title: Juvenile rheumatoid arthritis patients manifest immune reactivity to the mycobacterial 65-kDa heat shock protein, to its 180-188 peptide, and to a partially homologous peptide of the proteoglycan link protein.
abstract: Immune reactivity to the 65-kDa mycobacterial heat shock protein (hsp65) has been associated with arthritis in rats and humans. In this report we evaluated patients with juvenile rheumatoid arthritis for such immunity. A high proportion of affected children showed both antibody and T lymphocyte responses to hsp65 and to two related peptides: the nonapeptide 180-188 sequence of hsp65 and a partially homologous peptide of the cartilage proteoglycan link protein. The titer of circulating antibodies was generally higher in patients with clinically active disease. In contrast to the juvenile rheumatoid arthritis patients, patients with adult rheumatoid arthritis tended to have lower responses of their peripheral blood T lymphocytes to the whole hsp65 molecule. Moreover, the adult rheumatoid arthritis patients did not respond to the peptides. Thus, there appear to be immunological differences between juvenile and adult forms of rheumatoid arthritis related to hsp65 reactivity.
authors.affiliation: Istituto di Clinica Medica, Università di Ancona, Italy.
authors.forename: M G
authors.initials: MG
authors.lastname: Danieli
authors.forename: D
authors.initials: D
authors.lastname: Markovits
authors.forename: A
authors.initials: A
authors.lastname: Gabrielli
authors.forename: A
authors.initials: A
authors.lastname: Corvetta
authors.forename: P L
authors.initials: PL
authors.lastname: Giorgi
authors.forename: R
authors.initials: R
authors.lastname: van der Zee
authors.forename: J D
authors.initials: JD
authors.lastname: van Embden
authors.forename: G
authors.initials: G
authors.lastname: Danieli
authors.forename: I R
authors.initials: IR
authors.lastname: Cohen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000595:Amino Acid Sequence; D000906:Antibodies / Q000276:immunology; D000937:Antigen-Antibody Reactions; D001171:Arthritis, Juvenile / Q000276:immunology*; D001426:Bacterial Proteins; D018834:Chaperonin 60; D018833:Chaperonins; D002648:Child; D002675:Child, Preschool; D016326:Extracellular Matrix Proteins; D005260:Female; D006360:Heat-Shock Proteins / Q000276:immunology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D010446:Peptide Fragments / Q000276:immunology*; D011506:Proteins / Q000276:immunology*; D011509:Proteoglycans / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology; D000099249:Proteoglycan Link Protein
chemical_list: D000906:Antibodies; D001426:Bacterial Proteins; D018834:Chaperonin 60; D018833:Chaperonins; D016326:Extracellular Matrix Proteins; D006360:Heat-Shock Proteins; D010446:Peptide Fragments; D011506:Proteins; D011509:Proteoglycans; D000099249:Proteoglycan Link Protein; C074119:heat-shock protein 65, Mycobacterium