“…At the antigen level, several Hp antigens have been considered important for the loss of immunological tolerance to myelin antigens, particularly heat shock proteins (hsp) (Chiba et al, 2006, Panchapakesan et al, 1992, Salvetti et al, 1992, Scotti et al, 2010, Tishler and Shoenfeld, 1996. Several approaches have been used to assess whether hsps are implicated in the pathogenesis of MS, including studies on immune responses to hsp in MS and the extent of cross-reactivity between hsp and CNS myelin, as well as the expression of hsps in the brain of patients with MS (Salvetti et al, 1992, Tishler and Shoenfeld, 1996, Horvath et al, 2001, Gruber et al, 1996, Chiba et al, 2006. Because of the conserved nature of hsp there is a high degree of A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 5 amino acid homology amongst hsp60 of different bacteria; thus, immune responses against hsps show a high degree of cross-reactivity (Van Eden, et.al.…”