Autoreactivity in HIV-1 infection: the role of molecular mimicry

Clin Immunol Immunopathol. 1995 Jun;75(3):197-205. doi: 10.1006/clin.1995.1072.

Abstract

Autoimmunity during HIV-1 infection may contribute to the immunopathogenesis of AIDS. Titers of autoantibodies to HLA molecules and other surface markers of CD4+ T cells appear to increase with the progression of disease and may correlate with lymphopenia. Other autoantibodies are directed at a number of regulatory molecules of the immune system. Genesis of autoreactivity may be related to structural homologies of HIV-1 env-products to such functional molecules involved in the control of self-tolerance. The most impressive similarities include the HLA-DR4 and DR2, the variable regions of TCR alpha-, beta-, and gamma-chain, the Fas protein, and several functional domains of IgG and IgA. Thus, HIV-1 infection may induce dysregulation leading to autoimmune response, through a number of molecular mimicry mechanisms. Pathogenicity of antibodies to T cells could also include the activation of membrane-to-nucleus signal transducers resulting in increased apoptosis. The evolution of autoimmune mechanisms during HIV-1 infection cannot exclude, however, progression to immunoproliferative malignancy, since aspects of oligoclonal immune response to HIV-1 components may occur in several autoimmune diseases which in some instances evolve to lymphoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amino Acid Sequence
  • Autoantibodies / biosynthesis
  • Autoantigens / immunology
  • Autoimmunity*
  • B-Lymphocytes / immunology
  • Cross Reactions
  • Gene Products, env / immunology
  • Gene Products, gag / immunology
  • HIV Envelope Protein gp120 / immunology
  • HIV Infections / immunology*
  • HLA-D Antigens / immunology
  • Humans
  • Lymphocyte Activation
  • Molecular Sequence Data
  • Ribonucleoproteins, Small Nuclear*
  • Sjogren's Syndrome / immunology
  • snRNP Core Proteins

Substances

  • Autoantibodies
  • Autoantigens
  • Gene Products, env
  • Gene Products, gag
  • HIV Envelope Protein gp120
  • HLA-D Antigens
  • Ribonucleoproteins, Small Nuclear
  • snRNP Core Proteins