Molecular mimicry between bacterial and self antigen in a patient with systemic lupus erythematosus

Eur J Immunol. 1999 Jun;29(6):1901-11. doi: 10.1002/(SICI)1521-4141(199906)29:06<1901::AID-IMMU1901>3.0.CO;2-L.

Abstract

The importance of microbial infection as a trigger for the induction of systemic lupus erythematosus is frequently debated. Clinical observations indicate that anti-viral and antibacterial responses are often accompanied by self reactivity, and anti-pneumococcal antibodies elicited in non-autoimmune individuals by pneumococcal vaccine express lupus-associated anti-DNA idiotypes. To explore the relationship between protective and pathogenic antibodies in humans, we have used the phage display immunoglobulin expression system to generate a combinatorial library from spleen cells of a lupus patient immunized with a polyvalent pneumococcal polysaccharide vaccine prior to splenectomy. From this library, monovalent antigen-binding fragments expressing the 3I Vkappa1-associated idiotype were isolated. This idiotype is expressed on up to 90% of anti-DNA antibodies in the serum of lupus patients and on anti-pneumococcal antibodies in the serum of non-autoimmune individuals. Eight 3I+ monovalent antigen-binding fragments reacting with pneumococcal polysaccharide, DNA or both were analyzed. Four of these fragments were cross-reactive with both foreign and self antigen, demonstrating that a high percentage of anti-bacterial antibodies produced in a patient with lupus bind double-stranded DNA. These studies provide support at the molecular level for a potential role of molecular mimicry in the generation of anti-DNA antibodies. In addition, this is, to our knowledge, the first panel of fully sequenced human anti-pneumococcal antibodies.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amino Acid Sequence
  • Antibodies, Antinuclear / blood
  • Antibodies, Antinuclear / genetics
  • Antibodies, Bacterial / blood
  • Antibodies, Bacterial / genetics
  • Antibody Diversity
  • Antigens, Bacterial*
  • Autoantigens*
  • Bacterial Vaccines / immunology
  • Bacterial Vaccines / pharmacology
  • Base Sequence
  • Cross Reactions
  • DNA / genetics
  • Humans
  • Immunoglobulin Fab Fragments / blood
  • Immunoglobulin Fab Fragments / genetics
  • Immunoglobulin Idiotypes / genetics
  • Immunoglobulin Idiotypes / immunology
  • Lupus Erythematosus, Systemic / etiology
  • Lupus Erythematosus, Systemic / genetics
  • Lupus Erythematosus, Systemic / immunology*
  • Molecular Mimicry*
  • Molecular Sequence Data
  • Pneumococcal Vaccines
  • Sequence Homology, Amino Acid
  • Sequence Homology, Nucleic Acid
  • Splenectomy
  • Streptococcus pneumoniae / immunology

Substances

  • Antibodies, Antinuclear
  • Antibodies, Bacterial
  • Antigens, Bacterial
  • Autoantigens
  • Bacterial Vaccines
  • Immunoglobulin Fab Fragments
  • Immunoglobulin Idiotypes
  • Pneumococcal Vaccines
  • DNA

Associated data

  • GENBANK/AF082193
  • GENBANK/AF082194
  • GENBANK/AF082195
  • GENBANK/AF082196
  • GENBANK/AF082197
  • GENBANK/AF082198
  • GENBANK/AF082199
  • GENBANK/AF082200
  • GENBANK/AF082201
  • GENBANK/AF082202
  • GENBANK/AF082203
  • GENBANK/AF082204
  • GENBANK/AF082205
  • GENBANK/AF082206
  • GENBANK/AF082207
  • GENBANK/AF082208