Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients

Background/Objective: Chronic humoral immune response against multiple microbial antigens may play a crucial role in the etiopathogenesis of rheumatoid arthritis (RA). We aimed to assess the prevalence and magnitude of antibody response against various bacterial and viral immunogen peptides in the s...

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Autores principales: Seyedesomaye Jasemi, Gian Luca Erre, Maria Luisa Cadoni, Marco Bo, Leonardo A. Sechi
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:b3d7268dedd34401940bd97e78b204022021-11-11T17:46:18ZHumoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients10.3390/jcm102151532077-0383https://doaj.org/article/b3d7268dedd34401940bd97e78b204022021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5153https://doaj.org/toc/2077-0383Background/Objective: Chronic humoral immune response against multiple microbial antigens may play a crucial role in the etiopathogenesis of rheumatoid arthritis (RA). We aimed to assess the prevalence and magnitude of antibody response against various bacterial and viral immunogen peptides in the sera of RA patients compared with the general population. Methods: Polyclonal IgG antibodies (Abs) specific for peptides derived from <i>Porphyromonas gingivalis</i> (RgpA, Kpg), <i>Aggregatibacter <i>actinomycetemcomitans</i></i> (LtxA1, LtxA2), <i>Mycobacterium avium</i> subsp. <i>paratuberculosis</i> (MAP4027), Epstein–Barr virus (EBNA1, EBVBOLF), and human endogenous retrovirus (HERV-W env-su) were detected by ELISA in serum samples from 148 consecutive RA patients and 148 sex and age-matched healthy controls (HCs). In addition, the presence of a relationship between the positivity and the titer of antibodies and RA descriptors was explored by bivariate correlation analysis. Results: RA patients exhibit a higher prevalence of humoral immune response against all tested peptides compared to HCs with a statically significant difference for MAP4027 (30.4% vs. 10.1%), BOLF (25.7% vs. 8.1%), RgpA (24.3% vs. 9.4%), HERV W-env (20.3% vs. 9.4%), and EBNA1 (18.9% vs. 9.4%) peptides. Fifty-three (35.8%) out of 148 RA serum and 93 (62.8%) out of 148 HCs were negative for all pathogen-derived peptides. There was a significant correlation between OD values obtained by ELISA test against all peptides (<i>p</i> < 0.0001). We also found an increased titer and prevalence of Abs against LtxA1 and LtxA2 in seropositive vs. seronegative RF (<i>p</i> = 0.019, <i>p</i> = 0.018). Conclusion: This study demonstrates a significantly increased humoral response against multiple pathogens in patients with RA and implies that they could be an important factor in the pathogenesis of the disease. Therefore, the role of each individual pathogen in RA needs to be further investigated.Seyedesomaye JasemiGian Luca ErreMaria Luisa CadoniMarco BoLeonardo A. SechiMDPI AGarticlerheumatoid arthritisimmune response<i>P. gingivalis</i>A. <i>actinomycetemcomitans</i>M. avium subspecies <i>paratuberculosis</i>Epstein–Barr virusMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5153, p 5153 (2021)
institution DOAJ
collection DOAJ
language EN
topic rheumatoid arthritis
immune response
<i>P. gingivalis</i>
A. <i>actinomycetemcomitans</i>
M. avium subspecies <i>paratuberculosis</i>
Epstein–Barr virus
Medicine
R
spellingShingle rheumatoid arthritis
immune response
<i>P. gingivalis</i>
A. <i>actinomycetemcomitans</i>
M. avium subspecies <i>paratuberculosis</i>
Epstein–Barr virus
Medicine
R
Seyedesomaye Jasemi
Gian Luca Erre
Maria Luisa Cadoni
Marco Bo
Leonardo A. Sechi
Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
description Background/Objective: Chronic humoral immune response against multiple microbial antigens may play a crucial role in the etiopathogenesis of rheumatoid arthritis (RA). We aimed to assess the prevalence and magnitude of antibody response against various bacterial and viral immunogen peptides in the sera of RA patients compared with the general population. Methods: Polyclonal IgG antibodies (Abs) specific for peptides derived from <i>Porphyromonas gingivalis</i> (RgpA, Kpg), <i>Aggregatibacter <i>actinomycetemcomitans</i></i> (LtxA1, LtxA2), <i>Mycobacterium avium</i> subsp. <i>paratuberculosis</i> (MAP4027), Epstein–Barr virus (EBNA1, EBVBOLF), and human endogenous retrovirus (HERV-W env-su) were detected by ELISA in serum samples from 148 consecutive RA patients and 148 sex and age-matched healthy controls (HCs). In addition, the presence of a relationship between the positivity and the titer of antibodies and RA descriptors was explored by bivariate correlation analysis. Results: RA patients exhibit a higher prevalence of humoral immune response against all tested peptides compared to HCs with a statically significant difference for MAP4027 (30.4% vs. 10.1%), BOLF (25.7% vs. 8.1%), RgpA (24.3% vs. 9.4%), HERV W-env (20.3% vs. 9.4%), and EBNA1 (18.9% vs. 9.4%) peptides. Fifty-three (35.8%) out of 148 RA serum and 93 (62.8%) out of 148 HCs were negative for all pathogen-derived peptides. There was a significant correlation between OD values obtained by ELISA test against all peptides (<i>p</i> < 0.0001). We also found an increased titer and prevalence of Abs against LtxA1 and LtxA2 in seropositive vs. seronegative RF (<i>p</i> = 0.019, <i>p</i> = 0.018). Conclusion: This study demonstrates a significantly increased humoral response against multiple pathogens in patients with RA and implies that they could be an important factor in the pathogenesis of the disease. Therefore, the role of each individual pathogen in RA needs to be further investigated.
format article
author Seyedesomaye Jasemi
Gian Luca Erre
Maria Luisa Cadoni
Marco Bo
Leonardo A. Sechi
author_facet Seyedesomaye Jasemi
Gian Luca Erre
Maria Luisa Cadoni
Marco Bo
Leonardo A. Sechi
author_sort Seyedesomaye Jasemi
title Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
title_short Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
title_full Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
title_fullStr Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
title_full_unstemmed Humoral Response to Microbial Biomarkers in Rheumatoid Arthritis Patients
title_sort humoral response to microbial biomarkers in rheumatoid arthritis patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b3d7268dedd34401940bd97e78b20402
work_keys_str_mv AT seyedesomayejasemi humoralresponsetomicrobialbiomarkersinrheumatoidarthritispatients
AT gianlucaerre humoralresponsetomicrobialbiomarkersinrheumatoidarthritispatients
AT marialuisacadoni humoralresponsetomicrobialbiomarkersinrheumatoidarthritispatients
AT marcobo humoralresponsetomicrobialbiomarkersinrheumatoidarthritispatients
AT leonardoasechi humoralresponsetomicrobialbiomarkersinrheumatoidarthritispatients
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