Abstract:Polyclonal lymphocyte stimulation is one of the immunomodulatory mechanisms induced by arthritogenic pathogens. In this study we examined the polyclonal activation potential of a virulent strain of Y. enterocolitica serotype O:8 (WA 2707+) and its plasmidless isogenic pair (WA 2707−). SPF Swiss mice were infected intragastrically and spleen cells were obtained on days 7, 14, 21, 28, 35 and 42 after infection. The number of cells secreting nonspecific immunoglobulins of IgG, IgM and IgA isotypes was determined … Show more
“…Various data that connect exposure to micAg, during infections (1–4) and vaccinations (5–8), to autoAb production have been published in recent years. Among the possible mechanisms that contribute to autoAb generation, the most cited mechanisms are molecular mimicry (9, 10) and polyclonal cell activation (11, 12). Available data show that long‐term stimulation by micAg is accompanied by augmentation of self‐reactivity, but not by obvious induction of autoimmune diseases (13).…”
Results are presented concerning our attempts to create a suitable model system for studying the connection between microbial antigen (micAg), autoimmunity and autoimmune disease on the basis of hyper-immunization and application of micAg in different contexts. Our research was focused on tetanus toxoid (TTd) as a model micAg. Non-pretreated and complete Freund's adjuvant pretreated BALB/c mice were immunized with high doses of TTd mixed with glycerol or aluminum hydroxide as adjuvants. The main aims of the experiments were to evaluate the properties of induced humoral immune responses, evaluate the pathological potential of induced immune responses and determine possible correlations between the properties of a humoral immune response and its pathological potential. The production of TTd-specific and self-reactive β 2 -glycoprotein I (β 2 -GP I)-specific antibodies (Abs) was detected in all groups but with specific, context-related properties. Analysis of pregnancy-related pathology (anti-β 2 -GP I Abs-associated) showed differences in the pathological potential of the induced immune response. It was demonstrated that severity of pathology is positively correlated to the abundance of IgG that recognizes β 2 -GP I adsorbed onto phosphatidylserine, and to IgG affinity. Furthermore, it was demonstrated that molecular mimicry, which results in generation of anti-β 2 -GP I Abs upon TTd immunization, is necessary but not sufficient for the development of pregnancy-related pathology.Key words adjuvant, anti-β 2 -glycoprotein I antibody, tetanus toxoid.Various data that connect exposure to micAg, during infections (1-4) and vaccinations (5-8), to autoAb production have been published in recent years. Among the possible mechanisms that contribute to autoAb generation, the most cited mechanisms are molecular mimicry (9, 10) and polyclonal cell activation (11,12). Available data show that long-term stimulation by micAg is accompanied by augmentation of self-reactivity, but not by obvious induc- tion of autoimmune diseases (13). Hence, we have tried to create a model system for studying the connection between micAg, autoimmunity and autoimmune disease on the basis of hyper-immunization and application of micAg in different contexts.With the intention of creating a suitable model system, we focused our research on TTd, a chemical derivative of tetanus toxin, as a model antigen. As a single protein
“…Various data that connect exposure to micAg, during infections (1–4) and vaccinations (5–8), to autoAb production have been published in recent years. Among the possible mechanisms that contribute to autoAb generation, the most cited mechanisms are molecular mimicry (9, 10) and polyclonal cell activation (11, 12). Available data show that long‐term stimulation by micAg is accompanied by augmentation of self‐reactivity, but not by obvious induction of autoimmune diseases (13).…”
Results are presented concerning our attempts to create a suitable model system for studying the connection between microbial antigen (micAg), autoimmunity and autoimmune disease on the basis of hyper-immunization and application of micAg in different contexts. Our research was focused on tetanus toxoid (TTd) as a model micAg. Non-pretreated and complete Freund's adjuvant pretreated BALB/c mice were immunized with high doses of TTd mixed with glycerol or aluminum hydroxide as adjuvants. The main aims of the experiments were to evaluate the properties of induced humoral immune responses, evaluate the pathological potential of induced immune responses and determine possible correlations between the properties of a humoral immune response and its pathological potential. The production of TTd-specific and self-reactive β 2 -glycoprotein I (β 2 -GP I)-specific antibodies (Abs) was detected in all groups but with specific, context-related properties. Analysis of pregnancy-related pathology (anti-β 2 -GP I Abs-associated) showed differences in the pathological potential of the induced immune response. It was demonstrated that severity of pathology is positively correlated to the abundance of IgG that recognizes β 2 -GP I adsorbed onto phosphatidylserine, and to IgG affinity. Furthermore, it was demonstrated that molecular mimicry, which results in generation of anti-β 2 -GP I Abs upon TTd immunization, is necessary but not sufficient for the development of pregnancy-related pathology.Key words adjuvant, anti-β 2 -glycoprotein I antibody, tetanus toxoid.Various data that connect exposure to micAg, during infections (1-4) and vaccinations (5-8), to autoAb production have been published in recent years. Among the possible mechanisms that contribute to autoAb generation, the most cited mechanisms are molecular mimicry (9, 10) and polyclonal cell activation (11,12). Available data show that long-term stimulation by micAg is accompanied by augmentation of self-reactivity, but not by obvious induc- tion of autoimmune diseases (13). Hence, we have tried to create a model system for studying the connection between micAg, autoimmunity and autoimmune disease on the basis of hyper-immunization and application of micAg in different contexts.With the intention of creating a suitable model system, we focused our research on TTd, a chemical derivative of tetanus toxin, as a model antigen. As a single protein
“…While the majority of individuals infected with SARS-CoV-2 do not suffer from severe COVID-19 disease (Salzberger et al, 2021), a considerable subset of individuals develop a severe infection that is accompanied by robust proinflammatory cytokine production (Ragab et al, 2020;Yang et al, 2021). Autoantibody production has long been appreciated to be a consequence of inflammatory settings that not only include bacterial (Ramos et al, 2005;Isenberg et al, 1987;Jafarzadeh et al, 2013) and viral infections (Duca et al, 2017;Ruggeri et al, 2008;Kerr and Boyd, 1996;Bartholomaeus et al, 1988;Tanay, 2017) but also tissue injury (Davies et al, 2007;Burbelo et al, 2010). Thus, it is not surprising that autoantibody production in severe SARS-CoV-2 infection has been reported (Bastard et al, 2020;Chang et al, 2021;Wang et al, 2021;Xiao et al, 2020;Su et al, 2022), raising concern that autoantibodies may contribute to disease pathology, as previously reported for viral infections with Hepatitis B (Barzilai et al, 2007), the original SARS-CoV-1 (Lin et al, 2005;Yang et al, 2005), and the Dengue viruses (Lin et al, 2006).…”
Severe SARS-CoV-2 infection is associated with strong inflammation and autoantibody production against diverse self-antigens, suggesting a system-wide defect in B cell tolerance. BND cells are a B cell subset in healthy individuals harboring autoreactive but anergic B lymphocytes. In vitro evidence suggests inflammatory stimuli can breach peripheral B cell tolerance in this subset. We asked whether SARS-CoV-2–associated inflammation impairs BND cell peripheral tolerance. To address this, PBMCs and plasma were collected from healthy controls, individuals immunized against SARS-CoV-2, or subjects with convalescent or severe SARS-CoV-2 infection. We demonstrate that BND cells from severely infected individuals are significantly activated, display reduced inhibitory receptor expression, and restored BCR signaling, indicative of a breach in anergy during viral infection, supported by increased levels of autoreactive antibodies. The phenotypic and functional BND cell alterations significantly correlate with increased inflammation in severe SARS-CoV-2 infection. Thus, autoreactive BND cells are released from peripheral tolerance with SARS-CoV-2 infection, likely as a consequence of robust systemic inflammation.
“…The polyclonal activators originating from microorganisms are typically parts of the cell membranes, the cytosol, or excretion/secretion products [83]. In numerous animal models of viral, parasitic, and bacterial infection, the presence of a potent polyclonal B-cell response resulting in hyper-ɤ-globulinemia and the release of autoantibodies has been observed [71, 87]. Molecular mimicry and bystander activation have been suggested as the most likely mechanisms underlying SARS-CoV-2-associated ATM [35].…”
Background: Acute transverse myelitis (ATM) is a rare neurological disorder in adults characterized by localized inflammation of gray and white matter in one or more contiguous spinal cord segments in the absence of a compressive injury. Several reports have connected the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to the pathophysiology of ATM. Summary: Direct invasion of the spinal cord, cytokine storm, or an autoimmune response are the possible pathways by which the SARS-CoV-2 virus can affect the spinal cord and lead to ATM. Direct invasion is facilitated by the presence of angiotensin-converting enzyme 2 (ACE2) receptors on the membranes of the spinal cord neurons. Cytokine storm syndrome could be derived from elevated levels of several immunological factors following severe involvement with Coronavirus disease 2019 (COVID-19). Finally, autoimmune responses can cause post-infectious ATM through several hypothesized processes, including molecular mimicry, epitope spreading, bystander activation, and polyclonal B-cell activation.
Key Messages: COVID-19-induced ATM is mostly a longitudinally-extensive ATM (LEATM) in which more spinal cord segments are damaged, which results in a worse sequel compared to short-segment ATM. Therefore, it is suggested that COVID-19 patients, particularly severe cases, be followed up for a probable incidence of ATM, even long after recovery from the disease and elimination of the virus from the host, because an early diagnosis and effective therapy may stop the spread of inflammation to adjacent segments.
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