摘要B和T细胞合作驱动自身免疫性疾病(AID)。Historically, B- and T-cell (B–T cell) co-interaction was targeted through different pathways such as alemtuzumab, abatacept, and dapirolizumab with variable impact on B-cell depletion (BCD), whereas the majority of patients with AID including rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, and organ transplantation benefit from targeted BCD含有抗CD20单克隆抗体,例如利妥昔单抗,Ocrelizumab或ofatumumab。难治性辅助是一个重要的问题。此外,由于对关键效应细胞的访问有限,B – T细胞的协作主要是淋巴组织和炎症部位(例如关节和肾脏)的炎症部位。In the treatment of cancer, chimeric antigen receptor (CAR) T-cell therapy and T-cell engagers (TCE) that recruit T cells to induce B-cell cytotoxicity have delivered promising results for anti-CD19 CAR T-cell therapies, the CD19 TCE blinatumomab and CD20 TCE such as mosunetuzumab, glofitamab, or epcoritamab.有限的证据表明,抗CD19 CAR T细胞疗法可能有效地管理分裂辅助,而我们正在等待TCE评估以用于非综合学指征。因此,在这里,我们讨论了依赖T细胞作为效应细胞的新型疗法的潜在机械优势,以破坏B – T细胞的协作来克服抗rituximab抗性的辅助。