Rheumatoid arthritis patient antibodies highly recognize IL-2 in the immune response pathway involving IRF5 and EBV antigens

Sci Rep. 2018 Jan 29;8(1):1789. doi: 10.1038/s41598-018-19957-z.

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by a progressive joint damage due to largely unknown environmental factors acting in concert with risk alleles conferring genetic susceptibility. A major role has been attributed to viral infections that include past contacts with Epstein-Barr virus (EBV) and, more recently, to non-protein coding sequences of human endogenous retrovirus K (HERV-K) integrated in the human genome. Molecular mimicry between viral and self proteins is supposed to cause the loss of immune tolerance in predisposed hosts. There are evidences that anti-IL-2 antibodies (Abs) are present in subjects affected by autoimmune diseases and may be responsible for alterations in regulatory T cell responses. In this study, we evaluated the levels of Abs against IL-2, viral epitopes and interferon regulatory factor 5 (IRF5) in 140 RA patients and 137 healthy controls (HCs). Ab reactivity reached the highest levels for IRF5, EBV and IL-2 (56%, 44% and 39%, respectively) in RA with significantly lower values among HCs (7-9%, p < 0.0001), which suggests a possible cross-reaction between IRF5/EBV homologous antigens and shifts in T cell balance disrupted by anti-IL-2 Abs.

MeSH terms

  • Antibodies, Viral / immunology*
  • Antigens, Viral / immunology*
  • Arthritis, Rheumatoid / immunology*
  • Arthritis, Rheumatoid / virology*
  • Autoimmune Diseases / immunology
  • Autoimmune Diseases / virology
  • Case-Control Studies
  • Cross Reactions / immunology
  • Epitopes / immunology
  • Epstein-Barr Virus Infections / immunology
  • Female
  • Herpesvirus 4, Human / immunology*
  • Humans
  • Interferon Regulatory Factors / immunology*
  • Interleukin-2 / immunology*
  • Male
  • Middle Aged
  • Molecular Mimicry / immunology

Substances

  • Antibodies, Viral
  • Antigens, Viral
  • Epitopes
  • IRF5 protein, human
  • Interferon Regulatory Factors
  • Interleukin-2