1988
DOI: 10.1016/s0140-6736(88)90123-7
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SYNOVIAL FLUID T CELL REACTIVITY AGAINST 65 kD HEAT SHOCK PROTEIN OF MYCOBACTERIA IN EARLY CHRONIC ARTHRITIS

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Cited by 277 publications
(124 citation statements)
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“…Similar to our findings, T cell reactivity to hsp60 as measured by proliferation assays has been found in some, but not all, RA patients studied previously (7)(8)(9)(10). In contrast, increased expression of hsp60 or an immunologically crossreactive molecule in the inflamed synovium of rheumatoid joints has been demonstrated to be a feature in all patients (5).…”
Section: Resultssupporting
confidence: 90%
See 1 more Smart Citation
“…Similar to our findings, T cell reactivity to hsp60 as measured by proliferation assays has been found in some, but not all, RA patients studied previously (7)(8)(9)(10). In contrast, increased expression of hsp60 or an immunologically crossreactive molecule in the inflamed synovium of rheumatoid joints has been demonstrated to be a feature in all patients (5).…”
Section: Resultssupporting
confidence: 90%
“…Using proliferation assays, T cell reactivity to mycobacterial hsp60 has been demonstrated at sites of chronic inflammation, including the synovial fluid (SF) of patients with RA or other arthropathies (7)(8)(9)(10). Recently, T cell proliferative responses against endogenous human hsp60 were observed in the SF of patients with early, nonerosive juvenile chronic arthritis.…”
Section: Cartilage Pg Synthesis This Suppression Is Mediated By Il-1mentioning
confidence: 99%
“…Our preliminary data (not presented), as well as recently published observations (30), suggest that the 65-kd protein may be the immunodominant antigen, within the AP-MT complex, for the activation of synovial fluid lymphocytes. The 65-kd protein appears to possess cross-reactive epitopes, with amino acid sequences partially homologous with those of hyaline cartilage proteins (15,3 1).…”
Section: Discussionsupporting
confidence: 70%
“…T cells and antibodies generated against microbial HSP may target self-HSP, either through the recognition of conserved epitopes or via cross-reactivity (molecular mimicry), thus leading to tissue inflammation (111,112). The responses induced by molecular mimicry between bacterial and mammalian Hsp60 and Hsp70 have been implicated in the pathogenesis of some autoimmune and inflammatory diseases, including type-1 diabetes (113), atherosclerosis (114), arthritis (115) and MS (116)(117)(118)(119), and elevated levels of extracellular HSP and anti-self HSP antibodies have been found in patients with these diseases. However, contrary to expectations, in several studies using animal models of arthritis (120,121), diabetes and MS (122,123) as well as in clinical trials (124), preimmunization with bacterial gp96, Hsp60 or Hsp70 abrogated the subsequently induced inflammatory disease.…”
Section: Molecular Mimicrymentioning
confidence: 99%