Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder

Local synthesis of antibodies and presence of oligoclonal bands in the cerebrospinal fluid (CSF) are hallmarks of multiple sclerosis (MS). We investigated the frequency of antibodies against mycobacterial and relevant human epitopes in the CSF of patients with MS or neuromyelitis optica spectrum dis...

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Main Authors: Kazumasa Yokoyama, Davide Cossu, Yasunobu Hoshino, Yuji Tomizawa, Eiichi Momotani, Nobutaka Hattori
Format: Article
Language:English
Published: MDPI AG 2018-12-01
Series:Journal of Clinical Medicine
Subjects:
MBP
Online Access:https://www.mdpi.com/2077-0383/7/12/522
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spelling doaj-9ea77f73f8b144b6b5e1511a102534972020-11-24T21:23:02ZengMDPI AGJournal of Clinical Medicine2077-03832018-12-0171252210.3390/jcm7120522jcm7120522Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum DisorderKazumasa Yokoyama0Davide Cossu1Yasunobu Hoshino2Yuji Tomizawa3Eiichi Momotani4Nobutaka Hattori5Department of Neurology, Juntendo University School of Medicine, Tokyo 113-8421, JapanDepartment of Neurology, Juntendo University School of Medicine, Tokyo 113-8421, JapanDepartment of Neurology, Juntendo University School of Medicine, Tokyo 113-8421, JapanDepartment of Neurology, Juntendo University School of Medicine, Tokyo 113-8421, JapanDepartment of Human-care, Tohto College of Health Sciences, Saitama 366-0052, JapanDepartment of Neurology, Juntendo University School of Medicine, Tokyo 113-8421, JapanLocal synthesis of antibodies and presence of oligoclonal bands in the cerebrospinal fluid (CSF) are hallmarks of multiple sclerosis (MS). We investigated the frequency of antibodies against mycobacterial and relevant human epitopes in the CSF of patients with MS or neuromyelitis optica spectrum disorder (NMOSD) and whether these antibodies differed from those present in the serum. Matched serum and CSF samples from 46 patients with MS, 42 patients with NMOSD, and 29 age-matched and sex-matched control subjects were screened retrospectively for the presence of antibodies against <i>Mycobacterium avium</i> subsp. <i>paratuberculosis</i> (MAP) pentapeptide (MAP_5p), MAP_2694<sub>295&#8315;303</sub>, and myelin basic protein (MBP)<sub>85&#8315;98</sub> peptides by using indirect ELISA. Serum levels of anti-MAP_5p and anti-MAP_2694<sub>295&#8315;303</sub> antibodies were highly prevalent in patients with MS when compared to patients with NMOSD and controls. Several patients with MS had detectable anti-MAP_5p and anti-MAP_2694<sub>295&#8315;303</sub> antibodies in the CSF. Furthermore, a group of patients with MS showed intrathecally restricted production of antibodies against these peptides. Women appeared to mount a stronger humoral response to mycobacterial peptides than men. No significant difference in the frequency of anti-MBP<sub>85&#8315;98</sub> antibodies was found between patients with MS and those with NMOSD. These data highlight the zoonotic potential of MAP, which suggests its involvement in MS etiopathogenesis.https://www.mdpi.com/2077-0383/7/12/522MycobacteriumJapanhumoral responsecerebrospinal fluidmultiple sclerosisNMOSDMBP
collection DOAJ
language English
format Article
sources DOAJ
author Kazumasa Yokoyama
Davide Cossu
Yasunobu Hoshino
Yuji Tomizawa
Eiichi Momotani
Nobutaka Hattori
spellingShingle Kazumasa Yokoyama
Davide Cossu
Yasunobu Hoshino
Yuji Tomizawa
Eiichi Momotani
Nobutaka Hattori
Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
Journal of Clinical Medicine
Mycobacterium
Japan
humoral response
cerebrospinal fluid
multiple sclerosis
NMOSD
MBP
author_facet Kazumasa Yokoyama
Davide Cossu
Yasunobu Hoshino
Yuji Tomizawa
Eiichi Momotani
Nobutaka Hattori
author_sort Kazumasa Yokoyama
title Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
title_short Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
title_full Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
title_fullStr Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
title_full_unstemmed Anti-Mycobacterial Antibodies in Paired Cerebrospinal Fluid and Serum Samples from Japanese Patients with Multiple Sclerosis or Neuromyelitis Optica Spectrum Disorder
title_sort anti-mycobacterial antibodies in paired cerebrospinal fluid and serum samples from japanese patients with multiple sclerosis or neuromyelitis optica spectrum disorder
publisher MDPI AG
series Journal of Clinical Medicine
issn 2077-0383
publishDate 2018-12-01
description Local synthesis of antibodies and presence of oligoclonal bands in the cerebrospinal fluid (CSF) are hallmarks of multiple sclerosis (MS). We investigated the frequency of antibodies against mycobacterial and relevant human epitopes in the CSF of patients with MS or neuromyelitis optica spectrum disorder (NMOSD) and whether these antibodies differed from those present in the serum. Matched serum and CSF samples from 46 patients with MS, 42 patients with NMOSD, and 29 age-matched and sex-matched control subjects were screened retrospectively for the presence of antibodies against <i>Mycobacterium avium</i> subsp. <i>paratuberculosis</i> (MAP) pentapeptide (MAP_5p), MAP_2694<sub>295&#8315;303</sub>, and myelin basic protein (MBP)<sub>85&#8315;98</sub> peptides by using indirect ELISA. Serum levels of anti-MAP_5p and anti-MAP_2694<sub>295&#8315;303</sub> antibodies were highly prevalent in patients with MS when compared to patients with NMOSD and controls. Several patients with MS had detectable anti-MAP_5p and anti-MAP_2694<sub>295&#8315;303</sub> antibodies in the CSF. Furthermore, a group of patients with MS showed intrathecally restricted production of antibodies against these peptides. Women appeared to mount a stronger humoral response to mycobacterial peptides than men. No significant difference in the frequency of anti-MBP<sub>85&#8315;98</sub> antibodies was found between patients with MS and those with NMOSD. These data highlight the zoonotic potential of MAP, which suggests its involvement in MS etiopathogenesis.
topic Mycobacterium
Japan
humoral response
cerebrospinal fluid
multiple sclerosis
NMOSD
MBP
url https://www.mdpi.com/2077-0383/7/12/522
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