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Proceedings of the National Academy of Sciences of the United States of America logoLink to Proceedings of the National Academy of Sciences of the United States of America
. 1996 Mar 19;93(6):2257–2259. doi: 10.1073/pnas.93.6.2257

Viruses, cytokines, antigens, and autoimmunity.

R Gianani 1, N Sarvetnick 1
PMCID: PMC39782  PMID: 8637859

Abstract

To explain the pathogenesis of autoimmunity, we hypothesize that following an infection the immune response spreads to tissue-specific autoantigens in genetically predisposed individuals eventually determining progression to disease. Molecular mimicry between viral and self antigens could, in some instances, initiate autoimmunity. Local elicitation of inflammatory cytokines following infection probably plays a pivotal role in determining loss of functional tolerance to self autoantigens and the destructive activation of autoreactive cells. We also describe the potential role of interleukin 10, a powerful B-cell activator, in increasing the efficiency of epitope recognition, that could well be crucial to the progression toward disease.

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Selected References

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  1. Abu-Shakra M., Shoenfeld Y. Chronic infections and autoimmunity. Immunol Ser. 1991;55:285–313. [PubMed] [Google Scholar]
  2. AvRuskin T. W., Brakin M., Juan C. Congenital rubella and myxedema. Pediatrics. 1982 Apr;69(4):495–496. [PubMed] [Google Scholar]
  3. Baekkeskov S., Aanstoot H. J., Christgau S., Reetz A., Solimena M., Cascalho M., Folli F., Richter-Olesen H., De Camilli P., Camilli P. D. Identification of the 64K autoantigen in insulin-dependent diabetes as the GABA-synthesizing enzyme glutamic acid decarboxylase. Nature. 1990 Sep 13;347(6289):151–156. doi: 10.1038/347151a0. [DOI] [PubMed] [Google Scholar]
  4. Barrett S. P., van Driel I. R., Tan S. S., Alderuccio F., Toh B. H., Gleeson P. A. Expression of a gastric autoantigen in pancreatic islets results in non-destructive insulitis after neonatal thymectomy. Eur J Immunol. 1995 Sep;25(9):2686–2694. doi: 10.1002/eji.1830250943. [DOI] [PubMed] [Google Scholar]
  5. Comas A. P. Letter: Congenital rubella and acquired hypothyroidism secondary to Hashimoto thyroiditis. J Pediatr. 1976 Jun;88(6):1065–1066. doi: 10.1016/s0022-3476(76)81087-6. [DOI] [PubMed] [Google Scholar]
  6. Daniel D., Gill R. G., Schloot N., Wegmann D. Epitope specificity, cytokine production profile and diabetogenic activity of insulin-specific T cell clones isolated from NOD mice. Eur J Immunol. 1995 Apr;25(4):1056–1062. doi: 10.1002/eji.1830250430. [DOI] [PubMed] [Google Scholar]
  7. Elliott J. F., Qin H. Y., Bhatti S., Smith D. K., Singh R. K., Dillon T., Lauzon J., Singh B. Immunization with the larger isoform of mouse glutamic acid decarboxylase (GAD67) prevents autoimmune diabetes in NOD mice. Diabetes. 1994 Dec;43(12):1494–1499. doi: 10.2337/diab.43.12.1494. [DOI] [PubMed] [Google Scholar]
  8. Forrest J. M., Menser M. A., Burgess J. A. High frequency of diabetes mellitus in young adults with congenital rubella. Lancet. 1971 Aug 14;2(7720):332–334. doi: 10.1016/s0140-6736(71)90057-2. [DOI] [PubMed] [Google Scholar]
  9. Forsgren S., Andersson A., Hillörn V., Söderström A., Holmberg D. Immunoglobulin-mediated prevention of autoimmune diabetes in the non-obese diabetic (NOD) mouse. Scand J Immunol. 1991 Oct;34(4):445–451. doi: 10.1111/j.1365-3083.1991.tb01567.x. [DOI] [PubMed] [Google Scholar]
  10. Foulis A. K., Liddle C. N., Farquharson M. A., Richmond J. A., Weir R. S. The histopathology of the pancreas in type 1 (insulin-dependent) diabetes mellitus: a 25-year review of deaths in patients under 20 years of age in the United Kingdom. Diabetologia. 1986 May;29(5):267–274. doi: 10.1007/BF00452061. [DOI] [PubMed] [Google Scholar]
  11. Gelber C., Paborsky L., Singer S., McAteer D., Tisch R., Jolicoeur C., Buelow R., McDevitt H., Fathman C. G. Isolation of nonobese diabetic mouse T-cells that recognize novel autoantigens involved in the early events of diabetes. Diabetes. 1994 Jan;43(1):33–39. doi: 10.2337/diab.43.1.33. [DOI] [PubMed] [Google Scholar]
  12. Gepts W. Pathologic anatomy of the pancreas in juvenile diabetes mellitus. Diabetes. 1965 Oct;14(10):619–633. doi: 10.2337/diab.14.10.619. [DOI] [PubMed] [Google Scholar]
  13. Ginsberg-Fellner F., Witt M. E., Yagihashi S., Dobersen M. J., Taub F., Fedun B., McEvoy R. C., Roman S. H., Davies R. G., Cooper L. Z. Congenital rubella syndrome as a model for type 1 (insulin-dependent) diabetes mellitus: increased prevalence of islet cell surface antibodies. Diabetologia. 1984 Jul;27 (Suppl):87–89. doi: 10.1007/BF00275655. [DOI] [PubMed] [Google Scholar]
  14. Gu D., Wogensen L., Calcutt N. A., Xia C., Zhu S., Merlie J. P., Fox H. S., Lindstrom J., Powell H. C., Sarvetnick N. Myasthenia gravis-like syndrome induced by expression of interferon gamma in the neuromuscular junction. J Exp Med. 1995 Feb 1;181(2):547–557. doi: 10.1084/jem.181.2.547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Haskins K., McDuffie M. Acceleration of diabetes in young NOD mice with a CD4+ islet-specific T cell clone. Science. 1990 Sep 21;249(4975):1433–1436. doi: 10.1126/science.2205920. [DOI] [PubMed] [Google Scholar]
  16. Kaufman D. L., Clare-Salzler M., Tian J., Forsthuber T., Ting G. S., Robinson P., Atkinson M. A., Sercarz E. E., Tobin A. J., Lehmann P. V. Spontaneous loss of T-cell tolerance to glutamic acid decarboxylase in murine insulin-dependent diabetes. Nature. 1993 Nov 4;366(6450):69–72. doi: 10.1038/366069a0. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lee M. S., von Herrath M., Reiser H., Oldstone M. B., Sarvetnick N. Sensitization to self (virus) antigen by in situ expression of murine interferon-gamma. J Clin Invest. 1995 Feb;95(2):486–492. doi: 10.1172/JCI117689. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Lio S., Pontecorvi A., Caruso M., Monaco F., D'Armiento M. Transitory subclinical and permanent hypothyroidism in the course of subacute thyroiditis (de Quervain). Acta Endocrinol (Copenh) 1984 May;106(1):67–70. doi: 10.1530/acta.0.1060067. [DOI] [PubMed] [Google Scholar]
  19. Lühder F., Woltanski K. P., Hamann J., Klöting I., Ziegler B., Ziegler M. Detection of antibodies against both isoforms of glutamate decarboxylase in BB/OK rats by western blotting and immuno trapping enzyme activity assay. Diabetes Res. 1992;20(4):97–107. [PubMed] [Google Scholar]
  20. Mamula M. J., Craft J. The expression of self antigenic determinants: implications for tolerance and autoimmunity. Curr Opin Immunol. 1994 Dec;6(6):882–886. doi: 10.1016/0952-7915(94)90008-6. [DOI] [PubMed] [Google Scholar]
  21. Mitchison N. A. Immunological paralysis induced by brief exposure of cells to protein antigens. Immunology. 1968 Oct;15(4):531–547. [PMC free article] [PubMed] [Google Scholar]
  22. Muir A., Peck A., Clare-Salzler M., Song Y. H., Cornelius J., Luchetta R., Krischer J., Maclaren N. Insulin immunization of nonobese diabetic mice induces a protective insulitis characterized by diminished intraislet interferon-gamma transcription. J Clin Invest. 1995 Feb;95(2):628–634. doi: 10.1172/JCI117707. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Oldstone M. B. Molecular mimicry and autoimmune disease. Cell. 1987 Sep 11;50(6):819–820. doi: 10.1016/0092-8674(87)90507-1. [DOI] [PubMed] [Google Scholar]
  24. Pietropaolo M., Castaño L., Babu S., Buelow R., Kuo Y. L., Martin S., Martin A., Powers A. C., Prochazka M., Naggert J. Islet cell autoantigen 69 kD (ICA69). Molecular cloning and characterization of a novel diabetes-associated autoantigen. J Clin Invest. 1993 Jul;92(1):359–371. doi: 10.1172/JCI116574. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Pleau J. M., Fernandez-Saravia F., Esling A., Homo-Delarche F., Dardenne M. Prevention of autoimmune diabetes in nonobese diabetic female mice by treatment with recombinant glutamic acid decarboxylase (GAD 65). Clin Immunol Immunopathol. 1995 Jul;76(1 Pt 1):90–95. doi: 10.1006/clin.1995.1092. [DOI] [PubMed] [Google Scholar]
  26. Rabinowe S. L., George K. L., Loughlin R., Soeldner J. S., Eisenbarth G. S. Congenital rubella. Monoclonal antibody-defined T cell abnormalities in young adults. Am J Med. 1986 Nov;81(5):779–782. doi: 10.1016/0002-9343(86)90344-x. [DOI] [PubMed] [Google Scholar]
  27. Roep B. O., Kallan A. A., Hazenbos W. L., Bruining G. J., Bailyes E. M., Arden S. D., Hutton J. C., de Vries R. R. T-cell reactivity to 38 kD insulin-secretory-granule protein in patients with recent-onset type 1 diabetes. Lancet. 1991 Jun 15;337(8755):1439–1441. doi: 10.1016/0140-6736(91)93127-u. [DOI] [PubMed] [Google Scholar]
  28. Rubinstein P., Walker M. E., Fedun B., Witt M. E., Cooper L. Z., Ginsberg-Fellner F. The HLA system in congenital rubella patients with and without diabetes. Diabetes. 1982 Dec;31(12):1088–1091. doi: 10.2337/diacare.31.12.1088. [DOI] [PubMed] [Google Scholar]
  29. Sarvetnick N., Shizuru J., Liggitt D., Martin L., McIntyre B., Gregory A., Parslow T., Stewart T. Loss of pancreatic islet tolerance induced by beta-cell expression of interferon-gamma. Nature. 1990 Aug 30;346(6287):844–847. doi: 10.1038/346844a0. [DOI] [PubMed] [Google Scholar]
  30. Schopfer K., Matter L., Flueler U., Werder E. Diabetes mellitus, endocrine autoantibodies, and prenatal rubella infection. Lancet. 1982 Jul 17;2(8290):159–159. doi: 10.1016/s0140-6736(82)91126-6. [DOI] [PubMed] [Google Scholar]
  31. Sospedra M., Obiols G., Babi L. F., Tolosa E., Vargas F., Roura-Mir C., Lucas-Martin A., Ercilla G., Pujol-Borrell R. Hyperinducibility of HLA class II expression of thyroid follicular cells from Graves' disease. A primary defect? J Immunol. 1995 Apr 15;154(8):4213–4222. [PubMed] [Google Scholar]
  32. Thomson G., Robinson W. P., Kuhner M. K., Joe S., MacDonald M. J., Gottschall J. L., Barbosa J., Rich S. S., Bertrams J., Baur M. P. Genetic heterogeneity, modes of inheritance, and risk estimates for a joint study of Caucasians with insulin-dependent diabetes mellitus. Am J Hum Genet. 1988 Dec;43(6):799–816. [PMC free article] [PubMed] [Google Scholar]
  33. Tisch R., Yang X. D., Singer S. M., Liblau R. S., Fugger L., McDevitt H. O. Immune response to glutamic acid decarboxylase correlates with insulitis in non-obese diabetic mice. Nature. 1993 Nov 4;366(6450):72–75. doi: 10.1038/366072a0. [DOI] [PubMed] [Google Scholar]
  34. Tomer Y., Davies T. F. Infection, thyroid disease, and autoimmunity. Endocr Rev. 1993 Feb;14(1):107–120. doi: 10.1210/edrv-14-1-107. [DOI] [PubMed] [Google Scholar]
  35. Volpé R., Row V. V., Ezrin C. Circulating viral and thyroid antibodies in subacute thyroiditis. J Clin Endocrinol Metab. 1967 Sep;27(9):1275–1284. doi: 10.1210/jcem-27-9-1275. [DOI] [PubMed] [Google Scholar]
  36. Wartofsky L., Schaaf M. Graves' disease with thyrotoxicosis following subacute thyroiditis. Am J Med. 1987 Oct;83(4):761–764. doi: 10.1016/0002-9343(87)90910-7. [DOI] [PubMed] [Google Scholar]
  37. Weetman A. P., Smallridge R. C., Nutman T. B., Burman K. D. Persistent thyroid autoimmunity after subacute thyroiditis. J Clin Lab Immunol. 1987 May;23(1):1–6. [PubMed] [Google Scholar]
  38. Werner S. C. Graves' disease following acute (subacute) thyroiditis. Arch Intern Med. 1979 Nov;139(11):1313–1315. [PubMed] [Google Scholar]
  39. Whitnall M. H., Gainer H., Cox B. M., Molineaux C. J. Dynorphin-A-(1-8) is contained within vasopressin neurosecretory vesicles in rat pituitary. Science. 1983 Dec 9;222(4628):1137–1139. doi: 10.1126/science.6648526. [DOI] [PubMed] [Google Scholar]
  40. Wogensen L., Lee M. S., Sarvetnick N. Production of interleukin 10 by islet cells accelerates immune-mediated destruction of beta cells in nonobese diabetic mice. J Exp Med. 1994 Apr 1;179(4):1379–1384. doi: 10.1084/jem.179.4.1379. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Wucherpfennig K. W., Strominger J. L. Molecular mimicry in T cell-mediated autoimmunity: viral peptides activate human T cell clones specific for myelin basic protein. Cell. 1995 Mar 10;80(5):695–705. doi: 10.1016/0092-8674(95)90348-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Zhang Z. J., Davidson L., Eisenbarth G., Weiner H. L. Suppression of diabetes in nonobese diabetic mice by oral administration of porcine insulin. Proc Natl Acad Sci U S A. 1991 Nov 15;88(22):10252–10256. doi: 10.1073/pnas.88.22.10252. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. Ziring P. R., Fedun B. A., Cooper L. Z. Letter: Thyrotoxicosis in congenital rubella. J Pediatr. 1975 Dec;87(6 Pt 1):1002–1002. doi: 10.1016/s0022-3476(75)80930-9. [DOI] [PubMed] [Google Scholar]

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