Tracking Molecular Mimics
The acute phase of many infectious diseases is bad enough, but some have long-term effects that are positively chilling. Lyme disease, for example, starts with short-lived flulike symptoms but can end up causing chronic arthritis--even after antibiotics have wiped out the bugs. What causes such delayed damage?
One theory has been that the infection somehow sensitizes the immune system to the body's own molecules. That fits with suspicions that unidentified infections might explain the puzzling onset of some autoimmune diseases, but the idea has been hard to prove. This year two teams convincingly linked infections and autoimmune disorders, paving the way to better understanding and treatment of diseases such as diabetes and multiple sclerosis.
In the first case, researchers created a mouse model of herpes simplex virus 1, which can lead to destruction of corneal tissue and blindness. The team infected the mice's eyes and found that immune cells called T cells reacted against the animals' own tissue and destroyed their corneas. Future work may pinpoint the viral component that triggers the autoimmune response--and lead to treatments to block it.
Another team tackled Borrelia burgdorferi, the bacterium that causes Lyme disease and, in 10% of cases, chronic arthritis. The researchers found that nine of 11 Lyme arthritis patients have T cells that react to both a bacterial protein and a closely related human one--strong evidence that the T cells trigger the arthritis. Now that this year's discoveries have set the stage, expect a flood of work to track new links between autoimmunity and infection.
Reading:
D. M. Gross et al., "Identification of LFA-1 as a Candidate Autoantigen in Treatment-Resistant Lyme Arthritis," Science 281, 703 (31 July 1998).
S. Dickman, "Possible Cause Found for Lyme Arthritis," Science 281, 631 (1998).
Z-S. Zhao et al., "Molecular Mimicry by Herpes Simplex Virus-Type 1: Autoimmune Disease After Viral Infection," Science 279, 1344 (27 February 1998).
S. Dickman "Viral Saboteurs Caught in the Act," Science 279, 1305 (27 February 1998).