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Clin Vaccine Immunol. 2007 Sep 19;
CVI Accepts, published online ahead of print on 19 September 2007

http://cvi.asm.org/cgi/content/abstract/CVI.00151-07v1

Serum Reactivity against Borrelia burgdorferi OspA in Rheumatoid Arthritis.

Hsieh YF, Liu HW, Hsu TC, Wei JC, Shih CM, Krause PJ, Tsay GJ.

Institute of Immunology, Department of Medicine, Chung Shan Medical University, Taichung, Taiwan, and Department of Parasitology and Tropical Medicine, National Defense Medical Center, Taipei, Taiwan, and Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

* To whom correspondence should be addressed. Email: gjt@csmu.edu.tw

ABSTRACT

Lyme arthritis and rheumatoid arthritis share common clinical features and synovial histology. It is unclear whether they also share a similar pathogenesis.

Previous studies have shown that the severity and duration of Lyme arthritis correlates directly with serum concentrations of antibody against outer surface protein A (OspA) of the causative pathogen Borrelia burgdorferi.

We tested the sera of 68 subjects with rheumatoid arthritis, 147 subjects with other autoimmune diseases, and 44 healthy subjects who had never had Lyme disease, as well as that of 16 patients who had Lyme disease, for reactivity against B. burgdorferi OspA protein.

The sera of about a quarter of the rheumatoid arthritis patients and a tenth of the autoimmune disease and Lyme disease patients reacted against OspA antigen. Of 50 rheumatoid arthritis patients who could be evaluated for disease severity, a 28 joint count Disease Activity Score of >2.6 was noted in 11 of 15 (73%) patients whose sera reacted against OspA antigen and 13 of 35 (37%, p <0.05) whose sera was non-reactive. Serum reactivity against OspA antigen is associated with the pathogenesis of rheumatoid arthritis.

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