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

Clinical Rheumatology
|September 25, 2003
PubMed

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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