MadSci Network: Medicine |
Good Day Allan, I am including the following links on arthritis since I think it will help you to understand the problems associated with treatment, causes and cures associated with the debilitating effects of rheumatoid arthritis. http://www.pslgroup.com/ARTHRITIS.HTM http://pharminfo.com/disease/ra/ra-site.html http://mayohealth.org/mayo/9809/htm/rheu.htm To get back to your original question, "Can rheumatoid arthritis be caused by a 'spore like' mycoplasma?". Yes , current research tends to believe that mycoplasma may be implicated as a cause of rheumatoid arthritis. But, mycoplasmas do not form spores, they are organisms that differ from other bacteria in that they lack a rigid cell wall. Because the organism lacks a cell wall antibiotics such as the Penicillins, and Cephalosorins are inactive in treating this bug. However, the tetracyclines , (ie Minocycline)is effective since their mode of action is interference with protein synthesis. In the 1930's, a bacterial cause for rheumatoid arthritis was investigated but the research was short-lived . About 1939, the first real lead regarding an infectious cause for rheumatoid arthritis arose when mycoplasma, an atypical viral-like bacteria, was isolated from the exudate and tissue of rheumatic patients. Investigators had already shown that mycoplasmas cause arthritis in mice, rats, chickens, goats, and cows. They had found mycoplasmas in the genitourinary tracts of humans too, especially females. In 1950 Thomas McPherson Brown, M.D. and colleagues at the Arthritis research uinit obtained one of the first grants offered in arthritis Research by the NIH. The following year Brown et al reported that the Rheumatoid disease mechanism was more of an immunologic reaction of antigen and antibody (with mycoplasma as the suspected antigen) rather than the infectious and transmissible type. In 1955, the research unit reported that mycoplasmas, unlike bacteria and viruses could live in tissue cell cultures without destroying the tissue cells. To further support mycoplasmas as a causative agent/antigen, in 1964 a high incidence of mycoplasma antibodies in the blood of rheumatoid arthritis patients and lupus patients was found, indicating current or previous infection. Also recognized was a 4:1 higher incidence of mycoplasma antibodies in females suggesting a correlation with the higher incidences of rheumatoid arthritis in females. So , there you have it, I hope this fully answers your question. Thankyou for taking the time to send in a question to the Mad Scientists Network. June Wingert RM (NRM) Baylor College of Medicine Department of Comparative Medicine Houston, Texas
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