Laboratory of Dendritic Cell Biology, Department of Microbiology and Immunology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, United States.
Division of Rheumatology, Department of Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, United States.
Front Immunol. 2019 Nov 8;10:2608. doi: 10.3389/fimmu.2019.02608. eCollection 2019.
Infections are considered important environmental triggers of autoimmunity and can contribute to autoimmune disease onset and severity. Nucleic acids and the complexes that they form with proteins-including chromatin and ribonucleoproteins-are the main autoantigens in the autoimmune disease systemic lupus erythematosus (SLE). How these nuclear molecules become available to the immune system for recognition, presentation, and targeting is an area of research where complexities remain to be disentangled. In this review, we discuss how bacterial infections participate in the exposure of nuclear autoantigens to the immune system in SLE. Infections can instigate pro-inflammatory cell death programs including pyroptosis and NETosis, induce extracellular release of host nuclear autoantigens, and promote their recognition in an immunogenic context by activating the innate and adaptive immune systems. Moreover, bacterial infections can release bacterial DNA associated with other bacterial molecules, complexes that can elicit autoimmunity by acting as innate stimuli of pattern recognition receptors and activating autoreactive B cells through molecular mimicry. Recent studies have highlighted SLE disease activity-associated alterations of the gut commensals and the expansion of pathobionts that can contribute to chronic exposure to extracellular nuclear autoantigens. A novel field in the study of autoimmunity is the contribution of bacterial biofilms to the pathogenesis of autoimmunity. Biofilms are multicellular communities of bacteria that promote colonization during chronic infections. We review the very recent literature highlighting a role for bacterial biofilms, and their major components, amyloid/DNA complexes, in the generation of anti-nuclear autoantibodies and their ability to stimulate the autoreactive immune response. The best studied bacterial amyloid is curli, produced by enteric bacteria that commonly cause infections in SLE patients, including and . Evidence suggests that curli/DNA complexes can trigger autoimmunity by acting as danger signals, molecular mimickers, and microbial chaperones of nucleic acids.
感染被认为是自身免疫的重要环境触发因素,可导致自身免疫性疾病的发生和加重。核酸及其与蛋白质形成的复合物,包括染色质和核糖核蛋白,是系统性红斑狼疮(SLE)等自身免疫性疾病的主要自身抗原。这些核分子如何被免疫系统识别、呈递和靶向,是一个仍有待厘清的研究领域。在这篇综述中,我们讨论了细菌感染如何参与 SLE 中核自身抗原暴露于免疫系统。感染可引发促炎细胞死亡程序,包括细胞焦亡和 NETosis,诱导宿主核自身抗原的细胞外释放,并通过激活先天和适应性免疫系统,在免疫原性环境中促进其识别。此外,细菌感染可释放与其他细菌分子相关的细菌 DNA,这些复合物可作为模式识别受体的先天刺激物,通过分子模拟激活自身反应性 B 细胞,从而引发自身免疫。最近的研究强调了 SLE 疾病活动相关的肠道共生菌的改变和条件致病菌的扩张,这可能导致慢性暴露于细胞外核自身抗原。自身免疫研究的一个新领域是细菌生物膜对自身免疫发病机制的贡献。生物膜是细菌的多细胞群落,可促进慢性感染中的定植。我们回顾了最近的文献,强调了细菌生物膜及其主要成分,即淀粉样蛋白/DNA 复合物,在产生抗核自身抗体及其刺激自身反应性免疫反应方面的作用。研究最深入的细菌淀粉样蛋白是由肠道细菌产生的卷曲,这些细菌通常会引起 SLE 患者的感染,包括 和 。有证据表明,卷曲/DNA 复合物可通过充当危险信号、分子模拟物和核酸的微生物伴侣来触发自身免疫。