The role of infection in the pathogenesis of autoimmune disease

NR Rose - Seminars in immunology, 1998 - Elsevier
Seminars in immunology, 1998Elsevier
Autoimmune disease has long been considered a shadow following infectious diseases.
Epidemiological evidence shows that rheumatic fever follows streptococcal infection
andTrypanosoma cruziinfection is the instigator of Chagas' disease. There is, however, very
little information of the mechanism by which such a train of events is initiated. Autoimmunity,
in a form of autoantibodies, is common after many infections and may well result from the
mimicking of host proteins by antigens of the infectious agent. There are, however, few if any …
Autoimmune disease has long been considered a shadow following infectious diseases. Epidemiological evidence shows that rheumatic fever follows streptococcal infection andTrypanosoma cruziinfection is the instigator of Chagas’ disease. There is, however, very little information of the mechanism by which such a train of events is initiated. Autoimmunity, in a form of autoantibodies, is common after many infections and may well result from the mimicking of host proteins by antigens of the infectious agent. There are, however, few if any examples in humans where molecular mimicry gives rise to autoimmune disease. The progression from benign autoimmunity to pathogenic autoimmune disease depends upon the balance of cytokines produced during the inflammatory process accompanying infection. In many autoimmune diseases, the cytokine profile favors the proinflammatory cytokines, IFN-γ and IL-1, which support the production of disease. A searching study of cytokine profiles during infection may offer a promising approach to avoiding the harmful consequences of post-infection autoimmune responses.
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