[Molecular mimic between cardiovascular diseases and microorganism antigens]

Andrés Sánchez-Caraballo1,2,3, Valentina García-Solano1, Sonia Karina González-Rangel1

  • 1Health Faculty, Medical Research Group (GINUMED), University Corporation Rafael Nuñez, Cartagena, Colombia.

Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993)
|April 29, 2024
PubMed
Abstract

Insights

Infections can trigger autoimmune heart diseases when pathogen proteins mimic human antigens, leading to cross-reactivity. This study identifies shared epitopes between cardiovascular proteins and microbes, suggesting a molecular mimicry mechanism for heart conditions.

Area of Science:

  • Molecular biology and immunology
  • Cardiovascular research
  • Infectious diseases

Context:

  • Cardiovascular diseases (CVDs) arise from genetic and environmental factors, with infections posing a significant risk.
  • The immune response to pathogens can mistakenly target self-antigens in the heart due to molecular mimicry, initiating autoimmune reactions.
  • Understanding the molecular basis of infection-induced autoimmunity is crucial for preventing and treating CVDs.

Purpose:

  • To identify pathogens and their antigens that share sequence identity with human cardiovascular proteins.
  • To investigate the potential for molecular mimicry and cross-reactivity in the development of autoimmune heart diseases.
  • To computationally predict shared epitopes between human heart proteins and microbial antigens.

Summary:

  • A computational analysis revealed sequence identity between human cardiovascular proteins (actin and heat shock proteins) and antigens from pathogens like *Cryptococcus neoformans*, *Chlamydia trachomatis*, and *Trypanosoma cruzi*.
  • High sequence conservation (up to 88.24%) was observed, particularly for heat shock proteins (HSPs) and actin, with specific microbial agents.
  • The findings suggest that molecular mimicry, driven by shared epitopes, may underlie autoimmune conditions such as myocarditis, rheumatic heart disease, and Chagas heart disease.

Impact:

  • Provides a mechanistic link between specific infections and the development of various autoimmune cardiovascular diseases.
  • Highlights actin and HSPs as potential targets for autoimmune responses triggered by microbial infections.
  • Suggests avenues for future in vitro and in vivo research to validate the role of molecular mimicry in these conditions.

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