Ebringer Alan, Rashid Taha, Wilson Clyde
Infection and Immunity Group, Division of Health and Life Sciences, King's College London, 150 Stamford Street, London SE1 9NN, United Kingdom.
Ann N Y Acad Sci. 2005 Jun;1050:417-28. doi: 10.1196/annals.1313.093.
Bovine spongiform encephalopathy (BSE) belongs to a group of conditions named together as transmissible spongiform encephalopathies (TSE). They are fatal neurodegenerative diseases that include "scrapie" in sheep, Creutzfeldt-Jakob disease (CJD) and kuru in humans, and chronic wasting disease in deers. BSE-affected animals suffer from "hindquarters" paralysis, which is also one of the main features of "experimental allergic encephalomyelitis" (EAE). EAE is considered an animal model of multiple sclerosis (MS) and lower limb ataxia is often observed in MS patients. The presence of clinical and histopathological similarities in these diseases suggests a common pathology. Specific brain peptides, which produce EAE, were shown to have "molecular mimicry" with the soil and skin saprophytic microbe, Acinetobacter. BSE-affected animals and patients suffering from MS have been found to have elevated levels of antibodies to both Acinetobacter and Pseudomonas bacteria, as well as autoantibodies to both white and gray matter brain components. The hypothesis is proposed that Acinetobacter/Pseudomonas bacteria may have evoked both BSE and MS through the mechanism of "molecular mimicry" and autoimmunity in a similar way to Streptococcus microbes producing rheumatic fever and Sydenham's chorea. The possibility that CJD patients may show similar features remains to be determined.
牛海绵状脑病(BSE)属于一组统称为传染性海绵状脑病(TSE)的病症。它们是致命的神经退行性疾病,包括绵羊的“羊瘙痒病”、人类的克雅氏病(CJD)和库鲁病,以及鹿的慢性消耗病。感染BSE的动物会出现“后肢”麻痹,这也是“实验性变应性脑脊髓炎”(EAE)的主要特征之一。EAE被认为是多发性硬化症(MS)的动物模型,MS患者常出现下肢共济失调。这些疾病在临床和组织病理学上的相似性表明存在共同的病理机制。已证明产生EAE的特定脑肽与土壤和皮肤腐生微生物不动杆菌具有“分子模拟”。已发现感染BSE的动物和MS患者体内针对不动杆菌和假单胞菌的抗体水平升高以及针对脑白质和灰质成分的自身抗体水平升高。有人提出假说,不动杆菌/假单胞菌可能通过“分子模拟”和自身免疫机制,以与产生风湿热和西德纳姆舞蹈病的链球菌微生物类似的方式引发了BSE和MS。CJD患者是否可能表现出类似特征仍有待确定。