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Anti-CD20 agents are a class of biologic drugs, specifically monoclonal antibodies (mAbs), that target the CD20 surface antigen expressed on the surface of pre-B and mature B lymphocytes. Binding to CD20 leads to the depletion of B cells through several immunological mechanisms, including antibody-dependent cell-mediated cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), and the direct induction of apoptosis. This class is categorized into generations: first-generation chimeric antibodies (e.g., rituximab), second-generation humanized or fully human antibodies (e.g., ocrelizumab, ofatumumab), and third-generation glycoengineered antibodies (e.g., obinutuzumab) designed for enhanced effector function. These agents are cornerstone therapies for B-cell malignancies, such as non-Hodgkin lymphoma and chronic lymphocytic leukemia, and are increasingly utilized in autoimmune and inflammatory conditions, including multiple sclerosis and rheumatoid arthritis.
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