The pathogenesis of arthritis in Lyme disease

Humoral immune responses and the role of intra-articular immune complexes

J. A. Hardin, A. C. Steere, S. E. Malawista

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

We studied 78 patients with Lyme disease to determine how immune complexes and autoantibodies are related to the development of chronic Lyme arthritis. Circulating C1q binding material was found in nearly all patients at onset of erythema chronicum migrans, the skin lesion that marks the onset of infection with the causative spirochete. In patients with only subsequent arthritis this material tended to localize to joints where it gradually increased in concentrations with greater duration of joint inflammation. In joints, its concentration correlated positively with the number of synovial fluid polymorphonuclear leukocytes. Despite the prolonged presence of putative immune complexes, rheumatoid factors could not be demonstrated. These observations suggest that phlogistic immune complexes based on spirochete antigens form locally within joints during chronic Lyme arthritis.

Original languageEnglish (US)
Pages (from-to)589-593
Number of pages5
JournalYale Journal of Biology and Medicine
Volume57
Issue number4
StatePublished - 1984
Externally publishedYes

Fingerprint

Lyme Disease
Humoral Immunity
Antigen-Antibody Complex
Arthritis
Joints
Spirochaetales
Erythema Chronicum Migrans
Rheumatoid Factor
Autoantibodies
Synovial Fluid
Skin
Antigens
Neutrophils
Fluids
Inflammation
Infection

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

The pathogenesis of arthritis in Lyme disease : Humoral immune responses and the role of intra-articular immune complexes. / Hardin, J. A.; Steere, A. C.; Malawista, S. E.

In: Yale Journal of Biology and Medicine, Vol. 57, No. 4, 1984, p. 589-593.

Research output: Contribution to journalArticle

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