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病毒疫苗接种后的获得性自身免疫是由分子模拟和抗原互补性引起的,同时存在免疫佐剂和特定的人类白细胞抗原(HLA)模式。

Acquired autoimmunity after viral vaccination is caused by molecular mimicry and antigen complimentarity in the presence of an immunologic adjuvant and specific HLA patterns.

作者信息

Waisbren Burton A

机构信息

Waisbren Clinic, 2315 N. Lake Drive, Suite 815, Milwaukee, WI 53211, USA.

出版信息

Med Hypotheses. 2008;70(2):346-8. doi: 10.1016/j.mehy.2007.04.043. Epub 2007 Jul 13.

Abstract

Acquired autoimmunity syndromes occur after viral vaccinations. Molecular mimicry is involved in these phenomena as is the necessity for the presence of two chemically complimentary antigens and an immunologic adjuvant. The HLA pattern of the host is also an important factor. The example used to explain these phenomena is demyelinating disease that follows hepatitis B vaccination. The somatic antigen of the hepatitis B virus in the vaccine has chemical complimentarity with the Epstein-Barr virus antigen in the vaccine recipient. The Epstein-Barr virus shows molecular mimicry with human myelin. The immunologic adjuvant is either present in the vaccine or muramyl peptides in the individual who is vaccinated. Why more than one type of autoimmune disease occurs is explained by the fact that specific autoimmune T-cells have been shown to develop clones that attack multiple human tissues.

摘要

获得性自身免疫综合征发生在病毒疫苗接种之后。分子模拟参与了这些现象,两种化学互补抗原和一种免疫佐剂的存在也是如此。宿主的HLA模式也是一个重要因素。用于解释这些现象的例子是乙肝疫苗接种后出现的脱髓鞘疾病。疫苗中乙肝病毒的体细胞抗原与疫苗接种者体内的爱泼斯坦-巴尔病毒抗原有化学互补性。爱泼斯坦-巴尔病毒与人类髓磷脂表现出分子模拟。免疫佐剂要么存在于疫苗中,要么存在于接种疫苗个体体内的胞壁酰肽中。特定的自身免疫性T细胞已被证明会产生攻击多种人体组织的克隆,这一事实解释了为什么会出现不止一种类型的自身免疫性疾病。

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