Pisetsky D S
Medical Research Service, Durham VA Hospital, North Carolina 27705, USA.
Methods. 1997 Jan;11(1):55-61. doi: 10.1006/meth.1996.0387.
DNA is a structurally heterogeneous molecule that elicits antibody production in both normal and aberrant immunity. In the prototypic autoimmune disease systemic lupus erythematosus, anti-DNA antibodies occur prominently and are serological markers for diagnosis and prognosis. These antibodies target conserved sites on both single-stranded (ss) and double-stranded (ds) DNA from essentially all species. In contrast, sera of normal human subjects (NHS) contain antibodies that selectively bind to DNA from certain bacteria. The NHS antibodies differ from lupus anti-DNA in their exclusive binding to foreign DNA as well as in their isotype, light chain distribution, and mode of DNA interaction. The properties of these antibodies suggest that they arise as a specific response to bacterial DNA introduced during infection or colonization. This conclusion is supported by studies demonstrating that bacterial DNA is a potent immunogen in normal mice and can induce antibodies specific for determinants on bacterial ss and dsDNA. Furthermore, immunization of normal animals with bacterial DNA elicits antibodies that bind mammalian as well as bacterial ssDNA; this immunization can also provoke glomerulonephritis. In addition to its immunogenicity, bacterial DNA is mitogenic, stimulating polyclonal activation of murine B cells; bacterial DNA can also induce cytokine production in the mouse. The range of immunological activities of bacterial DNA suggests an important role of this molecule in stimulating host defense in normal individuals and provoking autoimmunity in individuals predisposed to SLE.
DNA是一种结构异质的分子,在正常免疫和异常免疫中均可引发抗体产生。在典型的自身免疫性疾病系统性红斑狼疮中,抗DNA抗体显著存在,是诊断和预后的血清学标志物。这些抗体靶向基本上所有物种的单链(ss)和双链(ds)DNA上的保守位点。相比之下,正常人类受试者(NHS)的血清中含有选择性结合某些细菌DNA的抗体。NHS抗体与狼疮抗DNA抗体不同,它们只与外源DNA结合,并且在同种型、轻链分布和DNA相互作用模式方面也有所不同。这些抗体的特性表明它们是对感染或定植期间引入的细菌DNA的特异性反应而产生的。这一结论得到了多项研究的支持,这些研究表明细菌DNA在正常小鼠中是一种强效免疫原,可诱导针对细菌ssDNA和dsDNA上决定簇的特异性抗体。此外,用细菌DNA免疫正常动物会引发结合哺乳动物以及细菌ssDNA的抗体;这种免疫还可引发肾小球肾炎。除了具有免疫原性外,细菌DNA还具有促有丝分裂作用,可刺激小鼠B细胞的多克隆激活;细菌DNA还可诱导小鼠产生细胞因子。细菌DNA的一系列免疫活性表明该分子在刺激正常个体的宿主防御以及引发易患系统性红斑狼疮个体的自身免疫方面发挥着重要作用。