Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1981 May;65(5):323–328. doi: 10.1136/bjo.65.5.323

Uveitis, vitreous humour, and klebsiella. II. Cross-reactivity studies with radioimmunoassay.

J Welsh, H Avakian, A Ebringer
PMCID: PMC1039512  PMID: 7018560

Abstract

Radioimmunoassay with calf and cow vitreous humour-I125 and rabbit antivitreous humour serum has been employed to investigate the immunological cross-reactivity of vitreous humour with bacterial and mammalian tissue antigens. Klebsiella ultrasonicate preparation at a dose fo 10 000 micrograms/ml was found to inhibit the binding of vitreous humour by 25-100% (p less than 0.001), compared with an inhibition of 5-30% by a similar quantity of E. coli ultrasonicate preparation. Equivalent amounts of Streptococcus pyogenes antigen, bovine haemoglobin, and hyaluronic acid had no inhibitory effect, while horse spleen ferritin was found to inhibit vitreous humour binding between 0 and 10%. These results indicate that klebsiella micro-organisms have antigens which partially resemble some eyeball components. It is suggested that acute anterior uveitis of ankylosing spondylitis may be produced by anti-Gram-negative bacterial antibodies binding to cross-reacting eye antigens.

Full text

PDF
323

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Avakian H., Abuknesha R., Welsh J., Ebringer A. Uveitis, vitreous humor, and klebsiella. I. Binding studies with rabbit antisera. Br J Ophthalmol. 1981 May;65(5):315–322. doi: 10.1136/bjo.65.5.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Avakian H., Welsh J., Ebringer A., Entwistle C. C. Ankylosing spondylitis, HLA-B27 and Klebsiella. II. Cross-reactivity studies with human tissue typing sera. Br J Exp Pathol. 1980 Feb;61(1):92–96. [PMC free article] [PubMed] [Google Scholar]
  3. Boyden S. V. Natural antibodies and the immune response. Adv Immunol. 1966;5:1–28. doi: 10.1016/s0065-2776(08)60271-0. [DOI] [PubMed] [Google Scholar]
  4. Brewerton D. A. Joseph J. Bunim Memorial Lecture. HLA-B27 and the inheritance of susceptibility to rheumatic disease. Arthritis Rheum. 1976 Jul-Aug;19(4):656–668. doi: 10.1002/1529-0131(197607/08)19:4<656::aid-art1780190402>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  5. Curvall M., Lindberg B., Lönngren J. Structural studies of the capsular polysaccharide of Klebsiella type 28. Carbohydr Res. 1975 Jun;42(1):95–105. doi: 10.1016/s0008-6215(00)84103-8. [DOI] [PubMed] [Google Scholar]
  6. Eastmond C. J., Willshaw H. E., Burgess S. E., Shinebaum R., Cooke E. M., Wright V. Frequency of faecal Klebsiella aerogenes in patients with ankylosing spondylitis and controls with respect to individual features of the disease. Ann Rheum Dis. 1980 Apr;39(2):118–123. doi: 10.1136/ard.39.2.118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Ebringer R. W., Cawdell D. R., Cowling P., Ebringer A. Sequential studies in ankylosing spondylitis. Association of Klebsiella pneumoniae with active disease. Ann Rheum Dis. 1978 Apr;37(2):146–151. doi: 10.1136/ard.37.2.146. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ebringer R., Cawdell D., Ebringer A. Klebsiella pneumoniae and acute anterior uveitis in ankylosing spondylitis. Br Med J. 1979 Feb 10;1(6160):383–383. doi: 10.1136/bmj.1.6160.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Exley D., Avakian H. The relationship of specificity to affinity of anti-hapten sera. J Steroid Biochem. 1977 Nov;8(11):1153–1158. doi: 10.1016/0022-4731(77)90066-8. [DOI] [PubMed] [Google Scholar]
  10. Hirata A. A., McIntire F. C., Terasaki P. I., Mittal K. K. Cross reactions between human transplantation antigens and bacterial lipopolysaccharides. Transplantation. 1973 May;15(5):441–445. [PubMed] [Google Scholar]
  11. Mapstone R., Woodrow J. C. Letter: Acute anterior uveitis and HL-A 27. Lancet. 1974 Apr;1(7859):681–682. doi: 10.1016/s0140-6736(74)93235-8. [DOI] [PubMed] [Google Scholar]
  12. Rosenbaum J. T., McDevitt H. O., Guss R. B., Egbert P. R. Endotoxin-induced uveitis in rats as a model for human disease. Nature. 1980 Aug 7;286(5773):611–613. doi: 10.1038/286611a0. [DOI] [PubMed] [Google Scholar]
  13. Schaller J. G., Johnson G. D., Holborow E. J., Ansell B. M., Smiley W. K. The association of antinuclear antibodies with the chronic iridocyclitis of juvenile rheumatoid arthritis (Still's disease). Arthritis Rheum. 1974 Jul-Aug;17(4):409–416. doi: 10.1002/art.1780170411. [DOI] [PubMed] [Google Scholar]
  14. Seager K., Bashir H. V., Geczy A. F., Edmonds J., de Vere-Tyndall A. Evidence for a specific B27-associated cell surface marker on lymphocytes of patients with ankylosing spondylitis. Nature. 1979 Jan 4;277(5691):68–70. doi: 10.1038/277068a0. [DOI] [PubMed] [Google Scholar]
  15. WAKSMAN B. H., BULLINGTON S. J. Studies of arthritis and other lesions induced in rats by injection of mycobacterial adjuvant. III. Lesions of the eye. Arch Ophthalmol. 1960 Nov;64:751–762. doi: 10.1001/archopht.1960.01840010753018. [DOI] [PubMed] [Google Scholar]
  16. Welsh J., Avakian H., Cowling P., Ebringer A., Wooley P., Panayi G., Ebringer R. Ankylosing spondylitis, HLA-B27 and Klebsiella. I. Cross-reactivity studies with rabbit antisera. Br J Exp Pathol. 1980 Feb;61(1):85–91. [PMC free article] [PubMed] [Google Scholar]
  17. Woodrow J. C. HL-A 27 and Reiter's syndrome. Lancet. 1973 Sep 22;2(7830):671–672. doi: 10.1016/s0140-6736(73)92505-1. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES