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Identification of a 2-Md plasmid from Shigella flexneri associated with reactive arthritis

H Stieglitz1, S Fosmire, P Lipsky

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

Insights

A common bacterial plasmid in arthritogenic Shigella strains may trigger reactive arthritis. This plasmid contains an epitope that mimics HLA-B27, suggesting molecular mimicry in disease development.

Area of Science:

  • Immunology
  • Microbiology
  • Genetics

Background:

  • Reactive arthritis is a sterile inflammatory polyarthropathy primarily affecting HLA-B27 positive individuals.
  • The condition is often preceded by enteric infections from gram-negative bacteria.

Purpose of the Study:

  • To investigate if a common bacterial epitope triggers reactive arthritis.
  • To identify specific bacterial factors associated with arthritogenic Shigella strains.

Main Methods:

  • Screening of documented arthritogenic Shigella strains and nonarthritogenic controls.
  • Identification and sequencing of a 2-Md plasmid specific to arthritogenic strains.
  • Analysis of plasmid-encoded peptides for homology with HLA-B27.

Main Results:

  • A 2-Md plasmid was identified and sequenced in arthritogenic Shigella strains.
  • The plasmid encodes small peptides, one with a 5-amino acid sequence homologous to HLA-B27.
  • This shared epitope suggests a potential role for molecular mimicry.

Conclusions:

  • A common bacterial plasmid in arthritogenic Shigella strains may contribute to reactive arthritis development.
  • The plasmid's shared epitope with HLA-B27 provides evidence for molecular mimicry in disease induction.

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