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HLA-B27 and Bacteria

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Summary

Most HLA-B27 positive individuals live without noticing the risk factor they carry. Only when certain bacteria come into play, usually in the form of intestinal or genital infection, some of the HLA- B27 positive individuals will develop a reactive disease. Such an association is so well established that it has formed a basis to study the relation of autoimmune reactions to microbial infections. Early epidemiological investigations have been followed by studies on immunological cross- reactivity and recently by studies on presentation of bacterial peptides by the HLA- B27 molecule. This introductory review briefly summarizes the evolution of the research, the goal of which still remains to clarify the etiopathogenetic mechanisms of HLA- B27 associated diseases.

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Reference

  1. Ebringer, R., Cooke, D., Cawdell, D.R., Cowling, P., Ebringer, A. Ankylosing spondylitis: Klebsiella and HLA B27. Rheumatol Rehabil 1977, 16,190–196.

    Article  CAS  PubMed  Google Scholar 

  2. Welsh, J., Avakian, H., Cowling, P., Ebringer, A., Wooley, P., Panayi, G., Ebringer, R. Ankylosing spondylitis, HLA-B27 and klebsiella. I. Cross-reactivity studies with rabbit antisera. Br J Exp Pathol 1980, 61,85–91.

    CAS  PubMed Central  PubMed  Google Scholar 

  3. Raybourne, R.B., Williams, K.M., Cheng, X.K., Yu, D.T.Y. Demonstration of shared epitopes between bacterial proteins and HLA Class-I proteins using monoclonal antibodies. Scand J Rheumatol 1990, Suppl 87, 134–139.

    Google Scholar 

  4. Trull, A.K., Ebringer, R., Panayi, G.S., Colthorpe, D., James, D.C., Ebringer, A. IgA antibodies to klebsiella pneumoniae in ankylosing spondylitis. Scand J Rheumatol 1983,12, 249–253.

    Article  CAS  PubMed  Google Scholar 

  5. Sahly, H., Podschun, R., Sass, R., Broker, B., Kekow, J., Gross, W.L., Ullman, U. Serum antibodies to Klebsiella capsular polysaccharides in ankylosing spondylitis. Arthritis Rheum 1994, 37, 754–759.

    Article  CAS  PubMed  Google Scholar 

  6. Maki-Ikola, O., Nissila, M., Lehtinen, K., Leirisalo-Repo, M., Toivanen, P., Granfors, K. Antibodies to Klebsiella pneumoniae, Escherichia coli and Proteus mirabilis in the sera of patients with axial and peripheral form of ankylosing spondylitis. Br J Rheumatol 1995, 34, 413–417.

    Article  CAS  PubMed  Google Scholar 

  7. O’Mahony, S., Anderson, N., Nuki, G., Ferguson, A. Systemic and mucosal antibodies to klebsiella in patients with ankylosing spondylitis and Crohn’s disease. Ann Rheum Dis 1992, 51,1296–1300.

    Article  PubMed  Google Scholar 

  8. Nissila, M., Lahesmaa, R., Leirisalo-Repo, M., Lehtinen, K., Toivanen, P., Granfors, K. Antibodies to Klebsiella pneumoniae, Escherichia coli and Proteus mirabilis in ankylosing spondylitis: effect of sulfasalazine treatment. J Rheumatol 1994, 21, 2082–2087.

    CAS  PubMed  Google Scholar 

  9. Tertti, R., Toivanen, P. Immune functions and inflammatory reactions in HLA-B27 positive subjects. Ann Rheum Dis 1991,50,731–734.

    Article  CAS  PubMed  Google Scholar 

  10. Smith, M.D., Gibson, R.A., Brooks, P.M. Abnormal bowel permeability in ankylosing spondylitis and rheumatoid arthritis. J Rheumatol 1985,12, 299–305.

    CAS  PubMed  Google Scholar 

  11. Mielants, H., De Vos, M., Goemaere, S., Schelstraete, K., Cuvelier, C, Goethals, K., Maertens, M., Ackerman, C, Veys, E.M. Intestinal mucosal permeability in inflammatory rheumatic diseases. II. Role of disease. J Rheumatol 1991, 18, 394–400.

    CAS  PubMed  Google Scholar 

  12. Lahesmaa-Rantala, R., Magnusson, K.-E., Granfors, K., Leino, R., Sundqvist, T., Toivanen, A. Intestinal permeability in patients with yersinia triggered reactive arthritis. Ann Rheum Dis 1991, 50, 91–94.

    Article  CAS  PubMed  Google Scholar 

  13. Repo, H., Jäättelä, M., Leirisalo-Repo, M., Hurme, M. Production of tumour necrosis factor and interleukin 1 by monocytes of patients with previous yersinia arthritis. Clin Exp Immunol 1988, 72, 410–414.

    CAS  PubMed Central  PubMed  Google Scholar 

  14. Sprenkels, S.H.D., Hoekzema, R., Linssen, A., Oosting, J., Feltkamp, T.E.W Serum immunoglobulin levels in HLA-B27 associated acute anterior uveitis and ankylosing spondylitis. Br J Rheumatol 1995, in press,.

  15. Toivanen, P., Koskimies, S., Granfors, K., Eerola, E. Bacterial antibodies in HLA-B27+ healthy individuals. Arthritis Rheum 1993, 36,1633–1635.

    Article  CAS  PubMed  Google Scholar 

  16. Granfors, K., Toivanen, A. IgA-anti-yersinia antibodies in yersinia triggered reactive arthritis. Ann Rheum Dis 1986, 45, 561–565.

    Article  CAS  PubMed  Google Scholar 

  17. Schwimmbeck, PL., Yu, D.T.Y., Oldstone, M.B.A. Autoantibodies to HLA B27 in the sera of HLA B27 patients with ankylosing spondylitis and Reiter’s syndrome. J Exp Med 1987,166,173–181.

    Article  CAS  PubMed  Google Scholar 

  18. Lahesmaa, R., Skurnik, M, Vaara, M., Leirisalo-Repo, M., Nissila, M., Granfors, K., Toivanen, R Molecular mimickry between HLA B27 and Yersinia, Salmonella, Shigella and Klebsiella within the same regoin of HLA β1-helix. Clin Exp Immunol 1991,86,399–404.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Husby, G., Tsuchiya, N., Schwimmbeck, P.L., Keat, A., Pahle, J.A., Oldstone, M.B.A., Williams Jr, R.C. Cross-reactive epitope with Klebsiella pneumoniae nitrogenase in articular tissue of HLA-B27+ patients with ankylosing spondylitis. Arthritis Rheum 1989, 32, 437–445.

    Article  CAS  PubMed  Google Scholar 

  20. Cavender, D., Ziff, M. Anti-HLA-B27 antibodies in sera from patients with gram-negative bacterial infections. Arthritis Rheum 1986, 29, 352–357.

    Article  CAS  PubMed  Google Scholar 

  21. Scofield, R.H., Warren, W.L., Koelsch, G., Harley, J.B. A hypothesis for the HLA-B27 immune dysregulation in spondyloarthropathy: Contribution from enteric organisms, B27 structure, peptides bound by B27, and convergent evolution. Proc Natl Acad Sci 1993, 90, 9330–9334.

    Article  CAS  PubMed  Google Scholar 

  22. Jardetzky, T.S., Lane, W.S., Robinson, R.A., Madden, D.R., Wiley, D.C. Identification of self peptides bound to purified HLA-B27. Nature 1991, 353, 326–329.

    Article  CAS  PubMed  Google Scholar 

  23. Kellner, H„ Wen, J., Wang, J., Raybourne, R.B., Williams, K.M., Yu, D.T.Y. Serum antibodies from patients with ankylosing spondylitis and Reiter’s syndrome are reactive with HLA-B27 cells transfected with the Mycobacterium tuberculosis hsp60 gene. Infect Immun 1994, 62, 484–491.

    CAS  PubMed Central  PubMed  Google Scholar 

  24. Probst, P., Hermann, E., Meyer zum Biischenfelde, K.-H., Fleischer, B. Identification of the Yersinia enterocolitica urease β sub-unit as a target antigen for human synovial T lymphocytes in reactive arthritis. Infect Immun 1993, 61, 4507–4509.

    CAS  PubMed Central  PubMed  Google Scholar 

  25. Skurnik, M., Batsford, S., Mertz, A., Schiltz, E., Toivanen, P. The putative arthritogenic cationic 19-kilodalton antigen of Yersinia enterocolitica is a urease β subunit. Infect Immun 1993, 61, 2498–2504.

    CAS  PubMed Central  PubMed  Google Scholar 

  26. Mertz, A.K.H., Daser, A., Skurnik, M., Wiesmuller, K.-H., Braun, J., Appel, H., Batsford, S., Wu, P., Distler, A., Sieper, J. The evolutionary conserved ribosomal protein L23 and the cationic urease ?-subunit of Yersinia enterocolitica 0:3 belong to the immunodominant antigens in Yersinia-triggered reactive arthritis: implications for autoimmunity. Molec Med 1994, 1, 44–55.

    CAS  Google Scholar 

  27. Hermann, E., Yu, D.T.Y., Meyer zum Biischenfelde, K.-H., Fleischer, B. HLA-B27-restricted CD8 T cells derived from synovial fluids of patients with reactive arthritis and ankylosing spondylitis. Lancet 1993, 342, 646–650.

    Article  CAS  PubMed  Google Scholar 

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Uksila, J., Toivanen, P. HLA-B27 and Bacteria. Clin Rheumatol 15 (Suppl 1), 44–47 (1996). https://doi.org/10.1007/BF03342645

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