PMID- 32671098 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 7 DP - 2020 TI - Antibodies and Immunity During Kawasaki Disease. PG - 94 LID - 10.3389/fcvm.2020.00094 [doi] LID - 94 AB - The cause of Kawasaki disease (KD), the leading cause of acquired heart disease in children, is currently unknown. Epidemiology studies support that an infectious disease is involved in at least starting the inflammatory cascade set off during KD. Clues from epidemiology support that humoral immunity can have a protective effect. However, the role of the immune system, particularly of B cells and antibodies, in pathogenesis of KD is still unclear. Intravenous immunoglobulin (IVIG) and other therapies targeted at modulating inflammation can prevent development of coronary aneurysms. A number of autoantibody responses have been reported in children with KD and antibodies have been generated from aneurysmal plasma cell infiltrates. Recent reports show that children with KD have similar plasmablast responses as other children with infectious diseases, further supporting an infectious starting point. As ongoing studies are attempting to identify the etiology of KD through study of antibody responses, we sought to review the role of humoral immunity in KD pathogenesis, treatment, and recovery. CI - Copyright (c) 2020 Hicar. FAU - Hicar, Mark Daniel AU - Hicar MD AD - University at Buffalo, Buffalo, NY, United States. AD - John R. Oishei Children's Hospital, Buffalo, NY, United States. AD - Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, United States. LA - eng PT - Journal Article PT - Review DEP - 20200528 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC7326051 OTO - NOTNLM OT - B cells OT - antibodies-monoclonal OT - immunoglobulin intravenous OT - kawasaki disease OT - plasmablast EDAT- 2020/07/17 06:00 MHDA- 2020/07/17 06:01 PMCR- 2020/01/01 CRDT- 2020/07/17 06:00 PHST- 2019/07/08 00:00 [received] PHST- 2020/04/30 00:00 [accepted] PHST- 2020/07/17 06:00 [entrez] PHST- 2020/07/17 06:00 [pubmed] PHST- 2020/07/17 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2020.00094 [doi] PST - epublish SO - Front Cardiovasc Med. 2020 May 28;7:94. doi: 10.3389/fcvm.2020.00094. eCollection 2020.