A study of molecular mimicry and immunological cross-reactivity between hepatitis B surface antigen and myelin mimics
2005

Study of Hepatitis B Vaccine and Autoimmune Responses

Sample size: 147 publication 10 minutes Evidence: moderate

Author Information

Author(s): DIMITRIOS-PETROU BOGDANOS, HEATHER SMITH, YUN MA, HAROLD BAUM, GIORGINA MIELI-VERGANI, DIEGO VERGANI

Primary Institution: Institute of Liver Studies, King's College London School of Medicine

Hypothesis

Does hepatitis B vaccination induce cross-reactive immune responses with myelin antigens?

Conclusion

The study found significant cross-reactivity between hepatitis B surface antigen and myelin mimics after vaccination.

Supporting Evidence

  • Reactivity to SHBsAg peptides was found in 14% of pre-vaccination subjects.
  • 94% of post-vaccination subjects showed reactivity to SHBsAg peptides.
  • 60% of vaccinees had SHBsAg/MOG double reactivity at least once post-vaccination.

Takeaway

The hepatitis B vaccine might cause the body to mistakenly attack its own nerves because it looks similar to a part of the nerves.

Methodology

ELISA was used to test serum samples for reactivity to hepatitis B surface antigen and myelin mimics before and after vaccination.

Potential Biases

Potential bias due to the exclusion of subjects with autoimmune disorders.

Limitations

The study did not include individuals with pre-existing autoimmune disorders and focused only on healthy vaccinees.

Participant Demographics

58 adults (median age 42, range 31-62, 38 male) were vaccinated and tested.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.1080/17402520500285247

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