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-1beta, and transforming growth factor beta (TGFbeta) 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-1beta, IL-23, and TGFbeta 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.
Codolo, G., Amedei, A., Steere, A.c., Papinutto, E., Cappon, A., Polenghi, A., et al. (2008). Borrelia burgdorferi NapA-driven Th17 cell inflammation in Lyme Arthritis. ARTHRITIS AND RHEUMATISM, 58, 3609-3617.
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|Titolo:||Borrelia burgdorferi NapA-driven Th17 cell inflammation in Lyme Arthritis.|
|Citazione:||Codolo, G., Amedei, A., Steere, A.c., Papinutto, E., Cappon, A., Polenghi, A., et al. (2008). Borrelia burgdorferi NapA-driven Th17 cell inflammation in Lyme Arthritis. ARTHRITIS AND RHEUMATISM, 58, 3609-3617.|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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