Major histocompatibility complex (MHC) class I expression is reduced in several
viral infections, but it is not known whether the same happens during
infections caused by intracellular enterobacteria. In this study, the expression of MHC
class I antigens on peripheral blood mononuclear cells (PBMC) from 16 patients with Salmonella, Yersinia, or
Klebsiella infection was investigated. During or after the acute
infection, the expression of MHC
class I antigens was markedly decreased in eight patients, all with genotype
HLA-B27, and six out of eight with
reactive arthritis (ReA). A significant decrease of monomorphic MHC class I was found in three patients, of
HLA-B27 in eight (P<0.05) and of
HLA-A2 in two. However, patients negative for the
HLA-B27 genotype, or healthy HLA-B27-positive individuals, did not have a significant decrease of MHC
class I antigens. During the decreased expression on the cell surface, intracellular retention of MHC
class I antigens was observed, whereas
HLA-B27 mRNA levels did not vary significantly. This is the first evidence that
enterobacterial infection may down-regulate expression of
MHC class I molecules in vivo and that down-regulation is predominant in patients with the
HLA-B27 genotype.