizumab treatment may have been produced by long-lived IgE plasma cells that were not targeted

by quilizumab. Interestingly, the reductions in total serum IgE were sustained at least six months after the last dose of quilizumab, suggesting that treatment with quilizumab may have abrogated some memory IgE responses that were contributing Vincristine concentration to ongoing IgE production, which were not regenerated upon the cessation of quilizumab therapy. Studies of IgE production using genetically modified IgE reporter mice have revealed that most IgE in mice is produced by short-lived IgE plasma cells arising from ongoing IgE B cell responses. IgE responses in mice are transient, due to a limited persistence of IgE germinal center responses and the short life span of most IgE-producing plasma cells. IgE memory responses remain poorly understood, and the sources of IgE memory are controversial, although both IgE and IgG1 memory B cells have been implicated. Further studies of IgE

production in mice are needed to better define 3-mercaptopyruvate sulfurtransferase the mechanisms that limit IgE germinal center responses and predispose IgE-switched cells to differentiate into short-lived plasma cells, as well as the sources of IgE memory. Results of clinical studies of agents targeting IL-4 and/or IL-13, as well as membrane IgE, indicate that a significant proportion of IgE in humans arises from short-lived IgE plasma cells and ongoing IgE B cell responses, similar to that observed in mice. However, the human clinical studies also suggest that a major proportion of IgE in humans, larger than that observed in mice, may arise from long-lived IgE plasma cells. It should be noted that differences in mouse models of IgE production compared to IgE production in humans may account for the differences in the effects of therapeutics in mice versus humans.