Functional consequences of HLA-DQ8 homozygosity versus heterozygosity for islet autoimmunity in type 1 diabetes

P Eerligh, M Van Lummel, A Zaldumbide… - Genes & …, 2011 - nature.com
P Eerligh, M Van Lummel, A Zaldumbide, AK Moustakas, G Duinkerken, G Bondinas…
Genes & Immunity, 2011nature.com
Human leukocyte antigen (HLA) class II haplotypes are established risk factors in type 1
diabetes (T1D). The heterozygous DQ2/8 genotype confers the highest risk, whereas the
DQ6/8 genotype is protective. We hypothesized that DQ2/8 trans-molecules composed of α
and β chains from DQ2 and DQ8 express unique β-cell epitopes, whereas DQ6 may
interfere with peptide binding to DQ8. Here we show that a single insulin epitope (InsB13-
21) within the T1D prototype antigenic InsB6-22 peptide can bind to both cis-and trans …
Abstract
Human leukocyte antigen (HLA) class II haplotypes are established risk factors in type 1 diabetes (T1D). The heterozygous DQ2/8 genotype confers the highest risk, whereas the DQ6/8 genotype is protective. We hypothesized that DQ2/8 trans-molecules composed of α and β chains from DQ2 and DQ8 express unique β-cell epitopes, whereas DQ6 may interfere with peptide binding to DQ8. Here we show that a single insulin epitope (InsB13-21) within the T1D prototype antigenic InsB6-22 peptide can bind to both cis-and trans-dimers, although these molecules display different peptide binding patterns. DQ6 binds a distinct insulin epitope (InsB6-14). The phenotype of DQ8-restricted T cells from a T1D patient changed from proinflammatory to anti-inflammatory in the presence of DQ6. Our data provide new insights into both susceptible and protective mechanism of DQ, where protecting HLA molecules bind autoantigens in a different (competing) binding register leading to ‘epitope stealing’, thereby inducing a regulatory, rather than a pathogenic immune response.
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