AFSHARI A, BURNIE D, HOLME E. LEVELS OF ANTI-STREP TOKINASE AND ANTI-MYCOBACTERIAL HEAT SHOCK PROTEIN 65 KILODALTON (ANTI-MHSP 65) ANTIBODIES IN PATIENTS WITH AUTOIMMUNE DISEASES. Med J Islam Repub Iran 2001; 15 (1) :37-40
URL:
http://mjiri.iums.ac.ir/article-1-823-en.html
From the Department of Pathobiology, Section of Immunology, Qazvin University of Medical Sciences & Health Services, Qazvin, I.R. Iran , Afshari2000@yahoo.com
Abstract: (4368 Views)
Bacterial and viral triggers are suspected agents in the initial etiology of autoimmune
diseases. There are some studies on the etiology of autoimmune disorders
which have focused on streptococcal infection and a possible relation with
microbial heat shock proteins (hsp) which show significant homology with human
heat shock proteins. In addition, some serotypes of streptococci cross-react
with human hsp, namely 65kD hsp. Therefore, we have examined isotype specific
antibody responses to streptokinase, the antigen released during infection
with the common bacterium streptococcus, together with IgG responses to mycobacterium
heat shock protein 65 (mhsp 65), a possible superantigen for autoimmune
diseases. The levels of these antibodies were examined in patients with
rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), thyroiditis and
Henoch Schonlein purpura (HSP) and a group of normal controls. Patients with
RA showed a statistically significant elevation in levels oflgM anti-streptokinase
antibodies compared to the control group (p<0.001). In Henoch Schonlein purpura
patients, the levels of lgG and neutralising anti-streptokinase antibodies correlated
with the levels of IgG anti-mhsp 65 (r= 0.56, p<0.09 and r= 0.57, p<0.08,
respectively). According to these findings, we suggest that streptococcal infections
may have an important role in the pathogenesis of rheumatoid arthritis and
Henoch Schonlein purpura.
Type of Study:
Original Research |
Subject:
Immunology