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INDUCTION OF RELAPSING PARALYSIS IN EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS BY BACTERIAL SUPERANTIGEN
Author(s): BROCKE S, GAUR A, PIERCY C, GAUTAM A, GIJBELS K, FATHMAN CG, STEINMAN L
Source: NATURE    Volume: 365    Issue: 6447    Pages: 642-644    Published: OCT 14 1993  
Times Cited: 189     References: 23     
Abstract: THE role of infection in the pathogenesis of clinical relapses that occur in most autoimmune diseases, including multiple sclerosis, remains to be established1,2. Experimental autoimmune encephalomyelitis (EAE) serves as a model for multiple sclerosis, with episodes of relapsing paralysis3-9. In certain strains of mice, T-lymphocytes expressing the Vbeta8 T-cell receptor (TCR)6-8 engage the amino-terminal epitope Ac1-11 of myelin basic protein, leading to EAE. The bacterial superantigen staphylococcal enterotoxin B (SEB) activates Vbeta8-expressing T cells. Here we show that after immunization with Ac1-11, or after transfer of encephalitogenic T-cell lines or clones reactive to Ac1-11, SEB induces exacerbation or relapses of paralytic disease in mice that are in clinical remission following an initial episode of paralysis, and triggers paralysis in mice with subclinical disease. Tumour necrosis factor has a critical role in the mechanism underlying SEB-induced exacerbation of disease, because anti-tumour necrosis factor antibody given in vivo delays the onset of paralysis triggered by SEB. On reactivation of autoaggressive cells through their T-cell receptor, superantigens may induce clinical relapses of autoimmune disease.
Document Type: Article
Language: English
Reprint Address: BROCKE, S (reprint author), STANFORD UNIV, MED CTR, SCH MED, DEPT NEUROL & NEUROL SCI, STANFORD, CA 94305 USA
Addresses:
1. STANFORD UNIV, MED CTR, SCH MED, DEPT MED, STANFORD, CA 94305 USA
Publisher: MACMILLAN MAGAZINES LTD, PORTERS SOUTH, 4 CRINAN ST, LONDON, ENGLAND N1 9XW
Subject Category: Multidisciplinary Sciences
IDS Number: MB846
ISSN: 0028-0836
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