Evans C F, Horwitz M S, Hobbs M V, Oldstone M B
Department of Neuropharmacology, Scripps Research Institute, La Jolla, California 92037, USA.
J Exp Med. 1996 Dec 1;184(6):2371-84. doi: 10.1084/jem.184.6.2371.
One hypothesis for the etiology of central nervous system (CNS) autoimmune disease is that infection by a virus sharing antigenic epitopes with CNS antigens (molecular mimicry) elicits a virus-specific immune response that also recognizes self-epitopes. To address this hypothesis, transgenic mice were generated that express the nucleoprotein or glycoprotein of lymphocytic choriomeningitis virus (LCMV) as self in oligodendrocytes. Intraperitoneal infection with LCMV strain Armstrong led to infection of tissues in the periphery but not the CNS, and the virus was cleared within 7-14 d. After clearance, a chronic inflammation of the CNS resulted, accompanied by upregulation of CNS expression of MHC class I and II molecules. A second LCMV infection led to enhanced CNS pathology, characterized by loss of myelin and clinical motor dysfunction. Disease enhancement also occurred after a second infection with unrelated viruses that cross-activated LCMV-specific memory T cells. These findings indicate that chronic CNS autoimmune disease may be induced by infection with a virus sharing epitopes with a protein expressed in oligodendrocytes and this disease may be enhanced by a second infection with the same or an unrelated virus. These results may explain the association of several different viruses with some human autoimmune diseases.
中枢神经系统(CNS)自身免疫性疾病病因的一种假说是,与CNS抗原共享抗原表位的病毒感染(分子模拟)引发了一种病毒特异性免疫反应,该反应也识别自身表位。为验证这一假说,构建了转基因小鼠,其在少突胶质细胞中表达淋巴细胞性脉络丛脑膜炎病毒(LCMV)的核蛋白或糖蛋白作为自身蛋白。腹腔注射LCMV Armstrong株导致外周组织感染,但未感染CNS,病毒在7 - 14天内被清除。清除后,CNS出现慢性炎症,伴有MHC I类和II类分子在CNS表达上调。第二次LCMV感染导致CNS病理加重,表现为髓鞘丢失和临床运动功能障碍。用交叉激活LCMV特异性记忆T细胞的无关病毒进行第二次感染后,疾病也会加重。这些发现表明,慢性CNS自身免疫性疾病可能由与少突胶质细胞中表达的蛋白共享表位的病毒感染诱发,且第二次感染相同或无关病毒可能会加重这种疾病。这些结果可能解释了几种不同病毒与某些人类自身免疫性疾病的关联。