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2018 ; 13
(5
): e0197219
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Anti-citrullinated protein antibody response after primary EBV infection in
kidney transplant patients
#MMPMID29746558
Kraal LJN
; Nijland ML
; Germar KL
; Baeten DLP
; Ten Berge IJM
; Fehres CM
PLoS One
2018[]; 13
(5
): e0197219
PMID29746558
show ga
Rheumatoid arthritis (RA) is a chronic inflammatory disease of synovial joints,
characterized by the presence of the highly disease-specific anti-citrullinated
protein antibodies (ACPA) in approximately 70% of patients. Epstein-Barr virus
(EBV) has previously been suggested to be involved in the pathophysiology of RA.
However, given the high incidence of EBV in the general population and the
difficulty of detecting initial infection, providing a direct link between EBV
infection and RA development has remained elusive. We hypothesized that primary
EBV infection may be a trigger for the development of the ACPA response in vivo.
Using a unique cohort of 26 kidney transplant patients with a primary EBV
infection, the presence of ACPA before and following infection was determined. No
increase in IgG anti-CCP2 titers was detected following EBV infection. IgG
anti-CCP2 antibodies were present in two patients and borderline positive in
another. These three patients were HLA-DR4 negative. To test whether EBV
infection may trigger a non-class switched anti-CCP2 response, IgM anti-CCP2
antibodies were analyzed. No general trend in the IgM anti-CCP2 response was
observed following EBV infection. Since two out of the three IgG anti-CCP2
(borderline) positive patients were diagnosed with IgA nephropathy, 23 additional
IgA nephropathy patients were tested for IgG anti-CCP2, regardless of their EBV
status. All of these patients were IgG anti-CCP2 negative, indicating that IgG
anti-CCP2 is not commonly present in IgA nephropathy patients. Collectively,
these data do not support the hypothesis that EBV does trigger the highly RA
specific ACPA response.
|*Herpesvirus 4, Human
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Anti-Citrullinated Protein Antibodies/*blood
[MESH]