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10.1172/JCI93450

http://scihub22266oqcxt.onion/10.1172/JCI93450
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suck abstract from ncbi


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pmid28650341
      J+Clin+Invest 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.
  • |*Gastrointestinal Microbiome [MESH]
  • |Antirheumatic Agents/therapeutic use [MESH]
  • |Arthritis, Rheumatoid/drug therapy/*immunology [MESH]
  • |Autoantigens/*immunology [MESH]
  • |Autoimmunity/*immunology [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Epitopes/immunology [MESH]
  • |Filamins/immunology [MESH]
  • |HLA-DR Antigens/immunology [MESH]
  • |Humans [MESH]
  • |Immunoglobulin A/immunology [MESH]
  • |Immunoglobulin G/immunology [MESH]
  • |Joints/*immunology/pathology [MESH]
  • |Leukocytes, Mononuclear/cytology/*immunology/metabolism [MESH]
  • |Sulfatases/immunology [MESH]


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