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KMID : 0604220050120040083
Korean Journal Investigative Dermatology
2005 Volume.12 No. 4 p.83 ~ p.92
Lee Ju-Hee

Oh Moon-Ho
Lee Hong-Tak
Jang Jae-Yong
Bang Dong-Sik
Lee Kwang-Hoon
Abstract
Behcet¡¯s disease is a chronic inflammatory disease with unknown etiology. Association with anti-endothelial cell antibody(AECA) has been explored since vascular involvements such as vasculitis, thrombophlebitis, or thrombosis can be observed in Behcet¡¯s disease. Also, AECA was detected in the sera of Behcet¡¯s disease patients. Our previous experiment identified ¥á-enolase as the target protein of AECA in the sera of Behcet¡¯s disease patients by proteomics technique. Streptococcus and autoimmune reaction to oral mucosal antigen have been suggested as the causes of oral ulceration in Behcet¡¯s disease. This study tried to elucidate the association between Streptococcus sanguis(or Streptococcus sanguinis) antigen and anti ¥á-enolase antibody(AAEA). Forty two patients with Behcet¡¯s disease diagnosed at the Behcet¡¯s Disease Special Clinic in Severance Hospital and ten healthy individuals were included in this study. Reaction between anti human ¥á-enolase antibody purified from the sera of the patients and Streptococcus sanguis cell wall antigen were measured by ELISA. Analysis revealed that absorbance in Behcet¡¯s disease patient group was stronger than that in normal control group with statistical significance. Sera from the patients with strong reaction to ¥á-enolase also showed strong reaction to Streptococcus sanguis antigen. Moreover, AAEA used as positive control also showed strong reaction to Streptococcus sanguis antigen. Further 2-D analysis of Streptococcus sanguis protein revealed streptococcal ¥á-enolase as the target protein of AAEA. Therefore, we suggest the possibility of cross-reactivity of anti human ¥á-enolase antibody to Streptococcus sanguis antigen.
KEYWORD
Behcet¡¯s disease, crossreactivity, ¥á-enolase, Streptococcus sanguis, Streptococcus sanguniis
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