Methods for reducing the number of
pathologic antibody producing B cells in a patient suffering from an
autoimmune disease by administration of an anti-
germline antibody are described. Methods for removing
pathologic antibodies and B cells and
plasma cells producing
pathologic antibodies from the body of a patient suffering from
autoimmune disease are provided, comprising contacting the blood or
plasma of the patient with an immunoadsorbent having specific binding for an
epitope present on
germline antibodies, particularly VH4-34 antibodies, wherein said contacting results in the reduction in the amount of
germline antibodies present in the blood or
bone marrow or lymphoid tissue of the patient or the amount of germline
antibody producing B cells present in the blood, lymphoid tissues or
bone marrow of the patient. Methods for treating a patient suffering from a
B cell cancer expressing
cell surface germline antibodies by similar methods are also provided. Methods for
ex vivo purging
bone marrow of pathologic antibody producing B-cells and cancerous B-cells expressing germline antibodies are provided. Methods for monitoring the
efficacy of a
therapeutic treatment in a patient suffering from an
autoimmune disease or
B cell cancer are also provided. Kits and uses in preparation of a medicament are also described.