Microbial and human heat shock proteins as 'danger signals' in sarcoidosis
1Department of Pneumology, Medical University of Gdansk, Debinki 7 St., 80-211 Gdansk, Poland.
Abstract:
In the light of the Matzinger's model of immune response, human heat shock proteins (HSPs) as main 'danger signals' (tissue damage-associated molecular patterns-DAMPs) or/and microbial HSPs as pathogen-associated molecular patterns (PAMPs) recognized by pattern recognition receptors (PRR), may induce sarcoid granuloma by both infectious and non-infectious factors in genetically different predisposed host. Regarding infectious causes of sarcoid models, low-virulence strains of, e.g. mycobacteria and propionibacteria recognized through changed PRR and persisting in altered host phagocytes, generate increased release of both human and microbial HSPs with their molecular and functional homology. High chronic spread of human and microbial HSPs altering cytokines, co-stimulatory molecules, and Tregs expression, apoptosis, oxidative stress, induces the autoimmunity, considered in sarcoidosis. Regarding non-infectious causes of sarcoidosis, human HSPs may be released at high levels during chronic low-grade exposure to misfolding amyloid precursor protein in stressed cells, phagocyted metal fumes, pigments with/without aluminum in tattoos, and due to heat shock in firefighters. Therefore, human HSPs as DAMPs and/or microbial HSPs as PAMPs produced as a result of non-infectious and infectious factors may induce different models of sarcoidosis, depending on the genetic background of the host. The number/expression of PRRs/ligands may influence the occurrence of sarcoidosis in particular organs.
Insights
Heat shock proteins (HSPs) from humans or microbes may trigger sarcoid granuloma. Genetic predisposition and factors like infections or environmental exposures influence HSP release and sarcoidosis development.
Area of Science:
- Immunology
- Cell Biology
- Pathology
Background:
- Matzinger's danger model suggests immune responses are driven by 'danger signals'.
- Heat shock proteins (HSPs) function as key danger signals (DAMPs) or pathogen signals (PAMPs).
- Pattern recognition receptors (PRRs) recognize these signals, initiating immune responses.
Purpose of the Study:
- To explore the role of human and microbial HSPs in sarcoid granuloma formation.
- To investigate how infectious and non-infectious factors contribute to sarcoidosis via HSPs.
- To understand the influence of host genetics on HSP-induced sarcoidosis.
Main Methods:
- Review of existing literature on HSPs, DAMPs, PAMPs, and PRRs in sarcoidosis.
- Analysis of proposed mechanisms linking HSPs to granuloma formation.
- Consideration of genetic predisposition and environmental triggers.
Main Results:
- Both human (DAMPs) and microbial (PAMPs) HSPs can induce sarcoid granuloma.
- Infectious agents (e.g., mycobacteria) and non-infectious exposures (e.g., tattoos, fumes) elevate HSP levels.
- Chronic HSP exposure can lead to autoimmunity, altered immune signaling, and organ-specific sarcoidosis.
Conclusions:
- HSPs are central mediators in sarcoidosis pathogenesis, bridging infectious and non-infectious etiologies.
- Host genetic background and PRR/ligand interactions dictate sarcoidosis development and organ involvement.
- Understanding HSP roles offers insights into sarcoidosis prevention and treatment strategies.
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