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2017 ; 127
(8
): 2946-2956
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Two rheumatoid arthritis-specific autoantigens correlate microbial immunity with
autoimmune responses in joints
#MMPMID28650341
Pianta A
; Arvikar SL
; Strle K
; Drouin EE
; Wang Q
; Costello CE
; Steere AC
J Clin Invest
2017[Aug]; 127
(8
): 2946-2956
PMID28650341
show ga
In rheumatoid arthritis (RA), immunological triggers at mucosal sites, such as
the gut microbiota, may promote autoimmunity that affects joints. Here, we used
discovery-based proteomics to detect HLA-DR-presented peptides in synovia or
peripheral blood mononuclear cells and identified 2 autoantigens,
N-acetylglucosamine-6-sulfatase (GNS) and filamin A (FLNA), as targets of T and B
cell responses in 52% and 56% of RA patients, respectively. Both GNS and FLNA
were highly expressed in synovia. GNS appeared to be citrullinated, and GNS
antibody values correlated with anti-citrullinated protein antibody (ACPA)
levels. FLNA did not show the same results. The HLA-DR-presented GNS peptide has
marked sequence homology with epitopes from sulfatase proteins of the Prevotella
sp. and Parabacteroides sp., whereas the HLA-DR-presented FLNA peptide has
homology with epitopes from proteins of the Prevotella sp. and Butyricimonas sp.,
another gut commensal. Patients with T cell reactivity with each self-peptide
also had responses to the corresponding microbial peptides, and the levels were
directly correlated. Furthermore, HLA-DR molecules encoded by shared-epitope (SE)
alleles were predicted to bind these self- and microbial peptides strongly, and
these responses were more common in RA patients with SE alleles. Thus, sequence
homology between T cell epitopes of 2 self-proteins and a related order of gut
microbes may provide a link between mucosal and joint immunity in patients with
RA.