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Keywords:

  • autoantibodies;
  • immunoadsorption;
  • apheresis;
  • myasthenia gravis;
  • dilated cardiomyopathy;
  • systemic lupus erythematosus

Abstract: Autoimmune diseases result from disrupted tolerance to self-antigens and subsequent damage to tissues and organs. In several diseases, specific autoantibodies have been either proved or suspected to play a role in this process. Consequently, several strategies have been devised in an attempt to discard the destructive immunoglobulins. Currently, both nonselective and epitope-specific methods are applied in several diseases. In this review, we provide a summary of the available data on elimination of pathogenic autoantibodies and discuss the advantages and pitfalls of the different approaches.