Carbohydrate mimicry: a new paradigm of autoimmune diseases

Curr Opin Immunol. 2005 Dec;17(6):577-82. doi: 10.1016/j.coi.2005.09.004. Epub 2005 Oct 17.

Abstract

Molecular mimicry of microbial components by self components is thought to be the mechanism that accounts for the antigen and tissue specificity of immune responses in post-infectious autoimmune diseases. Little direct evidence exists, and research in this area has focused principally on T cell mediated anti-peptide responses, rather than on humoral responses to carbohydrate structures. Guillain-Barré syndrome, the most frequent cause of acute neuromuscular paralysis, sometimes occurs after Campylobacter jejuni enteritis. Recent studies have revealed that carbohydrate mimicry of the bacterial lipo-oligosaccharide by the human ganglioside is an important cause of the syndrome. This new concept that carbohydrate mimicry can cause an autoimmune disease provides a clue to inducing the resolution of pathogenesis of other immune-mediated diseases.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Autoantigens / chemistry
  • Autoantigens / immunology*
  • Autoimmune Diseases / immunology
  • Campylobacter Infections / complications*
  • Campylobacter Infections / microbiology
  • Campylobacter jejuni / genetics
  • Gangliosides / chemistry
  • Gangliosides / immunology*
  • Guillain-Barre Syndrome / immunology*
  • Guillain-Barre Syndrome / microbiology
  • Humans
  • Lipopolysaccharides / chemistry
  • Models, Immunological
  • Molecular Mimicry*
  • Polymorphism, Genetic
  • Rabbits

Substances

  • Autoantigens
  • Gangliosides
  • Lipopolysaccharides
  • lipid-linked oligosaccharides