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Bacterial epitopes involved in the induction of reactive arthritis

H Stieglitz1, S Fosmire, P E Lipsky

  • 1University of Texas Southwestern Medical Center, Dallas 75235.

Insights

Researchers found a plasmid in arthritogenic Shigella flexneri strains that may cause reactive arthritis. This plasmid contains a sequence mimicking the HLA-B27 molecule, suggesting molecular mimicry plays a role in disease development.

Area of Science:

  • Microbiology
  • Immunology
  • Genetics

Background:

  • Reactive arthritis is a condition linked to certain bacterial infections.
  • The human leukocyte antigen B27 (HLA-B27) is strongly associated with reactive arthritis.
  • The exact mechanisms linking bacterial infections to HLA-B27-associated arthritis remain unclear.

Purpose of the Study:

  • To identify specific bacterial factors associated with arthritogenic Shigella strains.
  • To investigate potential molecular mechanisms underlying reactive arthritis development.

Main Methods:

  • Comparative analysis of arthritogenic Shigella flexneri strains and non-arthritogenic Shigella sonnei controls.
  • Plasmid DNA isolation and characterization.
  • DNA sequencing to identify relevant genes and encoded polypeptides.
  • Bioinformatic analysis to assess sequence homology.

Main Results:

  • A 2-megadalton plasmid, designated pHS-2, was identified exclusively in arthritogenic Shigella flexneri strains.
  • The pHS-2 plasmid encodes a 22-amino acid polypeptide.
  • This polypeptide contains a pentapeptide sequence homologous to a region of the HLA-B27 alpha-1 domain.

Conclusions:

  • The pHS-2 plasmid may be a key factor in the arthritogenicity of specific Shigella strains.
  • Molecular mimicry between bacterial epitopes encoded by pHS-2 and the HLA-B27 molecule is a potential mechanism for reactive arthritis.
  • This finding provides insight into the pathogenesis of HLA-B27-associated reactive arthritis.

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