Rheumatoid Arthritis is an Autoimmune Disease Triggered byProteusUrinary Tract Infection

Author:

Ebringer Alan1,Rashid Taha1

Affiliation:

1. School of Biomedical and Health Sciences, Kings College London, London, UK

Abstract

Rheumatoid arthritis (RA) is a chronic and disabling polyarthritic disease, which affects mainly women in middle and old age.Extensive evidence based on the results of various microbial, immunological and molecular studies from different parts of the world, shows that a strong link exists betweenProteus mirabilismicrobes and RA. We propose that sub-clinicalProteusurinary tract infections are the main triggering factors and that the presence of molecular mimicry and cross-reactivity between these bacteria and RA-targeted tissue antigens assists in the perpetuation of the disease process through production of cytopathic auto-antibodies.Patients with RA especially during the early stages of the disease could benefit fromProteusanti-bacterial measures involving the use of antibiotics, vegetarian diets and high intake of water and fruit juices such as cranberry juice in addition to the currently employed treatments.

Funder

Trustees of the Middlesex Hospital

Publisher

Hindawi Limited

Subject

General Medicine,Immunology,Immunology and Allergy

Reference57 articles.

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2. Adlercreutz, H and Fotsis, T and Bannwart, C and Wahala, K and Makela, T and Brunow, G and Hase, T. (1986) Determination of urinary lignans and phytoestrogen metabolites, potential antiestrogens and anticarcinogens, in urine of women on various habitual diets J Steroid Biochem, 25, pp. 791 - 797.

3. Blankenberg-Sprenkels, SH and Fielder, M and Feltkamp, TE and Tiwana, H and Wilson, C and Ebringer, A. (1998) Antibodies to Klebsiella pneumoniae in Dutch patients with ankylosing spondylitis and acute anterior uveitis and to Proteus mirabilis in rheumatoid arthritis J Rheumatol, 25, pp. 743 - 747.

4. Cattell, WR.(2005) Lower and upper urinary tract infections in the adult. In Oxford textbook of clinical nephrology. ( pp. 1111 - 1129 ). Oxford : Oxford University Press.

5. Chandler, RW and Robinson, H and Masi, AT. (1971) Serological investigations for evidence of an infectious aetiology of rheumatoid arthritis Ann Rheum Dis, 30, pp. 274 - 278.

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