[PDF][PDF] Biased T cell receptor usage directed against human leukocyte antigen DQ8-restricted gliadin peptides is associated with celiac disease

SE Broughton, J Petersen, A Theodossis, SW Scally… - Immunity, 2012 - cell.com
SE Broughton, J Petersen, A Theodossis, SW Scally, KL Loh, A Thompson, J van Bergen…
Immunity, 2012cell.com
Celiac disease is a human leukocyte antigen (HLA)-DQ2-and/or DQ8-associated T cell-
mediated disorder that is induced by dietary gluten. Although it is established how gluten
peptides bind HLA-DQ8 and HLA-DQ2, it is unclear how such peptide-HLA complexes are
engaged by the T cell receptor (TCR), a recognition event that triggers disease pathology.
We show that biased TCR usage (TRBV9∗ 01) underpins the recognition of HLA-DQ8-α-I-
gliadin. The structure of a prototypical TRBV9∗ 01-TCR-HLA-DQ8-α-I-gliadin complex …
Summary
Celiac disease is a human leukocyte antigen (HLA)-DQ2- and/or DQ8-associated T cell-mediated disorder that is induced by dietary gluten. Although it is established how gluten peptides bind HLA-DQ8 and HLA-DQ2, it is unclear how such peptide-HLA complexes are engaged by the T cell receptor (TCR), a recognition event that triggers disease pathology. We show that biased TCR usage (TRBV901) underpins the recognition of HLA-DQ8-α-I-gliadin. The structure of a prototypical TRBV901-TCR-HLA-DQ8-α-I-gliadin complex shows that the TCR docks centrally above HLA-DQ8-α-I-gliadin, in which all complementarity-determining region-β (CDRβ) loops interact with the gliadin peptide. Mutagenesis at the TRBV901-TCR-HLA-DQ8-α-I-gliadin interface provides an energetic basis for the Vβ bias. Moreover, CDR3 diversity accounts for TRBV901+ TCRs exhibiting differing reactivities toward the gliadin epitopes at various deamidation states. Accordingly, biased TCR usage is an important factor in the pathogenesis of DQ8-mediated celiac disease.
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