In this present study, we characterise the global transcriptional

In this present study, we characterise the global transcriptional signatures at this time point in ovine afferent lymph cells as they migrate from the injection site into the lymphatics following vaccination with a liposome antigen formulation incorporating CpG. We show that at 72h post vaccination,

liposomes alone Doxorubicin cost induce no changes in gene expression and inflammatory profiles within afferent lymph; however the incorporation of CpG drives interferon, antiviral and cytotoxic gene programs. This study also measures the expression of key genes within individual cell types in afferent lymph. Antiviral gene signatures are most prominent in lymphocytes, which may play a significant and unexpected role in sustaining the immune response to vaccination at the site of injection. These findings provide a comprehensive analysis of the in vivo immunological pathways that connect the injection site with the local draining lymph node following vaccination.

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“IFN-α/β link innate and adaptive immune responses by directly acting on naïve CD8+ T cells. This concept unveiled in mice remains unexplored in humans. To investigate that, human CD8+CD45RO− cells were stimulated with beads coated with anti-CD3 and anti-CD28 mAb, mimicking Ag (type-1) and Pirfenidone co-stimulatory (type-2) signals, in the presence or absence of IFN-α and their transcriptional profiles were defined by cDNA-microarrays. We show that IFN-α provides a strong third signal directly to human CD8+ T cells resulting in regulation of critical genes for their overall activation. This transcriptional effect was substantiated

at the protein level and verified by functional assays. Interestingly, the biological effects derived from new this stimulation vary depending on the CD8+ T-cell population. Thus, whereas IFN-α increases the proliferative capacity of naïve CD8+ T cells, it inhibits or does not affect the proliferation of Ag-experienced cells, such as memory and effector CTL, including CMV-specific lymphocytes. Cytolysis and IFN-γ-secretion of all these populations are enhanced by IFN-α-derived signals, which are critical in naïve CD8+ T cells for acquisition of effector functions. Our findings in human CD8+ T cells are informative to understand and improve IFN-α-based therapies for viral and malignant diseases. Type I IFN (IFN-I) comprises a cytokine family that in humans includes 13 IFN-α subtypes and single proteins for IFN-β, IFN-ε, IFN-κ and IFN-ω 1. IFN-α/β are produced in response to viruses and are critical for viral defense. IFN-I signals through a common receptor (IFNAR) composed of two subunits, IFNAR1 and IFNAR2 2. The JAK-STAT pathway is critical for IFNAR signaling 3.

Moreover, “best practices” for infant eye tracking, such as knowi

Moreover, “best practices” for infant eye tracking, such as knowing which software tool enhances experimental flexibility, remain to be determined. The present investigation was designed to evaluate the temporal and spatial accuracy of data from the Tobii T60XL eye tracker through the use of visual latency and spatial accuracy tasks involving adults and infants. Systematic delays and drifts were revealed in oculomotor response times, and the system’s p38 MAPK activity spatial accuracy was observed to deviate somewhat in excess of the manufacturer’s estimates; the experimental flexibility of the system appears dependent on the chosen software. “
“Although research

has demonstrated poor visual skills in premature infants, few studies assessed infants’ gaze behaviors across several domains of functioning in a single study. Thirty premature and 30 full-term 3-month-old infants were tested in three social and nonsocial tasks of increasing complexity

and their gaze behavior was micro-coded. In a one-trial version of the visual recognition paradigm, where novel stimuli were paired with familiar stimuli, preterm infants showed longer first looks to novel stimuli. In the behavior response paradigm, which presented infants with 17 stimuli of increasing complexity in a predetermined “on-off” sequence, premature infants tended to look away from toys more during presentation. Finally, during mother–infant face-to-face interaction, the most click here dynamic interpersonal context, preterm infants and their mothers displayed short, frequent episodes of gaze synchrony, and lag-sequential analysis indicated that both mother and infant broke moments of mutual gaze within 2 sec of its initiation. The propotion of look away

during the behavior response paradigm was related to lower gaze synchrony and more gaze breaks during mother–infant interactions. Results Nabilone are discussed in terms of the unique and adaptive gaze patterns typical of low-risk premature infants. “
“Fourteen-month-old infants were presented with static images of happy, neutral, and fearful emotional facial expressions in an eye-tracking paradigm. The emotions were expressed by the infant’s own parents as well as a male and female stranger (parents of another participating infant). Rather than measuring the duration of gaze in particular areas of interest, we measured number of fixations, distribution of fixations, and pupil diameter to evaluate global scanning patterns and reactions to emotional content. The three measures were differentially sensitive to differences in parental leave, emotional expression, and face familiarity. Infants scanned and processed differently happy, neutral, and fearful faces. In addition, infants cared for by both father and mother (divided parental leave) distributed their gaze more across faces than did infants primarily cared for by one parent (in this study, the mother).

Here, we show that AIRE-deficient mice showed an earlier

Here, we show that AIRE-deficient mice showed an earlier Talazoparib concentration development of myelin oligonucleotide glycoprotein (MOG)-induced experimental autoimmune encephalomyelitis (EAE). To determine the outcome

of ectopic Aire expression, we used a retroviral transduction system to over-express Aire in vitro, in cell lines and in bone marrow (BM). In the cell lines that included those of thymic medullary and dendritic cell origin, ectopically expressed Aire variably promoted expression of TRA including Mog and Ins2 (proII) autoantigens associated, respectively, with the autoimmune diseases multiple sclerosis and type 1 diabetes. BM chimeras generated from BM transduced with a retrovirus encoding Aire displayed elevated levels of Mog and Ins2 expression in thymus and spleen. Following induction of EAE with MOG35–55, transplanted mice displayed significant delay in the onset

of EAE compared with control mice. To our knowledge, this is the first example showing that in vivo ectopic expression of AIRE can modulate TRA expression and alter autoimmune disease development. RGFP966 molecular weight In humans, deficiency of the autoimmune regulator (AIRE) results in the autosomal recessive disorder, autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy otherwise known as autoimmune polyglandular syndrome type 1 1, 2. Studies of Aire−/− mice confirm AIRE as a transcriptional regulator that controls the intra-thymic expression of peripheral tissue-restricted antigens (TRA) implicated in the induction of immunological tolerance 3–5. While the exact number of genes regulated by AIRE is

not known, estimates in mouse and man suggest Thymidylate synthase this may be hundreds to thousands of genes 4, 6–8. Within the thymus, the AIRE protein is expressed predominantly within medullary thymic epithelial cells (mTEC), although expression has also been reported in dendritic cells (DC) 9–11. More recent reports also suggest Aire expression in peripheral cells and tissues 12–15, but its presence and function in these cells still remains an area of debate 9, 16. The generation of AIRE-deficient mice (Aire−/−) has been instrumental in deciphering the role of AIRE in immune tolerance and susceptibility to autoimmune disease. To date, four Aire−/− mouse models have been reported 4, 17–19 and while there is intra- and inter-strain variation, Aire−/− mice develop a range of organ-specific autoimmune diseases that are generally directed towards specific TRA 4, 17, 20, 21.

[6] Significant efforts are now focused on determining the mechan

[6] Significant efforts are now focused on determining the mechanism(s) that mediate the progressive changes in phenotype and

function of antigen-specific T cells as they develop in response to both acute and chronic pathogens. Here we review our current understanding of transcriptional regulatory mechanisms of genes directly related to effector and memory functions and highlight potential mechanisms for the generation of phenotypically distinct memory T-cell subsets. It is believed that memory T cell heterogeneity has evolved as a mechanism for partitioning memory-associated functions into specialized cells to protect against a range of pathogens and routes of exposure. Memory CD8 T cells find more Apoptosis inhibitor that populate non-lymphoid tissues and provide immediate recall of effector functions are loosely categorized as effector-memory (Tem) cells. Tem cells maintain down-regulation of the molecules CD62L and CCR7 and serve as the first line of defence against pathogen re-exposure. In contrast, memory CD8 T cells that express CD62L and CCR7 and preferentially home to lymphoid tissues are referred to as central-memory cells (Tcm). The preferential lymphoid homing of Tcm cells is believed to facilitate their encounter with antigen-presenting dendritic cells, thereby generating a self-renewing source of cells with effector functions, which can then migrate to the site of infection.[14-17] Importantly,

many of the differentially acquired traits of Tem versus Tcm cells, including CD62L- and CCR7-mediated lymphoid homing, are the result of differential transcriptional regulation of gene products from the ‘on-off-on’ subset of genes (Fig. 1b). A current challenge for the field is to determine how acquired transcriptional programmes, those common among all memory cells as well as the transcriptional programmes that are unique to memory subsets, are maintained during cell Histidine ammonia-lyase division of memory T cells. Drawing upon insights from other developmental systems, epigenetic modifications may provide a transcriptional regulatory mechanism that can be propagated

during homeostatic cell division of memory cells.[18, 19] Recently several laboratories have demonstrated that epigenetic modifications, namely histone modifications and DNA methylation, modulate transcriptional activation of effector molecules via the restriction of access to chromatin by transcription factors and polymerase. Our current understanding of epigenetic regulation of memory cell function has come from studies that have focused on the mechanisms controlling expression of effector molecules such as the genes for interferon-γ (IFNg), interleukin 2 (IL-2) granzyme b and perforin.[20-25] As these genes become transcriptionally up-regulated, the proximal promoter region loses repressive epigenetic marks (DNA and histone modifications).

Furthermore, we show that IL-10R signalling in T cells and monocy

Furthermore, we show that IL-10R signalling in T cells and monocytes/macrophages/neutrophils alone is not critical for the control of a T. muris

infection. The genomic structure of the 5′ end of the murine IL-10 receptor1 gene is shown in the upper part of Fig. 1A. The targeting vector was constructed by inserting a loxP sequence into an Apa1 site in the promoter region. A neo-flox cassette was then inserted into the Nhe1 site in the intron separating exons 1 and 2 and the construct completed with a copy of the Herpes simplex thymidine kinase gene. Cloning steps were monitored by sequencing all newly Copanlisib in vivo formed ligation junctions. The completed vector was linearized at the unique Not1 site and electroporated

into E14.1 murine ES cells. Clones resistant both to G418 and Gancyclovir were analysed by Southern blot using an external probe. Homologous recombinants were transiently transfected with Cre recombinase and deletions of the neo cassette selected. ES cells were injected into BALB/c blastocysts and transferred to foster mothers. Chimeric offspring were crossed to BALB/c and the F1 progeny screened by PCR analysis for the presence of the IL-10RFl allele. These animals were backcrossed to BALB/c for 10 generations. Cre mediated deletion of the IL-10R in vivo was carried out by crossing the IL-10RFl/Fl mice to the different Cre+ strains (Fig. 1A). Animals were bred and maintained at the Helmholtz Centre for Infection Research under specific pathogen free conditions 14. All experiments were Lumacaftor chemical structure performed in accordance to federal guidelines and institutional policies (permission number: 33.42502/07-01.05). Mouse strains used were IL-10RFl/Fl, Cd4-Cre10, Cd19-Cre11, lysM-Cre12, K14-Cre13, IL-10−/− and C57BL/6J. Primers 1 (5′-GCATTTCTGGGGATTGCTTA) and 2 (5′-CCCGGCAAAACAGGTAGTTA) were used for the detection of the Cre gene. The IL-10RFl allele was distinguished by the

primers 17-DMAG (Alvespimycin) HCl LoxP-1 (5′-CCACCAAGAGTCAGGTAGGGAC-3′) and fLoxp-1 (5′-GAGCTTGGGAACCTCCGCAGG-3′). Cell sorting and respective Southern Blot have been described previously 2, 20. Ab used were F4/80 (CL:A3-1, Serotec), CD19 (1D3), CD4 (GK1.5), CD8 (53–6.7), all from BD Biosciences. The purity of sorted cell populations ranged between 90 and 99.9%. DNA from sorted cells or tail samples was digested with EcoR1 or KpnI (New England Biolabs). To verify the deletion of IL-10R1 in neutrophils, Ly-6G (1A8) and IL-10receptor (1B1.3a) (BD Biosciences) stained cells from peritoneal lavage after i.p. administration of LPS were analysed on a FACSCalibur (Becton Dickinson). Mice were anaesthetised with CO2 and sacrificed by exsanguination. The entire gastro-intestinal tract was removed, rolled to “Swiss rollus”, fixed in 3.5% neutral buffered formaldehyde and embedded in paraffin using standard techniques. Longitudinal H&E-stained sections were examined microscopically.

However, this is the first report to show that although most case

However, this is the first report to show that although most cases with C9ORF72 mutations were TDP type B, some of the pathologic characteristics in these cases were more similar to TDP types A and C Selleckchem LY294002 than to type B cases. These include greater cortical and hippocampal atrophy, greater ventricular dilatation, more neuronal loss and gliosis in temporal lobe and striatum, and TDP-43 positive fine neuritic profiles in the hippocampus, implying that the C9ORF72 mutation modifies the pathologic phenotype of FTLD-TDP type B. “
“A 64-year-old man noticed weakness in his arms and dyspnea upon exertion. Four months later he was admitted

to our hospital, where muscle atrophy and hyperactive deep tendon reflexes in the arms were observed upon examination. A needle electromyograph study revealed acute and chronic denervation in the extremities, and he was diagnosed as having amyotrophic lateral sclerosis (ALS). Seven months after onset of the disease, he died of respiratory failure. Neuropathologically, neuronal cell loss was observed in the motor cortex, hypoglossal nuclei, cervical and lumbar anterior horns and Clarke’s nuclei. Some of

the remaining neurons contained neurofilamentous conglomerate inclusions (CIs). A small number of Lewy body-like hyaline inclusions (LBHIs) were also observed. No the Bunina bodies, skein-like inclusions or basophilic inclusions were detectable. Tract degeneration was R788 research buy moderate in the dorsal and ventral spinocerebellar tracts, mild in the pyramidal tract, but not discerned in the posterior column. Immunohistochemical examinations revealed that the CIs were strongly positive for phosphorylated neurofilament and moderately positive for ubiquitin

ifenprodil and Cu/Zn superoxide dismutase 1 (SOD1). Moreover, a number of phosphorylated tau protein-positive globose neurofibrillary tangles (NFTs) and threads were observed in the periaqueductal gray matter, oculomotor nuclei and trochlear nuclei. Although the family history was negative for neuromuscular diseases, the neuropathological findings indicated features of familial ALS with a SOD1 mutation. In fact, DNA analysis of frozen-brain tissue revealed the presence of the I113T SOD1 mutation. This case represents the first one of this mutation in a patient who showed CIs as well as LBHIs in the motor neurons at the same time, in addition to the NFTs in the mesencephalic tegmentum. Amyotrophic lateral sclerosis (ALS) is a devastating disease in which relentless motor neuron degeneration occurs, causing weakness and death within several years. Although most cases of ALS are sporadic (SALS), 5–10% of them are familial (FALS), being inherited.[1, 2] Neuropathologically, FALS has been traditionally subdivided into two subtypes: the classical type and the posterior-column type.[3] In the classical type, the upper and lower motor neurons are affected similar to SALS.

Importantly, the compensatory upregulation of single HRs in H1H2R

Importantly, the compensatory upregulation of single HRs in H1H2RKO and H3H4RKO mice may explain the opposing results obtained using pharmacological approaches, where agonists of H1R and H2R inhibited proliferation and cytokine production by antigen-specific T Small molecule library clinical trial cells and the H2R agonist dimaprit reduced the severity of EAE [[29, 47]]. In contrast,

we can exclude an effect of a T-cell HDC-HA compensatory loop on the HRKO EAE phenotypes since HR expression does not affect HDC expression or HA production by activated CD4+ T cells from B6, H1H2RKO, and H3H4RKO mice. HA has a long history as a DMT in MS and is purported to improve electrical conductance through demyelinated axons, actively/passively enhance myelin repair and remyelination, and increase the oxygenation of affected CNS tissues by influencing cerebrovascular blood flow and perfusion [[48, 49]]. HA signaling through its receptors is highly complex and diverse because of the number of receptors, the relative proportion of the receptor subtypes on a given cell type, differences in receptor affinity,

and due to the concentration of HA in the local microenvironment. In this study, we used a dual-gene KO approach to understand the role of HRs coupled to second messenger signaling pathways via stimulatory and inhibitory G proteins as potential targets for effective DMT in MS. Previous epidemiological and clinical studies indicate that the use of H1R-specific blockers is associated with decreased MS risk or stabilization of the disease in MS patients [[22, 23]]. HA, acting through H2R, can regulate MHC class II Imatinib solubility dmso expression on immunoreactive cells and the receptor antagonist ranitidine has been used as a long-term therapy in controlling autoimmune psoriasis [[50]]. Our results presented here indicate that administering antagonists

of both H1R and H2R simultaneously may be protective in CNS disease due to the upregulation of the antipathogenic H3R and H4R. Results of Molecular motor the present study indicate that the absence of H3R or H4R signaling has a negative effect on EAE susceptibility and encephalitogenic T-cell activity, suggesting that agonists for this class of receptors may have a beneficial effect in the treatment of CNS autoimmune diseases by overriding HA signaling through the propathogenic H1R and H2R. Therefore, the combined pharmacological targeting of each HR may prove to be an appropriate ancillary DMT in the treatment of MS. There is an increasing need for new DMT in the treatment of MS and other immunopathologic diseases. Although the lack of specific and highly selective agonists or antagonists for H3R and H4R have precluded their targeting in the clinical treatment of disease, research in recent years has progressed to the point where their use in the clinic is highly likely. Our results, using HR KO mice that couple to two distinct classes of G proteins (stimulatory vs.


“Pathogenicity of Chlamydia and Chlamydia-related bacteria


“Pathogenicity of Chlamydia and Chlamydia-related bacteria could be partially mediated by an enhanced activation of the innate immune response. The study of this host pathogen interaction has proved challenging due to the restricted in vitro growth of these strict intracellular bacteria and the lack of genetic tools to manipulate their genomes. Despite these difficulties, the interactions of Chlamydiales with the innate immune cells and their effectors have been studied thoroughly. This review aims to point out the role of pattern recognition receptors and signal molecules (cytokines,

reactive oxygen species) of the innate immune response in the pathogenesis of chlamydial infection. Besides inducing clearance of the bacteria, some of these effectors may be used by the Chlamydia to establish chronic infections or to spread. Thus, the induced innate immune response seems to be variable Olaparib Selleck U0126 depending on the species and/or the serovar, making the pattern more complex. It remains crucial to determine the common players of the innate immune response in order

to help define new treatment strategies and to develop effective vaccines. The excellent growth in phagocytic cells of some Chlamydia-related organisms such as Waddlia chondrophila supports their use as model organisms to study conserved features important for interactions between the innate immunity and Chlamydia. Due to their obligate intracellular nature, the detection and manipulation of Chlamydiales have proved challenging. Novel techniques such as real-time PCR facilitate the diagnosis of infections due to these pathogens. However, the absence of tools for genomic manipulation has limited the understanding of factors involved in host cell interactions. Several human diseases are known to be caused by members of the Chlamydiaceae family, but the pathogenic

role of more recently discovered species belonging to other families Phosphoprotein phosphatase within the Chlamydiales order has yet to be investigated. Noteworthy, these distinct families (Parachlamydiaceae, Waddliaceae) each exhibit ≥10% 16S rRNA gene sequence divergence with the Chlamydiaceae, highlighting the significant genetic distance between Chlamydia-related bacteria and Chlamydia spp. (Greub, 2009). Such genetic divergence is in the order of magnitude of that present between Anaplasmataceae (Anaplasma, Ehrlichia) and Rickettsiaceae (Rickettsia) (Fournier et al., 2003). Many complications of chlamydial pathologies are thought to be entailed by an acute or sustained innate immune response to the Chlamydiales (reviewed for Chlamydia trachomatis in Ramsey, 2006). In addition to innate immunity, several components of the adaptive immunity have been implied in tissue damage. A recent review on C. trachomatis further elucidates the role of innate as well as adaptive immunity in damage to the uterine tube (Darville & Hiltke, 2010).

Altogether,

60 NT Hi isolates were found among these 40 S

Altogether,

60 NT Hi isolates were found among these 40 STs. Despite this apparent genetic heterogeneity among the NT Hi isolates, two major genetic clusters were identified (Table 2). The largest cluster, cluster 1, contained 27 isolates and six different STs. The second largest cluster, cluster 2, contained 14 isolates and four STs. Besides these two major genetic clusters, there were also seven minor groupings of isolates, each containing between two and five isolates. These seven minor clusters together contained 23 isolates. Both invasive and respiratory isolates were seen in the two major clusters as BGB324 cell line well as in the two most commonly encountered STs (ST-14 and ST-3). The same can be said for five of the minor groupings of isolates. There were two minor genetic clusters, cluster 7 and cluster 8 (Table 2), that were made up of only invasive isolates and each cluster contained only two isolates. Seventeen STs were found to contain both invasive and respiratory isolates (Fig. 1). Disc diffusion results revealed that 54.3% of the invasive isolates and 61.8% of the

respiratory isolates were β-lactamase-negative Selleck PLX3397 and susceptible to all 13 commonly prescribed antibiotics (Table 3). Twenty-three isolates (14% or 20.0% invasive and 9% or 16.4% respiratory) produced β-lactamase and were resistant to ampicillin. Among the 102 β-lactamase

nonproducers, 20 (15% or 26.8% invasive and 5% or 10.9% respiratory) were found to show intermediate resistance either to the 2-μg ampicillin disc alone or to both the 2-μg and the 10-μg ampicillin discs, suggesting a decreased susceptibility towards ampicillin. None of these 20 isolates were identified as resistant by the regular disc diffusion test carried out according to the CLSI guidelines. Resistance to trimethoprim–sulfamethoxazole was detected in 12 and 10 of the invasive and respiratory Pyruvate dehydrogenase isolates, respectively. Resistance or intermediate resistance to cefaclor was found in four invasive isolates, but none of the respiratory isolates. Three respiratory isolates, but no invasive isolates, were found to show resistance or intermediate resistance to clarithromycin. All 125 were susceptible to imipenem and the fluoroquinolones. In this study, we characterized NT Hi isolates recovered from the respiratory tract and those involved in invasive infection. Whether invasive NT Hi were originally encapsulated but lost their capsules and retained their virulence to cause invasive disease was examined. Our data clearly indicated that this was not the case. None of them had any evidence of the presence of the Hib or other serotype-specific capsule synthesis genes, or the capsule transport gene, bexA, in their genome.

These data highlight that breach of tolerance to PDC-E2 is probab

These data highlight that breach of tolerance to PDC-E2 is probably the first event in the natural history of PBC in genetically susceptible hosts. It is becoming increasingly

clear that the appearance of autoimmunity is dependent upon a combination of genetic predisposition and environmental factors [1-3]. Further, a number of microbial infections have been postulated to trigger a cascade of immunological events in genetically susceptible hosts that lead to a breach of tolerance to self-antigens [4-8]. Although multiple mechanisms have been proposed involving both innate and adaptive responses, all depend upon the concept of molecular mimicry [9-12]. Indeed, this discussion is important because in human primary biliary cirrhosis (PBC), several epidemiological studies have demonstrated an increased incidence of ABT-263 molecular weight urinary tract infections (UTIs) [13, 14]. The serological hallmark of PBC is the presence of anti-mitochondrial autoantibodies (AMA), considered the most specific diagnostic LDK378 price marker of PBC, but also among the most highly directed specific autoantibodies in human immunopathology [15, 16]. The autoantigens have been identified as the E2 subunits of the 2-oxo-acid dehydrogenase complexes (2OADC-E2), including the E2 subunits of the pyruvate dehydrogenase complex (PDC-E2), branched chain 2-oxo-acid dehydrogenase complex (BCOADC-E2), 2-oxo-glutarate

dehydrogenase complex (OGDC-E2) [16-18] and the E3 binding protein of dihydrolipoamide dehydrogenase [19]. The AMA target antigens are all localized within

the inner mitochondrial matrix and catalyze the oxidative decarboxylation of 2-oxo-acid acid substrates [20]. Biochemically, the 2OADC-E2 has a common functional domain containing a single or multiple lipoyl groups. The immunodominant epitopes recognized by AMA are mapped within the lipoyl domains of these target antigens [21, 22]. In patients with PBC, T helper (CD4+) T cells and cytotoxic (CD8+) T cells are present in portal tracts around damaged bile ducts [23]. Both PDC-E2 specific CD4 and CD8 autoreactive T cells have been identified in PBC, and are highly enriched in the liver versus peripheral Protein kinase N1 blood. Interestingly, the autoreactive CD4 and CD8 T cell epitopes in patients with PBC also map within the lipoyl domain and overlap with the B cell epitope [24-27]. Novosphingobium aromaticivorans is a bacterial species that has attracted attention with respect to the aetiology of PBC for several reasons. First, N. aro is a unique ubiquitous bacterium that metabolizes xenobiotics. Secondly, there are significant autoantibodies to PDC-E2 that are immunoreactive to N. aro, perhaps because N. aro contains four copies of PDC-E2-like proteins [28, 29]. Furthermore, it has been reported that N. aro-infected mice developed autoantibodies to PDC-E2 and liver histology similar to humans with PBC [30].