FYI

Chris Gupta

<http://dailynews.yahoo.com/headlines/health/story.html?s=z/reuters/980730/
health/stories/lyme9_1.html>http://dailynews.yahoo.com/headlines/health/sto
ry.html?s=z/reuters/980730/health/stories/lyme9_1.html

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Thursday July 30 7:52 PM EDT 


Potential cause of Lyme arthritis discovered

NEW YORK, Jul 30 (Reuters) -- A human protein called LFA-1 appears to be a
second target for an immune system activated to fight the bacteria that causes
Lyme disease. The finding may explain why some individuals with Lyme disease
develop arthritis-like complications that persist even after the infection has
been treated. 

The report is published in the July 31st issue of the journal Science. 

About 1 in 10 patients with Lyme arthritis develop a treatment-resistant form
of the disorder, which usually affects one knee and can last for years.
Researchers proposed that immune cells directed against the Lyme disease
spirochete may also mistakenly attack proteins normally found on cells,
releasing substances called cytokines that may cause tissue damage and joint
destruction. 

Dr. Dawn M. Gross of Tufts University in Boston, Massachusetts, and
multicenter
researchers explain that immune reactivity in Lyme disease is directed against
the outer surface protein A (OspA) of Borrelia burgdorferi, the Lyme disease
spirochete. They identified the specific section of this protein that
activates
immune cells when the body is infected with the Lyme disease bacteria. Gross
and others then found that this OspA protein was very similar physically to a
portion of a protein found on human cells, human leukocyte function-associated
antigen-1, or hLFA-1. 

The researchers also found that this type of overactive immune response is
most
common in people with particular genes that make them more susceptible to
autoimmune diseases, such as rheumatoid arthritis. In these diseases, the
patient's immune system is believed to play a role in triggering the disease
process. 

The findings offer a potential model for the mechanisms underlying
treatment-resistant Lyme disease arthritis. Gross and colleagues explain that
"...a vicious cycle is initiated so that, even after elimination of the (Lyme
disease bacteria) by antibiotic therapy, the OspA-primed T (immune) cells
remain activated by stimulation with LFA-1." The resulting inflammatory
response may cause joint damage. 

Steve Dickman, a writer in Cambridge, Massachusetts, notes in an accompanying
editorial that the new findings raise concern that some individuals vaccinated
with an OspA-based Lyme disease vaccine could have autoimmune reactions. 

"Ongoing surveillance will be important" to detect any such adverse effects of
the vaccines in development, Dickman says. SOURCE: Science 1998;281:631-632,
703-705. 

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