Potential Role of Bacterial Infection in Autoimmune Diseases: A New Aspect of Molecular Mimicry.
- Author:
Jehan ALAM
1
;
Yong Chul KIM
;
Youngnim CHOI
Author Information
- Publication Type:Review
- Keywords: Molecular mimicry; Autoantigens; Bacterial orthologs; Granulomatosis with polyangiitis; Rheumatoid arthritis
- MeSH: Arthritis, Rheumatoid; Autoantibodies; Autoantigens; Autoimmune Diseases*; Autoimmunity; Bacteria; Bacterial Infections*; Bacterial Proteins; Clone Cells; Collagen Type II; Germinal Center; Glucose-6-Phosphate Isomerase; Heat-Shock Proteins; Immunoglobulins; Molecular Mimicry*; Myeloblastin; Phosphopyruvate Hydratase
- From:Immune Network 2014;14(1):7-13
- CountryRepublic of Korea
- Language:English
- Abstract: Molecular mimicry is an attractive mechanism for triggering autoimmunity. In this review, we explore the potential role of evolutionary conserved bacterial proteins in the production of autoantibodies with focus on granulomatosis with polyangiitis (GPA) and rheumatoid arthritis (RA). Seven autoantigens characterized in GPA and RA were BLASTed against a bacterial protein database. Of the seven autoantigens, proteinase 3, type II collagen, binding immunoglobulin protein, glucose-6-phosphate isomerase, alpha-enolase, and heterogeneous nuclear ribonuclear protein have well-conserved bacterial orthologs. Importantly, those bacterial orthologs are also found in human-associated bacteria. The wide distribution of the highly conserved stress proteins or enzymes among the members of the normal flora and common infectious microorganisms raises a new question on how cross-reactive autoantibodies are not produced during the immune response to these bacteria in most healthy people. Understanding the mechanisms that deselect auto-reactive B cell clones during the germinal center reaction to homologous foreign antigens may provide a novel strategy to treat autoimmune diseases.
