4.7 Article

Key interactions in the trimolecular complex consisting of the rheumatoid arthritis-associated DRB1*04:01 molecule, the major glycosylated collagen II peptide and the T-cell receptor

Journal

ANNALS OF THE RHEUMATIC DISEASES
Volume 81, Issue 4, Pages 480-489

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/annrheumdis-2021-220500

Keywords

rheumatoid arthritis; autoimmunity; T-lymphocyte subsets

Categories

Funding

  1. German Federal Ministry of Education and Research (GO-Bio-project aidCURE) [031A385]
  2. Federal State of Hesse (LOEWE-project, IME Fraunhofer Project Group TMP at Goethe University) [13]
  3. Fraunhofer Cluster of Excellence for Immune-Mediated Diseases CIMD
  4. Knut and Alice Wallenberg Foundation [KAW 2015.0063]
  5. Swedish Association against Rheumatism [R-757331]
  6. Swedish Foundation for Strategic Research [RB13-0156]
  7. Swedish Research Council [2015-02662, 2017-06104]
  8. Erling Persson Foundation
  9. European Union Innovative Medicine Initiative project BeTheCure [115142]
  10. Swedish Research Council [2017-06104, 2015-02662] Funding Source: Swedish Research Council

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This study characterizes the autoantigen-presenting function of DRB1*04:01 and investigates T-cell responses to a specific peptide in patients with rheumatoid arthritis, revealing the importance of glycosylation of lysine residues in T-cell recognition.
Objectives Rheumatoid arthritis (RA) is an autoimmune disease strongly associated with the major histocompatibility complex (MHC) class II allele DRB1*04:01, which encodes a protein that binds self-peptides for presentation to T cells. This study characterises the autoantigen-presenting function of DRB1*04:01 (HLA-DRA*01:01/HLA-DRB1*04:01) at a molecular level for prototypic T-cell determinants, focusing on a post-translationally modified collagen type II (Col2)-derived peptide. Methods The crystal structures of DRB1*04:01 molecules in complex with the peptides HSP70(289-306), citrullinated CILP982-996 and galactosylated Col2(259-273) were determined on cocrystallisation. T cells specific for Col2(259-273) were investigated in peripheral blood mononuclear cells from patients with DRB1*04:01-positive RA by cytofluorometric detection of the activation marker CD154 on peptide stimulation and binding of fluorescent DRB1*0401/Col2(259-273) tetramer complexes. The cDNAs encoding the T-cell receptor (TCR) alpha-chains and beta-chains were cloned from single-cell sorted tetramer-positive T cells and transferred via a lentiviral vector into TCR-deficient Jurkat 76 cells. Results The crystal structures identified peptide binding to DRB1*04:01 and potential side chain exposure to T cells. The main TCR recognition sites in Col2(259-273) were lysine residues that can be galactosylated. RA T-cell responses to DRB1*04:01-presented Col2(259-273) were dependent on peptide galactosylation at lysine 264. Dynamic molecular modelling of a functionally characterised Col2(259-273)-specific TCR complexed with DRB1*04:01/Col2(259-273) provided evidence for differential allosteric T-cell recognition of glycosylated lysine 264. Conclusions The MHC-peptide-TCR interactions elucidated in our study provide new molecular insights into recognition of a post-translationally modified RA T-cell determinant with a known dominant role in arthritogenic and tolerogenic responses in murine Col2-induced arthritis.

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