1984
DOI: 10.1038/307560a0
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Erythrocyte receptors for Mycoplasma pneumoniae are sialylated oligosaccharides of Ii antigen type

Abstract: Among the pathological effects in man following infection with Mycoplasma pneumoniae is a transient autoimmune disorder characterized by the presence of high-titre erythrocyte autoantibodies (cold agglutinins). These autoantibodies are usually directed against the carbohydrate antigen termed I (ref. 3) which consists of a branched oligosaccharide. The mechanism by which the anti-I antibodies are elicited is unknown. However, sialic acid-containing receptors have been implicated in the adherence of M. pneumonia… Show more

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Cited by 187 publications
(81 citation statements)
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“…36 In contrast, IGHV4-34 antibodies are secreted at a high level in patients with systemic lupus erythematosus and in response to acute infections with herpes viruses and M. pneumoniae. [37][38][39][40][41] It has, therefore, been proposed that IGHV4-34 B cells may normally be maintained in a state of diminished responsiveness, sparing the host from potential (auto)immune-mediated pathologies. In line with this, most CLL clonotypic IGHV4-34 rearrangements are mutated, indicating that these CLL cells do not behave in an inherently different way from non-CLL IGHV4-34 B cells.…”
Section: © F E R R a T A S T O R T I F O U N D A T I O Nmentioning
confidence: 99%
“…36 In contrast, IGHV4-34 antibodies are secreted at a high level in patients with systemic lupus erythematosus and in response to acute infections with herpes viruses and M. pneumoniae. [37][38][39][40][41] It has, therefore, been proposed that IGHV4-34 B cells may normally be maintained in a state of diminished responsiveness, sparing the host from potential (auto)immune-mediated pathologies. In line with this, most CLL clonotypic IGHV4-34 rearrangements are mutated, indicating that these CLL cells do not behave in an inherently different way from non-CLL IGHV4-34 B cells.…”
Section: © F E R R a T A S T O R T I F O U N D A T I O Nmentioning
confidence: 99%
“…In these infections, 9G4 antibodies are responsible for the presence of pathogenic CA that mediate autoimmune hemolytic anemia [72]. Interestingly, while the fetal RBC linear NAL i-antigen is the usual target of CA in EBV infections, the branched NAL I-antigen expressed by adult RBC is overwhelmingly preferred by CA antibodies induced by M. pneumoniae [73]. We are thus presented with a fascinating scenario in which different infectious agents break, at least temporarily, B cell tolerance preferentially targeting autoreactive 9G4 B cells, yet resulting in the production of either anti-i or anti-I autoantibodies in a mutually exclusive fashion.…”
Section: G4 Antibodies In Health and Diseasementioning
confidence: 99%
“…Sulphated glycolipids, dextran sulphate, NeuAcAE2-3Galâ1-4Glc Krivan et al (1989); Loomes et al (1984) …”
Section: Speciesmentioning
confidence: 99%