Antibodies Directed against a Peptide Epitope of a Klebsiella pneumoniae-Derived Protein Are Present in Ankylosing Spondylitis

PLoS One. 2017 Jan 30;12(1):e0171073. doi: 10.1371/journal.pone.0171073. eCollection 2017.

Abstract

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis of unknown origin. Its autoimmune origin has been suggested but never proven. Several reports have implicated Klebsiella pneumoniae as a triggering or perpetuating factor in AS; however, its role in the disease pathogenesis remains debated. Moreover, despite extensive investigations, a biomarker for AS has not yet been identified. To clarify these issues, we screened a random peptide library with pooled IgGs obtained from 40 patients with AS. A peptide (AS peptide) selected from the library was recognized by serum IgGs from 170 of 200 (85%) patients with AS but not by serum specimens from 100 healthy controls. Interestingly, the AS peptide shows a sequence similarity with several molecules expressed at the fibrocartilaginous sites that are primarily involved in the AS inflammatory process. Moreover, the peptide is highly homologous to a Klebsiella pneumoniae dipeptidase (DPP) protein. The antibody affinity purified against the AS peptide recognizes the autoantigens and the DPP protein. Furthermore, serum IgG antibodies against the Klebsiella DPP121-145 peptide epitope were detected in 190 of 200 patients with AS (95%), 3 of 200 patients with rheumatoid arthritis (1.5%) and only 1 of 100 (1%) patients with psoriatic arthritis. Such reactivity was not detected in healthy control donors. Our results show that antibodies directed against an epitope of a Klebsiella pneumoniae-derived protein are present in nearly all patients with AS. In the absence of serological biomarkers for AS, such antibodies may represent a useful tool in the diagnosis of the disease.

MeSH terms

  • Amino Acid Sequence
  • Antibodies, Bacterial / blood*
  • Antibodies, Bacterial / immunology*
  • Autoantigens / immunology
  • Bacterial Proteins / chemistry
  • Bacterial Proteins / immunology*
  • Epitopes / immunology*
  • Female
  • Humans
  • Inflammation / blood
  • Inflammation / immunology
  • Klebsiella pneumoniae / immunology*
  • Male
  • Middle Aged
  • Peptide Library
  • Peptides / chemistry
  • Peptides / immunology*
  • Sequence Homology, Amino Acid
  • Spondylitis, Ankylosing / blood*
  • Spondylitis, Ankylosing / immunology*

Substances

  • Antibodies, Bacterial
  • Autoantigens
  • Bacterial Proteins
  • Epitopes
  • Peptide Library
  • Peptides

Grants and funding

The authors received no specific funding for this work.