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Open AccessJournal ArticleDOI

Serologic response to the Borrelia burgdorferi flagellin demonstrates an epitope common to a neuroblastoma cell line

TLDR
The data suggest that the immune response to a specific B-cell epitope within flagellin, shared by a human neuroblastoma cell line, may be involved in the pathogenesis of neuroborreliosis.
Abstract
Antibodies in sera of 7 patients with neurologic manifestations of Lyme borreliosis and a monoclonal antibody (mAb H9724) to the flagellin of Borrelia burgdorferi have been shown to bind neural tissue. To identify the antibody binding site common to the B. burgdorferi flagellin and the neural tissue, we made recombinant fusion proteins expressing epitopes of flagellin. Antibodies in patients' sera and mAb H9724 bound within an 18-amino acid epitope (residues 208-225) in the central region of flagellin, whereas two other mAbs bound to epitopes mapping elsewhere in the protein. Antibodies in patients sera and mAb H9724 also bound to a human neuroblastoma cell line. Absorption of patients sera with a peptide, EGVQQEGAQQPA, corresponding to amino acids 213-224 of flagellin, inhibited binding to the neuroblastoma cell line. The data suggest that the immune response to a specific B-cell epitope within flagellin, shared by a human neuroblastoma cell line, may be involved in the pathogenesis of neuroborreliosis.

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The role of infections in autoimmune disease.

TL;DR: The ways in which an infectious agent can initiate or exacerbate autoimmunity are described and the evidence linking certain infectious agents to autoimmune diseases in humans and animal models are discussed.
Journal ArticleDOI

LYME DISEASE:A Review of Aspects of Its Immunology and Immunopathogenesis

TL;DR: Significant variation in certain of the outer surface proteins suggests that multiple proteins, peptides, or chimeric vaccines may be needed to provide a sufficiently broad humoral protective response.
Journal ArticleDOI

Lyme neuroborreliosis: Lyme Neuroborreliosis

TL;DR: A chronological approach to clinical neuroborreliosis is taken to summarize its most important aspects and recent advances in neuroimmunology regarding the pathogenesis of neurobor Reliosis that may elucidate its protean clinical spectrum are summarized.
Journal ArticleDOI

Inflammation and central nervous system Lyme disease.

TL;DR: The evidence for and mechanisms of inflammation in neurologic Lyme disease, with a specific focus on the central nervous system, are examined, drawing upon human studies and controlled research with experimentally infected rhesus monkeys.
Journal ArticleDOI

Immunity to Lyme disease: protection, pathology and persistence.

TL;DR: Evidence from the past year indicates that modulation of surface antigens by the spirochete may be a major mechanism for evading the immune response.
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