Syphilitic infection: a study on the factors of the innate humoral immune response

For the purpose of studying the immunopathogenesis and the search for novel biomarkers for the assessment of syphilitic infection activity, we analyzed B1 cells, that are responsible for basal protection and primary immune reactivity and for generating broad specificity antibodies, and estimated the...

Full description

Saved in:
Bibliographic Details
Main Authors: N. K. Levchik, N. V. Zilberberg, M. V. Ponomareva, O. A. Belykh
Format: Article
Language:Russian
Published: Open Systems Publication 2022-04-01
Series:Лечащий Врач
Subjects:
Online Access:https://journal.lvrach.ru/jour/article/view/911
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850065461339750400
author N. K. Levchik
N. V. Zilberberg
M. V. Ponomareva
O. A. Belykh
author_facet N. K. Levchik
N. V. Zilberberg
M. V. Ponomareva
O. A. Belykh
author_sort N. K. Levchik
collection DOAJ
description For the purpose of studying the immunopathogenesis and the search for novel biomarkers for the assessment of syphilitic infection activity, we analyzed B1 cells, that are responsible for basal protection and primary immune reactivity and for generating broad specificity antibodies, and estimated the frequency of occurrence of different autoantibodies. B1 cells are an innate subpopulation of B cells in the fetal hematopoiesis responsible for natural antibody production in the absence of exogenous stimulation. The protective function of B1 cells is to provide protection during the lag phase, the latent period necessary for the deployment of adaptive/acquired immunity mechanisms upon encountering an infectious agent, and in the regulation of subsequent immune responses. B1 cells produce antibodies that bind with low affinity to microbial structures common to various pathogens. Subsequent contact with the antigen leads to an increase in affinity, an increase in antibody titer and the formation of their stable level. Peripheral blood levels of B1(CD19+CD5+) cells were evaluated using flow cytometry in 96 patients with syphilis. Elevated proportions of B1 cells relative to all B lymphocytes have been documented in 44% (95% CI 34-55%) patients. No significant difference was seen regarding clinical form of the disease, gender, age, HIV coinfection, Jarisch – Herxheimer reaction, and antibody titres of non-treponemal tests. There was no statistical correlation between B1 cells and other B- and T-cell subsets. Antibodies against oxidized low-density lipoprotein and cardiolipin were detected more frequently than antibodies against mitochondrial antigen M2, modified citrullinated vimentin, cyclic citrullinated peptide, nuclear antigens, myeloperoxidase, proteinase 3, Fc portion of immunoglobulin G. Overall, the results indicate that B1 cells and phospholipidspecific antibodies are involved in the immune response in syphilis. Improving understanding of the immune response to Treponema pallidum may help develop new diagnostic approaches.
format Article
id doaj-art-4ef3f43bc1434778b33e3fb28b7b3d9c
institution DOAJ
issn 1560-5175
2687-1181
language Russian
publishDate 2022-04-01
publisher Open Systems Publication
record_format Article
series Лечащий Врач
spelling doaj-art-4ef3f43bc1434778b33e3fb28b7b3d9c2025-08-20T02:49:01ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812022-04-0104333710.51793/OS.2022.25.4.006906Syphilitic infection: a study on the factors of the innate humoral immune responseN. K. Levchik0N. V. Zilberberg1M. V. Ponomareva2O. A. Belykh3State Budgetary Institution of the Sverdlovsk Region Ural Research Institute of Dermatology, Venereology and ImmunopathologyState Budgetary Institution of the Sverdlovsk Region Ural Research Institute of Dermatology, Venereology and ImmunopathologyState Budgetary Institution of the Sverdlovsk Region Ural Research Institute of Dermatology, Venereology and ImmunopathologyState Budgetary Institution of the Sverdlovsk Region Ural Research Institute of Dermatology, Venereology and ImmunopathologyFor the purpose of studying the immunopathogenesis and the search for novel biomarkers for the assessment of syphilitic infection activity, we analyzed B1 cells, that are responsible for basal protection and primary immune reactivity and for generating broad specificity antibodies, and estimated the frequency of occurrence of different autoantibodies. B1 cells are an innate subpopulation of B cells in the fetal hematopoiesis responsible for natural antibody production in the absence of exogenous stimulation. The protective function of B1 cells is to provide protection during the lag phase, the latent period necessary for the deployment of adaptive/acquired immunity mechanisms upon encountering an infectious agent, and in the regulation of subsequent immune responses. B1 cells produce antibodies that bind with low affinity to microbial structures common to various pathogens. Subsequent contact with the antigen leads to an increase in affinity, an increase in antibody titer and the formation of their stable level. Peripheral blood levels of B1(CD19+CD5+) cells were evaluated using flow cytometry in 96 patients with syphilis. Elevated proportions of B1 cells relative to all B lymphocytes have been documented in 44% (95% CI 34-55%) patients. No significant difference was seen regarding clinical form of the disease, gender, age, HIV coinfection, Jarisch – Herxheimer reaction, and antibody titres of non-treponemal tests. There was no statistical correlation between B1 cells and other B- and T-cell subsets. Antibodies against oxidized low-density lipoprotein and cardiolipin were detected more frequently than antibodies against mitochondrial antigen M2, modified citrullinated vimentin, cyclic citrullinated peptide, nuclear antigens, myeloperoxidase, proteinase 3, Fc portion of immunoglobulin G. Overall, the results indicate that B1 cells and phospholipidspecific antibodies are involved in the immune response in syphilis. Improving understanding of the immune response to Treponema pallidum may help develop new diagnostic approaches.https://journal.lvrach.ru/jour/article/view/911syphilistreponema pallidumb1 cellscd19+cd5+ cellsflow cytometrynatural antibodiesauto-antibodiesoxidized low-density lipoproteincardiolipinanti-phospholipid antibodies
spellingShingle N. K. Levchik
N. V. Zilberberg
M. V. Ponomareva
O. A. Belykh
Syphilitic infection: a study on the factors of the innate humoral immune response
Лечащий Врач
syphilis
treponema pallidum
b1 cells
cd19+cd5+ cells
flow cytometry
natural antibodies
auto-antibodies
oxidized low-density lipoprotein
cardiolipin
anti-phospholipid antibodies
title Syphilitic infection: a study on the factors of the innate humoral immune response
title_full Syphilitic infection: a study on the factors of the innate humoral immune response
title_fullStr Syphilitic infection: a study on the factors of the innate humoral immune response
title_full_unstemmed Syphilitic infection: a study on the factors of the innate humoral immune response
title_short Syphilitic infection: a study on the factors of the innate humoral immune response
title_sort syphilitic infection a study on the factors of the innate humoral immune response
topic syphilis
treponema pallidum
b1 cells
cd19+cd5+ cells
flow cytometry
natural antibodies
auto-antibodies
oxidized low-density lipoprotein
cardiolipin
anti-phospholipid antibodies
url https://journal.lvrach.ru/jour/article/view/911
work_keys_str_mv AT nklevchik syphiliticinfectionastudyonthefactorsoftheinnatehumoralimmuneresponse
AT nvzilberberg syphiliticinfectionastudyonthefactorsoftheinnatehumoralimmuneresponse
AT mvponomareva syphiliticinfectionastudyonthefactorsoftheinnatehumoralimmuneresponse
AT oabelykh syphiliticinfectionastudyonthefactorsoftheinnatehumoralimmuneresponse