Examples of autoantibody generation in situations where an infectious component or a drug bind to a blood protein
Disease | Antibody target | Clinical symptoms | Clinical severity | Antibody clearance (time) | Chronic autoimmune disease evolution |
---|---|---|---|---|---|
Oropharyngeal infection | PF4 | Cerebral and other thrombosis | + to +++ | 3–6 months | Unknown |
Chicken pox | Protein S | Phlebitis, periheral thrombosis, renal failure, limb extremity necrosis | ++ to +++ | 3–6 months | Possible |
Oropharyngeal infection | Prothrombin | Bruise, prolonged clotting time, bleeding | +/– to +++ | 3–6 months | Possible |
EBV or CMV infection | GP IIb-IIIa | Thrombocytopenia | + to +++ | > 6 months | Frequent |
Influenza infection, others | ADAMTS-13 | iTTP | ++ to +++ | Possible | |
Healing with fibrin glue (bovine thrombin) | Thrombin | Thrombosis, DIC | ++ to +++ | > 3 months | Not reported |
Various infections | B2-GP1, prothrombin | LA, prolonged clotting time, thrombosis, bruise | +/– to +++ | 3 to > 6 months | Possible |
Autoimmune complications, lymphoproliferative disorders, others | Factor XIII | LA-like, delayed hemorrhagia | ++ to +++ | Under investigation | Possible |
Antibiotherapy for antibioresistance | Factor V | Thrombosis, DIC | ++ to +++ | Unknown | Unknown |
EBV: Epstein-Bar virus; CMV: cyto megalo virus; iTTP: idiopathic thrombotic thrombocytopenic purpura; +: weak ; ++: moderate; +++: strong ; +/–: borderline
JA designed the studies and analyzed the results; EL, MV, DR prepared the technical protocols, did the figures and tables, contributed to the literature survey and realized the experimentations; GR redacted analytical protocols, reviewed data, and participated to literature review and synthesis. All authors contributed to manuscript revision, read and approved the submitted version.
JA is consultant for HYPHEN BioMed SAS, EL, MV, DR and GR are employees of HYPHEN BioMed, company which commercializes the Zymutest HIA IgG assay.
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© The Author(s) 2022.