Bacterial citrullinated epitopes generated by Porphyromonas gingivalis infection-a missing link for ACPA production.
Madeleine JenningBianka MarkleinJimmy YtterbergRoman A ZubarevVijay JoshuaDirkjan van SchaardenburgLotte van de StadtAnca Irinel CatrinaUte NonhoffThomas HäuplZoltán KonthurGerd R BurmesterKarl SkrinerPublished in: Annals of the rheumatic diseases (2020)
RACH2007-PPAD induced internal citrullination of major RA autoantigens. Anti-RACH2007-PPAD correlates with ACPA levels and interstitial lung disease autoantigen reactivity, supporting an infection-based concept for induction of ACPAs via enzymatic mimicry.