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Updated: Aug 19, 2026

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
Published on: March 17, 2023
Homologies between proteins of Borrelia burgdorferi and thyroid autoantigens
Salvatore Benvenga1, Fabrizio Guarneri, Mario Vaccaro
1Sezione di Endocrinologia del Dipartimento Clinico Sperimentale di Medicina e Farmacologia, Università di Messina, Messina, Italy. s.benvenga@me.nettuno.it
Abstract:
Subclinical exposure to microbic antigens that share amino acid sequence homology with self antigens might trigger autoimmune diseases in genetically predisposed individuals via molecular mimicry. Genetic predisposition to Graves' disease (GD) or Hashimoto's thyroiditis (HT) is conferred by HLA loci DR3 or DR5, respectively. Yersinia enterocolitica (YE) outer proteins (YOPs) are candidate triggers based on the high prevalence of serum antibodies (Ab) against YOPs in autoimmune thyroid diseases (AITD) and reactivity of these Ab with hTSH-R, suggesting homology between YOPs and hTSH-R. We have reported previously that the spirochete Borrelia burgdorferi (Bb) could be another trigger. We have explored further the homology of hTSH-R with YE and Bb. Using the Basic Local Alignment Search Tool (BLAST), we found four matches with YE and five matches with Bb . Residues 22-272, 186-330, 319-363 and 684-749 of hTSH-R matched YopM, Ysp, exopolygalacturonase and SpyA of YE (identity 23-31%, similarity 40-48%). Residues 112-205, 127-150, 141-260, 299-383 and 620-697 of hTSH-R matched outer surface protein A, flagellar motor rotation protein A, two hypothetical proteins (BBG02 and BBJ08) and DNA recombinase/ATP dependent helicase of Borrelia (identity 27-50%, similarity 40-75%). Interestingly, the above hTSH-R regions coincide with (or include) known human T-cell epitopes: aa 52-71, 140-176, 240-270, 340-380 and 441-661. Our data strengthen the hypothesis of Bb and YE as environmental triggers of AITD in genetically predisposed persons through molecular mimicry mechanisms.
Insights
Microbial antigens from Yersinia enterocolitica and Borrelia burgdorferi may trigger autoimmune thyroid diseases in genetically susceptible individuals through molecular mimicry. These microbes share sequence similarities with human thyroid antigens, potentially initiating an autoimmune response.
Area of Science:
- Immunology
- Microbiology
- Genetics
Background:
- Autoimmune thyroid diseases (AITD) like Graves' disease and Hashimoto's thyroiditis have genetic links to HLA loci.
- Molecular mimicry, where microbial antigens resemble self-antigens, is a proposed mechanism for AITD development.
- Previous studies suggested Yersinia enterocolitica (YE) as a potential trigger due to antibody cross-reactivity with the human TSH receptor (hTSH-R).
Purpose of the Study:
- To investigate the molecular homology between the human TSH receptor (hTSH-R) and antigens from Yersinia enterocolitica (YE) and Borrelia burgdorferi (Bb).
- To further explore the potential role of YE and Borrelia burgdorferi (Bb) as environmental triggers for AITD via molecular mimicry.
Main Methods:
- Utilized the Basic Local Alignment Search Tool (BLAST) to identify sequence homology between hTSH-R and proteins from YE and Bb.
- Analyzed sequence identity and similarity percentages for matched regions.
- Correlated identified homologous regions with known human T-cell epitopes within the hTSH-R.
Main Results:
- Identified four homologous regions between hTSH-R and YE proteins (YopM, Ysp, exopolygalacturonase, SpyA) with 23-31% identity and 40-48% similarity.
- Found five homologous regions between hTSH-R and Bb proteins (OspA, FlaA, BBG02, BBJ08, hypothetical protein) with 27-50% identity and 40-75% similarity.
- Observed overlap between homologous regions and known hTSH-R T-cell epitopes.
Conclusions:
- The findings support the hypothesis that Borrelia burgdorferi (Bb) and Yersinia enterocolitica (YE) can act as environmental triggers for AITD.
- Molecular mimicry between these microbes and hTSH-R is a plausible mechanism in genetically predisposed individuals.
- This study strengthens the link between specific microbial exposures and the development of autoimmune thyroid diseases.
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