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Adjuvant Activity of Mycobacterium paratuberculosis in Enhancing the Immunogenicity of Autoantigens During Experimental Autoimmune Encephalomyelitis
Published on: May 12, 2023
M. paratuberculosis Heat Shock Protein 65 and Human Diseases: Bridging Infection and Autoimmunity
1Chippewa Valley Eye Clinic, Wisconsin and Eye Research Institute, University of Wisconsin-Madison, 2715 Damon Street, Eau Claire, WI 54701, USA.
Abstract:
Mycobacterium avium subspecies paratuberculosis (MAP) is the known infectious cause of Johne's disease, an enteric inflammatory disease mostly studied in ruminant animals. MAP has also been implicated in the very similar Crohn's disease of humans as well as sarcoidosis. Recently, MAP has been associated with juvenile sarcoidosis (Blau syndrome), autoimmune diabetes, autoimmune thyroiditis, and multiple sclerosis. While it is intuitive to implicate MAP in granulomatous diseases where the microbe participates in the granuloma, it is more difficult to assign a role for MAP in diseases where autoantibodies are a primary feature. MAP may trigger autoimmune antibodies via its heat shock proteins. Mycobacterial heat shock protein 65 (HSP65) is an immunodominant protein that shares sequential and conformational elements with several human host proteins. This molecular mimicry is the proposed etiopathology by which MAP stimulates autoantibodies associated with autoimmune (type 1) diabetes, autoimmune (Hashimoto's) thyroiditis, and multiple sclerosis. This paper proposes that MAP is a source of mycobacterial HSP65 and acts as a trigger of autoimmune disease.
Insights
Mycobacterium avium subspecies paratuberculosis (MAP) may trigger autoimmune diseases like type 1 diabetes and multiple sclerosis. This occurs through molecular mimicry involving its heat shock protein 65 (HSP65), which resembles human proteins.
Area of Science:
- Microbiology
- Immunology
- Autoimmune Diseases
Background:
- Mycobacterium avium subspecies paratuberculosis (MAP) causes Johne's disease in animals and is implicated in human Crohn's disease and sarcoidosis.
- MAP has been recently associated with Blau syndrome, autoimmune diabetes, autoimmune thyroiditis, and multiple sclerosis.
- The role of MAP in autoimmune diseases where autoantibodies are prominent is less understood.
Purpose of the Study:
- To propose a mechanism by which MAP may trigger autoimmune diseases.
- To investigate the role of mycobacterial heat shock protein 65 (HSP65) in molecular mimicry leading to autoantibody production.
Main Methods:
- Review of existing literature on MAP, Johne's disease, Crohn's disease, sarcoidosis, and autoimmune conditions.
- Analysis of the structural similarities between mycobacterial HSP65 and human host proteins.
Main Results:
- MAP's heat shock protein 65 (HSP65) shares structural similarities with human proteins.
- This molecular mimicry is hypothesized to stimulate the production of autoantibodies.
Conclusions:
- MAP, through its HSP65, may act as a trigger for autoimmune diseases including type 1 diabetes, Hashimoto's thyroiditis, and multiple sclerosis.
- The proposed mechanism involves molecular mimicry between MAP HSP65 and host proteins, leading to autoantibody generation.
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