A bacterium lipopolysaccharide that elicits Guillain-Barré syndrome has a GM1 ganglioside-like structure.

作者: N Yuki , T Taki , F Inagaki , T Kasama , M Takahashi

DOI: 10.1084/JEM.178.5.1771

关键词: MicrobiologyLipopolysaccharideCholera toxinMolecular mimicryAntigenTetrasaccharideCampylobacter jejuniPathogenesisOligosaccharideChemistry

摘要: There is a strong association between Guillain-Barre syndrome (GBS) and Penner's serotype 19 (PEN 19) of Campylobacter jejuni. Sera from patients with GBS after C. jejuni infection have autoantibodies to GM1 ganglioside in the acute phase illness. Our previous work has suggested that results an immune response cross-reactive antigen lipopolysaccharide (LPS) Gram-negative bacterium membrane components peripheral nerves. To clarify pathogenesis GBS, we investigated whether GM1-oligosaccharide structure present LPS was isolated patient. After extraction LPS, showing binding activity cholera toxin, specifically recognizes purified by silica bead column chromatography. Gas-liquid chromatography-mass spectrometric analysis shown contained Gal, GalNAc, NeuAc, which are sugar ganglioside. 1H NMR methods [Carr-Purcell-Meiboom-Gill (CPMG), total correlation spectroscopy (TOCSY), nuclear Overhauser effect (NOESY)] revealed oligosaccharide [Gal beta 1-3 GalNAc 1-4(NeuAc alpha 2-3)Gal beta] protrude core. This terminal 1-3GalNAc identical tetrasaccharide first study demonstrate existence molecular mimicry nerve tissue infectious agent elicits GBS.

参考文章(24)
G O Aspinall, A G McDonald, T S Raju, H Pang, S D Mills, L A Kurjanczyk, J L Penner, Serological diversity and chemical structures of Campylobacter jejuni low-molecular-weight lipopolysaccharides. Journal of Bacteriology. ,vol. 174, pp. 1324- 1332 ,(1992) , 10.1128/JB.174.4.1324-1332.1992
F. Inagaki, D. Kohda, C. Kodama, A. Suzuki, Analysis of NMR spectra of sugar chains of glycolipids by multiple relayed COSY and 2D homonuclear FEBS Letters. ,vol. 212, pp. 91- 97 ,(1987) , 10.1016/0014-5793(87)81563-6
NOBUHIRO YUKI, SHIZUO HANDA, TAKAO TAKI, TAKESHI KASAMA, MASAKI TAKAHASHI, KAHIKO SAITO, TADASHI MIYATAKE, Cross-reactive antigen between nervous tissue and a bacterium elicits Guillain-Barre syndrome : molecular mimicry between ganglioside GM1 and lipopolysaccharide from Penner's serotype 19 of Campylobacter jejuni Biomedical Research-tokyo. ,vol. 13, pp. 451- 453 ,(1992) , 10.2220/BIOMEDRES.13.451
I.L. Simone, P. Annunziata, D. Maimone, M. Liguori, R. Leante, P. Livrea, Serum and CSF anti-GM1 antibodies in patients with Guillain-Barré syndrome and chronic inflammatory demyelinating polyneuropathy Journal of the Neurological Sciences. ,vol. 114, pp. 49- 55 ,(1993) , 10.1016/0022-510X(93)90048-4
Gerald O. ASPINALL, Armando G. McDONALD, T. Shantha RAJU, Henrianna PANG, Linda A. KURJANCZYK, John L. PENNER, Anthony P. MORAN, Chemical structure of the core region of Campylobacter jejuni serotype O:2 lipopolysaccharide. FEBS Journal. ,vol. 213, pp. 1029- 1037 ,(1993) , 10.1111/J.1432-1033.1993.TB17850.X
Norman Latov, CarolL. Koski, PatriciaA. Walicke, PeterS. Schönhöfer, Guillain-Barré syndrome and parenteral gangliosides The Lancet. ,vol. 338, pp. 757- ,(1991) , 10.1016/0140-6736(91)91475-A
Yoshitaka Nagai, Takashi Momoi, Masaki Saito, Eizo Mitsuzawa, Sugishi Ohtani, Ganglioside syndrome, a new autoimmune neurologic disorder, experimentally induced with brain gangliosides Neuroscience Letters. ,vol. 2, pp. 107- 111 ,(1976) , 10.1016/0304-3940(76)90033-1
Eduardo Nobile-Orazio, Marinella Carpo, Nicoletta Meucci, Maria Pia Grassi, Erminio Capitani, Monica Sciacco, Alfonso Mangoni, Guglielmo Scarlato, Guillain-Barré syndrome associated with high titers of anti-GM1 antibodies. Journal of the Neurological Sciences. ,vol. 109, pp. 200- 206 ,(1992) , 10.1016/0022-510X(92)90169-L