Autoantibodies and anti-microbial antibodies: Homology of the protein sequences of human autoantigens and the microbes with implication of microbial etiology in autoimmune diseases

Autoimmune disease is a group of diverse clinical syndromes with defining autoantibodies within the circulation. The pathogenesis of autoantibodies in autoimmune disease is poorly understood. In this study, human autoantigens in all known autoimmune diseases were examined for the amino acid sequences in comparison to the microbial proteins including bacterial and fungal proteins by searching Genbank protein databases. Homologies between the human autoantigens and the microbial proteins were ranked high, medium, and low based on the default search parameters at the NCBI protein databases. Totally 64 human protein autoantigens important for a variety of autoimmune diseases were examined, and 26 autoantigens were ranked high, 19 ranked medium to bacterial proteins (69%) and 27 ranked high and 16 ranked medium to fungal proteins (66%) in their respective amino acid sequence homologies. There are specific autoantigens highly homologous to specific bacterial or fungal proteins, implying potential pathogenic roles of these microbes in specific autoimmune diseases. The computational examination of the primary amino acid sequences of human autoantigens in comparison to the microbial proteins suggests that the environmental exposure to the commensal or pathogenic microbes is potentially important in pathogenesis of a majority of autoimmune diseases, providing a new direction for further experimental investigation in searching for new diagnostic and therapeutic targets for autoimmune diseases.