Leung Patrick S C, Park Ogyi, Tsuneyama Koichi, Kurth Mark J, Lam Kit S, Ansari Aftab A, Coppel Ross L, Gershwin M Eric
Division of Rheumatology, Allergy, and Clinical Immunology, University of California at Davis School of Medicine, Davis, CA 95616, USA.
J Immunol. 2007 Aug 15;179(4):2651-7. doi: 10.4049/jimmunol.179.4.2651.
Although significant advances have been made in dissecting the effector mechanisms in autoimmunity, the major stumbling block remains defining the etiological events that precede disease. Primary biliary cirrhosis (PBC) illustrates this paradigm because of its high degree of heritability, its female predominance, and its extraordinarily specific and defined immune response and target destruction. In PBC, the major autoantigens belong to E2 components of the 2-oxo-acid dehydrogenase family of mitochondrially located enzymes that share a lipoylated peptide sequence that is the immunodominant target. Our previous work has demonstrated that synthetic mimics of the lipoate molecule such as 6-bromohexoanate demonstrate a high degree of reactivity with PBC sera prompted us to immunize groups of guinea pigs with 6-bromohexanoate conjugated to BSA. In this study, we provide serologic and immunohistochemical evidence that such immunized guinea pigs not only develop antimitochondrial autoantibody responses similar to human PBC, but also develop autoimmune cholangitis after 18 mo. Xenobiotic-immunized guinea pigs are the first induced model of PBC and suggest an etiology that has implications for the causation of other human autoimmune diseases. The data also reflect the likelihood that, in PBC, the multilineage antimitochondrial response is a pathogenic mechanism and that loss of tolerance and subsequent development of biliary lesions depends on either modification of the host mitochondrial Ag or a similar breakdown due to molecular mimicry.
尽管在剖析自身免疫中的效应机制方面已取得重大进展,但主要障碍仍然是确定疾病发生之前的病因学事件。原发性胆汁性肝硬化(PBC)体现了这一范例,因为它具有高度遗传性、女性居多、免疫反应异常特异且明确以及存在靶标破坏。在PBC中,主要自身抗原属于位于线粒体的2-氧代酸脱氢酶家族的E2组分,这些酶共享一个脂酰化肽序列,该序列是免疫显性靶标。我们之前的工作表明,硫辛酸分子的合成类似物(如6-溴己酸)与PBC血清具有高度反应性,这促使我们用与牛血清白蛋白(BSA)偶联的6-溴己酸免疫豚鼠组。在本研究中,我们提供了血清学和免疫组织化学证据,表明此类免疫的豚鼠不仅产生与人PBC相似的抗线粒体自身抗体反应,而且在18个月后还会发生自身免疫性胆管炎。异源免疫的豚鼠是首个诱导性PBC模型,提示了一种病因学,对其他人类自身免疫性疾病的病因具有启示意义。数据还反映了在PBC中多谱系抗线粒体反应是一种致病机制,并且耐受性丧失及随后胆管病变的发展取决于宿主线粒体抗原的修饰或由于分子模拟导致的类似破坏的可能性。
J Autoimmun. 2007
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