Borrelia burgdorferi NapA–driven Th17 cell inflammation in lyme arthritis

Objective Human Lyme arthritis caused by Borrelia burgdorferi is characterized by an inflammatory infiltrate that consists mainly of neutrophils and T cells. This study was undertaken to evaluate the role of the innate and acquired immune responses elicited by the neutrophil‐activating protein A (Na...

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Veröffentlicht in:Arthritis and rheumatism 2008-11, Vol.58 (11), p.3609-3617
Hauptverfasser: Codolo, Gaia, Amedei, Amedeo, Steere, Allen C., Papinutto, Elena, Cappon, Andrea, Polenghi, Alessandra, Benagiano, Marisa, Paccani, Silvia Rossi, Sambri, Vittorio, Del Prete, Gianfranco, Baldari, Cosima Tatiana, Zanotti, Giuseppe, Montecucco, Cesare, D'Elios, Mario Milco, de Bernard, Marina
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container_end_page 3617
container_issue 11
container_start_page 3609
container_title Arthritis and rheumatism
container_volume 58
creator Codolo, Gaia
Amedei, Amedeo
Steere, Allen C.
Papinutto, Elena
Cappon, Andrea
Polenghi, Alessandra
Benagiano, Marisa
Paccani, Silvia Rossi
Sambri, Vittorio
Del Prete, Gianfranco
Baldari, Cosima Tatiana
Zanotti, Giuseppe
Montecucco, Cesare
D'Elios, Mario Milco
de Bernard, Marina
description Objective Human Lyme arthritis caused by Borrelia burgdorferi is characterized by an inflammatory infiltrate that consists mainly of neutrophils and T cells. This study was undertaken to evaluate the role of the innate and acquired immune responses elicited by the neutrophil‐activating protein A (NapA) of B burgdorferi in patients with Lyme arthritis. Methods Serum anti‐NapA antibodies were measured in 27 patients with Lyme arthritis and 30 healthy control subjects. The cytokine profile of synovial fluid T cells specific for NapA was investigated in 5 patients with Lyme arthritis. The cytokine profile induced by NapA in neutrophils and monocytes was also investigated. Results Serum anti‐NapA antibodies were found in 48% of the patients with Lyme arthritis but were undetectable in the healthy controls. T cells from the synovial fluid of patients with Lyme arthritis produced interleukin‐17 (IL‐17) in response to NapA. Moreover, NapA was able to induce the expression of IL‐23 in neutrophils and monocytes, as well as the expression of IL‐6, IL‐1β, and transforming growth factor β (TGFβ) in monocytes, via Toll‐like receptor 2. Conclusion These findings indicate that NapA of B burgdorferi is able to drive the expression of IL‐6, IL‐1β, IL‐23, and TGFβ by cells of the innate immune system and to elicit a synovial fluid Th17 cell response that might play a crucial role in the pathogenesis of Lyme arthritis.
doi_str_mv 10.1002/art.23972
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This study was undertaken to evaluate the role of the innate and acquired immune responses elicited by the neutrophil‐activating protein A (NapA) of B burgdorferi in patients with Lyme arthritis. Methods Serum anti‐NapA antibodies were measured in 27 patients with Lyme arthritis and 30 healthy control subjects. The cytokine profile of synovial fluid T cells specific for NapA was investigated in 5 patients with Lyme arthritis. The cytokine profile induced by NapA in neutrophils and monocytes was also investigated. Results Serum anti‐NapA antibodies were found in 48% of the patients with Lyme arthritis but were undetectable in the healthy controls. T cells from the synovial fluid of patients with Lyme arthritis produced interleukin‐17 (IL‐17) in response to NapA. Moreover, NapA was able to induce the expression of IL‐23 in neutrophils and monocytes, as well as the expression of IL‐6, IL‐1β, and transforming growth factor β (TGFβ) in monocytes, via Toll‐like receptor 2. Conclusion These findings indicate that NapA of B burgdorferi is able to drive the expression of IL‐6, IL‐1β, IL‐23, and TGFβ by cells of the innate immune system and to elicit a synovial fluid Th17 cell response that might play a crucial role in the pathogenesis of Lyme arthritis.</description><identifier>ISSN: 0004-3591</identifier><identifier>EISSN: 1529-0131</identifier><identifier>DOI: 10.1002/art.23972</identifier><identifier>PMID: 18975343</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Antibodies, Bacterial - analysis ; Bacterial Proteins - immunology ; Borrelia burgdorferi - immunology ; Chemokines, CXC - immunology ; Child ; Female ; Humans ; Interleukin-17 - biosynthesis ; Interleukin-17 - immunology ; Interleukin-1beta - biosynthesis ; Interleukin-23 - biosynthesis ; Interleukin-6 - biosynthesis ; Lyme Disease - immunology ; Male ; Middle Aged ; Monocytes - immunology ; Neutrophils - immunology ; Synovial Fluid - immunology ; T-Lymphocytes - immunology ; Transforming Growth Factor beta - biosynthesis</subject><ispartof>Arthritis and rheumatism, 2008-11, Vol.58 (11), p.3609-3617</ispartof><rights>Copyright © 2008 by the American College of Rheumatology</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3892-2c97da3aa1725f438b78b3cffedac5fa7efeb192d82c1d50d7678aaed62fa03b3</citedby><cites>FETCH-LOGICAL-c3892-2c97da3aa1725f438b78b3cffedac5fa7efeb192d82c1d50d7678aaed62fa03b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.23972$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.23972$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18975343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Codolo, Gaia</creatorcontrib><creatorcontrib>Amedei, Amedeo</creatorcontrib><creatorcontrib>Steere, Allen C.</creatorcontrib><creatorcontrib>Papinutto, Elena</creatorcontrib><creatorcontrib>Cappon, Andrea</creatorcontrib><creatorcontrib>Polenghi, Alessandra</creatorcontrib><creatorcontrib>Benagiano, Marisa</creatorcontrib><creatorcontrib>Paccani, Silvia Rossi</creatorcontrib><creatorcontrib>Sambri, Vittorio</creatorcontrib><creatorcontrib>Del Prete, Gianfranco</creatorcontrib><creatorcontrib>Baldari, Cosima Tatiana</creatorcontrib><creatorcontrib>Zanotti, Giuseppe</creatorcontrib><creatorcontrib>Montecucco, Cesare</creatorcontrib><creatorcontrib>D'Elios, Mario Milco</creatorcontrib><creatorcontrib>de Bernard, Marina</creatorcontrib><title>Borrelia burgdorferi NapA–driven Th17 cell inflammation in lyme arthritis</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objective Human Lyme arthritis caused by Borrelia burgdorferi is characterized by an inflammatory infiltrate that consists mainly of neutrophils and T cells. 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This study was undertaken to evaluate the role of the innate and acquired immune responses elicited by the neutrophil‐activating protein A (NapA) of B burgdorferi in patients with Lyme arthritis. Methods Serum anti‐NapA antibodies were measured in 27 patients with Lyme arthritis and 30 healthy control subjects. The cytokine profile of synovial fluid T cells specific for NapA was investigated in 5 patients with Lyme arthritis. The cytokine profile induced by NapA in neutrophils and monocytes was also investigated. Results Serum anti‐NapA antibodies were found in 48% of the patients with Lyme arthritis but were undetectable in the healthy controls. T cells from the synovial fluid of patients with Lyme arthritis produced interleukin‐17 (IL‐17) in response to NapA. Moreover, NapA was able to induce the expression of IL‐23 in neutrophils and monocytes, as well as the expression of IL‐6, IL‐1β, and transforming growth factor β (TGFβ) in monocytes, via Toll‐like receptor 2. Conclusion These findings indicate that NapA of B burgdorferi is able to drive the expression of IL‐6, IL‐1β, IL‐23, and TGFβ by cells of the innate immune system and to elicit a synovial fluid Th17 cell response that might play a crucial role in the pathogenesis of Lyme arthritis.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18975343</pmid><doi>10.1002/art.23972</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Antibodies, Bacterial - analysis
Bacterial Proteins - immunology
Borrelia burgdorferi - immunology
Chemokines, CXC - immunology
Child
Female
Humans
Interleukin-17 - biosynthesis
Interleukin-17 - immunology
Interleukin-1beta - biosynthesis
Interleukin-23 - biosynthesis
Interleukin-6 - biosynthesis
Lyme Disease - immunology
Male
Middle Aged
Monocytes - immunology
Neutrophils - immunology
Synovial Fluid - immunology
T-Lymphocytes - immunology
Transforming Growth Factor beta - biosynthesis
title Borrelia burgdorferi NapA–driven Th17 cell inflammation in lyme arthritis
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