Do the peptide-binding properties of diabetogenic class II molecules explain autoreactivity?

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One seminal aspect in autoimmune diabetes is antigen presentation of beta cell antigens by the diabetes-propensity class II histocompatibility molecules. The binding properties of I-Ag7 molecules are reviewed here and an emphasis is placed on their selection of peptides with a highly specific sequence motif, in which one or more acidic amino acids are found at the carboxy end interacting at the P9 anchoring site of I-Ag7. The reasons for the central role of I-Ag7 in the autoimmune response are analyzed. The insulin B chain segment 9–23 is a hot spot for T cell selection and a striking example of a weak MHC binding peptide that triggers autoreactivity.

Introduction

The direct association of major histocompatibility complex (MHC) molecules in the onset of various autoimmune disorders, including type 1 diabetes mellitus (T1DM), points a central role to their peptide-binding features. Several attempts have been made to identify the natural peptides bound to MHC molecules, starting from the pioneering studies of Rammensee [1, 2, 3], and continuing with the introduction of mass spectrometry [4, 5]. In our own experience, we have evaluated naturally processed peptides selected by various murine (I-Ak, I-Ad, I-Ek, I-Ep, I-Ag7, l-Ag7PD and Kd) and human (DQ8) MHC molecules. A conclusion from the identification of large numbers of natural peptides is that each MHC molecule selects for a unique repertoire of peptides in an allele-specific manner.

Section snippets

Biochemical, structural and functional properties of diabetes-associated class II MHC molecules

A notable feature shared between the murine (I-Ag7) and human (DQ2 or DQ8) diabetogenic class II MHC molecules is the expression of a non-Asp amino acid at position 57 of the β chain [6]; most other class II MHC molecules contain a conserved Asp at β57, which forms an ion-pair with an opposing Arg at α76 that defines the rim and the structural features of the P9 pocket of the binding groove [7, 8]. The absence of this salt bridge in the case of diabetogenic class II MHC molecules generated a P9

Weak MHC binding peptides and autoreactivity: the case of the dominant insulin T cell epitope

Insulin, and particularly the 9–23 peptide of the insulin beta chain, is a primary target of T cell reactivity in both the human disease and the NOD mouse [38••, 39•] (in this issue, contribution by Eisenbarth). Initial binding studies of the B:(9–23) peptide to soluble I-Ag7 in detergent free conditions revealed poor binding and fast dissociation rates [10, 13, 14, 40]. The IC50 values for the B:(9–23) peptide were measured in the 5–10 μM range at endosomal pH and the half-life of the complexes

Concluding remarks

An understanding of the biochemical basis of peptides selected by diabetogenic class II MHC molecules is key to gaining insights into the identity and nature of islet β cell antigens that are targeted in diabetes. Analysis of natural peptides has provided useful information with regards to the sequence specificity that can now be applied to predictive algorithms. However, further work needs to clarify the role of the highly specific binding motif of I-Ag7 peptides and thymic selection of the T

References and recommended reading

Papers of particular interest, published within the annual period of review, have been highlighted as:

  • • of special interest

  • •• of outstanding interest

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      Insulin and IAPP are proteins originating in beta cells, but ChgA is found in secretory granules of other tissues besides the pancreatic islet and may therefore be less obvious as a candidate autoantigen. One hypothesis for the autoantigenic activity of certain ligands in T1D is that these peptides bind to the predisposing MHC class II in an unusual manner, a mechanism that has precedent in other autoimmune disorders such as EAE [51,52], and is exemplified by the ability of insulin B:9-23 to bind to IAg7 in various binding registers [39,40]. The WE14 peptide from ChgA is also a weak binder to IAg7, filling only part of the class II groove [41••].

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