PMID- 18311511 OWN - NLM STAT- MEDLINE DCOM- 20080923 LR - 20211020 IS - 0271-9142 (Print) IS - 0271-9142 (Linking) VI - 28 IP - 4 DP - 2008 Jul TI - Human CD8 responses to a complete epitope set from preproinsulin: implications for approaches to epitope discovery. PG - 350-60 LID - 10.1007/s10875-008-9177-4 [doi] AB - PURPOSE: In this study, we explored the breadth of CD8 T cell reactivity to preproinsulin (PPI) in type 1 diabetes. MATERIALS AND METHODS: We tested a complete peptide set in pools covering all 406 potential 8-11mer epitopes of PPI and 61 algorithm-predicted human leukocyte antigen (HLA)-A2-specific epitopes (15 pools) from islet-specific glucose-6-phophatase catalytic subunit-related protein (IGRP), using a CD8-specific granzyme B enzyme-linked immunosorbent spot assay. RESULTS: Responses were seen to 64 of the 102 PPI pools in two or more newly diagnosed patients (63%) compared to 11 pools in the control subjects (11%, p < 0.0001, Fisher's exact test). We identified five pools containing 20 peptides, which distinguished patients from control subjects, most of which had predicted low-affinity binding to HLA class I molecules. In contrast, fewer (5 of 15 = 33%) IGRP peptide pools, selected by higher binding affinity for HLA-A2 (present in seven of eight patients and five of seven control subjects), stimulated responses in two or more patients, and none stimulated responses in more than two control subjects (p = 0.042, Fisher's exact test). CONCLUSION: Thus, we conclude that CD8 T cell reactivity to PPI in patients with type 1 diabetes can be much broader than shown previously and more diverse than seen in control subjects. Furthermore, responses were often stimulated by peptides with low predicted HLA-binding affinities. FAU - Baker, Caroline AU - Baker C AD - Department of Cellular and Molecular Medicine, School of Medical Sciences, University of Bristol, University Walk, Bristol BS8 1TD, UK. FAU - Petrich de Marquesini, Liliana G AU - Petrich de Marquesini LG FAU - Bishop, Amanda J AU - Bishop AJ FAU - Hedges, Alan J AU - Hedges AJ FAU - Dayan, Colin M AU - Dayan CM FAU - Wong, F Susan AU - Wong FS LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080229 PL - Netherlands TA - J Clin Immunol JT - Journal of clinical immunology JID - 8102137 RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (ICA512 autoantibody) RN - 0 (Insulin) RN - 0 (Peptide Library) RN - 0 (Protein Precursors) RN - 61116-24-3 (preproinsulin) RN - EC 3.1.3.9 (Glucose-6-Phosphatase) RN - EC 3.1.3.9. (G6PC2 protein, human) RN - EC 3.4.21.- (Granzymes) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Adult MH - Autoantibodies/blood MH - Autoantigens/immunology MH - CD8-Positive T-Lymphocytes/*immunology MH - Diabetes Mellitus, Type 1/*immunology MH - Epitopes, T-Lymphocyte/*immunology MH - Female MH - Glucose-6-Phosphatase/immunology MH - Glutamate Decarboxylase/immunology MH - Granzymes/metabolism MH - Humans MH - Insulin/*immunology MH - Lymphocyte Activation/immunology MH - Male MH - Peptide Library MH - Protein Precursors/*immunology EDAT- 2008/03/04 09:00 MHDA- 2008/09/24 09:00 CRDT- 2008/03/04 09:00 PHST- 2007/10/26 00:00 [received] PHST- 2008/01/15 00:00 [accepted] PHST- 2008/03/04 09:00 [pubmed] PHST- 2008/09/24 09:00 [medline] PHST- 2008/03/04 09:00 [entrez] AID - 10.1007/s10875-008-9177-4 [doi] PST - ppublish SO - J Clin Immunol. 2008 Jul;28(4):350-60. doi: 10.1007/s10875-008-9177-4. Epub 2008 Feb 29.