Removal of Pathogenic Autoantibodies by Immunoadsorption


Address for correspondence: Alon Y. Hershko, Department of Medicine, Hadassah University Hospital, P.O.B. 12000, IL-91120, Jerualem, Israel. Voice: +972-2-6777644; fax: +972-2-6423216.


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.