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白色念珠菌与人体组织之间的免疫交叉反应性。

Immunological cross reactivity between Candida albicans and human tissue.

作者信息

Vojdani A, Rahimian P, Kalhor H, Mordechai E

机构信息

Immunsciences Lab Inc., Beverley Hills, CA 90211, USA.

出版信息

J Clin Lab Immunol. 1996;48(1):1-15.

Abstract

An old concept to account for autoimmunity is the existence of immunologic cross reactions, or shared determinants between an exogenous agent and self antigen. To study molecular mimicry between the Candida antigen and an autoantigen, sera from clinical specimens were screened, based on seronegativity or positivity for thyroid, ovary and adrenal antibodies. Compared with tissue antibody negative sera and sera from healthy controls, samples from positive tissue antibody subjects exhibited significantly higher levels of Candida IgG (P < 0.001) IgM (P < 0.001) and IgA (P < 0.01) antibodies. While Candida antibodies were elevated in 60% of tissue antibody positive samples, these antibodies were present in only 7.5% of tissue antibody negative subjects and in 10% of healthy controls. Since PAGE electrophoresis showed similar bands mobility in Candida and different tissues, these positive antibodies and rabbit anti Candida antibodies were reacted in immunodiffusion and Western Blot Assay against Candida and tissue antigens, simultaneously. The results of immunodiffusion showed a clear precipitation line against tissue antigens when rabbit anti Candida or human positive Candida serum was used. Similarly, Western Blot Assays with rabbit or human anti Candida serum showed several positive bands with Candida and one or two positive bands with different tissues. The common antigens were located in the regions of 72 and 36 KD. The 72 KD was detected in capsule antigens, placenta, ovary, adrenal, thymus, liver, pancreas, spleen, brain and kidney, but not in sperm or epithelial cell antigen. The 36 KD antigen was positive in placenta, spleen adrenal, pancreas and capsule tissues. Absorbtion of sera containing high levels of Candida antibodies with tissue antigens caused 10-15% reduction in antibody titers. Moreover, treatment of thyroid antibody positive sera with C. Albicans caused a similar reduction in thyroid antibody levels. These reductions in antibody levels are an additional support for cross reactivity between C. Albicans and mammalian tissues. A demonstration of immunological cross reactivity between Candida and human tissues may be associated with the possible pathogenic role of Candida Albicans in the development of autoimmune diseases which warrants further investigation.

摘要

一种关于自身免疫的旧概念是免疫交叉反应的存在,即外源性因子与自身抗原之间存在共同决定簇。为了研究念珠菌抗原与自身抗原之间的分子模拟,基于甲状腺、卵巢和肾上腺抗体的血清阴性或阳性,对临床标本的血清进行了筛选。与组织抗体阴性血清和健康对照血清相比,组织抗体阳性受试者的样本中念珠菌IgG(P < 0.001)、IgM(P < 0.001)和IgA(P < 0.01)抗体水平显著更高。虽然60%的组织抗体阳性样本中念珠菌抗体升高,但这些抗体仅在7.5%的组织抗体阴性受试者和10%的健康对照中存在。由于聚丙烯酰胺凝胶电泳显示念珠菌与不同组织中的条带迁移率相似,这些阳性抗体和兔抗念珠菌抗体在免疫扩散和针对念珠菌及组织抗原的蛋白质印迹分析中同时发生反应。免疫扩散结果显示,当使用兔抗念珠菌或人阳性念珠菌血清时,会出现一条针对组织抗原的清晰沉淀线。同样,用兔或人抗念珠菌血清进行的蛋白质印迹分析显示,与念珠菌有几条阳性条带,与不同组织有一两条阳性条带。共同抗原位于72和36千道尔顿区域。72千道尔顿的抗原在荚膜抗原、胎盘、卵巢、肾上腺、胸腺、肝脏、胰腺、脾脏、大脑和肾脏中检测到,但在精子或上皮细胞抗原中未检测到。36千道尔顿的抗原在胎盘、脾脏、肾上腺、胰腺和荚膜组织中呈阳性。用组织抗原吸收含有高水平念珠菌抗体的血清会使抗体滴度降低10 - 15%。此外,用白色念珠菌处理甲状腺抗体阳性血清会使甲状腺抗体水平出现类似降低。这些抗体水平的降低进一步支持了白色念珠菌与哺乳动物组织之间的交叉反应性。念珠菌与人体组织之间免疫交叉反应性的证明可能与白色念珠菌在自身免疫性疾病发展中的可能致病作用相关,这值得进一步研究。

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