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Published on: June 6, 2025
Proteus mirabilis and rheumatoid arthritis: no association with the disease
S Chandrashekara1, M N Ramesh, A Shobha
1Department of Clinical Immunology, M.S. Ramaiah Medical College, MSRIT Nagar, Mathikere, Bangalore 560054, India. chrashekara_s@yahoo.com
Abstract:
Proteus mirabilis(PM) is implicated in different studies in the pathogenesis of rheumatoid arthritis (RA) because of the structural homogeneity of its haemolysin B precursor with EQRRAA sequences in DRB 1 haplotype. The aim of the study was to compare the levels of antibodies specific to PM in the sera of patients with RA and healthy controls in our population. Serum samples from 78 consecutive RA patients and 75 healthy controls were analysed for the presence of IgG isotype and total immunoglobulins (IgG+IgA+IgM) against PM using enzyme-linked immunosorbent assay (ELISA) with two kinds of antigen preparation, whole bacteria and SDS-lysed bacterial extract. There was no significant increase in the concentrations of anti- Proteus antibodies (APA) in patients with RA compared to healthy controls in our population, when SDS-lysed bacterial extract or whole bacteria were used as antigen. The APA levels did not correlate with serum CRP levels. Infection with P. mirabilis is found to have no pathological or aggravating role in RA.
Insights
This study investigated the link between Proteus mirabilis (PM) and rheumatoid arthritis (RA). Researchers found no significant difference in anti-PM antibodies between RA patients and healthy individuals, suggesting PM infection does not play a role in RA.
Area of Science:
- Immunology
- Microbiology
- Rheumatology
Background:
- Proteus mirabilis (PM) has been suggested to contribute to rheumatoid arthritis (RA) pathogenesis due to molecular mimicry.
- Specific EQRRAA sequences in the DRB 1 haplotype share homology with PM haemolysin B precursor.
Purpose of the Study:
- To compare anti-PM antibody levels in RA patients versus healthy controls.
- To determine if PM infection has a pathological or aggravating role in RA.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to detect IgG and total immunoglobulins (IgG+IgA+IgM) against PM.
- Serum samples from 78 RA patients and 75 healthy controls were analyzed.
- Two antigen preparations were used: whole bacteria and SDS-lysed bacterial extract.
Main Results:
- No significant increase in anti-Proteus antibodies (APA) was observed in RA patients compared to healthy controls.
- APA levels did not correlate with serum C-reactive protein (CRP) levels.
- Both whole bacteria and SDS-lysed bacterial extract yielded similar non-significant results.
Conclusions:
- Proteus mirabilis infection does not appear to have a pathological or aggravating role in rheumatoid arthritis.
- The study did not find evidence supporting the proposed link between PM and RA in the studied population.
- Further research may be needed to fully elucidate the complex factors involved in RA pathogenesis.
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