Infections: a double-edge sword in autoimmunity.

Abstract:

PURPOSE OF REVIEW:Infections play a role in the pathogenesis of autoimmune diseases (AID). Several bacterial and viral pathogens play a double role, as both inducers and inhibitors of AID. In this review, we will present current evidence and discuss different aspects of this notion. RECENT FINDINGS:Infectors that both inhibit and induce AID include Helicobacter pylori, Klebsiella pneumoniae, hepatitis B virus, group B Coxsackieviruses, Epstein-Barr virus and Lymphocytic choriomeningitis virus. Numerous AID are affected by infections, including polyarteritis nodosa, inflammatory bowel disease, and type 1 diabetes. Some pathogens, such as group B Coxsackieviruses, may induce and inhibit the development of the same AID. This reveals a complex role of infections in autoimmunity pathogenesis. SUMMARY:Elucidating the exact role of each pathogen on each specific AID is important, as this will enable evaluating the manipulation of these infections in the treatment of AID.

journal_name

Curr Opin Rheumatol

authors

Shamriz O,Shoenfeld Y

doi

10.1097/BOR.0000000000000490

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

365-372

issue

4

eissn

1040-8711

issn

1531-6963

pii

00002281-201807000-00012

journal_volume

30

pub_type

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