PMID- 21413052 OWN - NLM STAT- MEDLINE DCOM- 20110829 LR - 20220129 IS - 1527-3350 (Electronic) IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 53 IP - 6 DP - 2011 Jun TI - Electrostatic modifications of the human leukocyte antigen-DR P9 peptide-binding pocket and susceptibility to primary sclerosing cholangitis. PG - 1967-76 LID - 10.1002/hep.24299 [doi] AB - The strongest genetic risk factors for primary sclerosing cholangitis (PSC) are found in the human leukocyte antigen (HLA) complex at chromosome 6p21. Genes in the HLA class II region encode molecules that present antigen to T lymphocytes. Polymorphisms in these genes are associated with most autoimmune diseases, most likely because they contribute to the specificity of immune responses. The aim of this study was to analyze the structure and electrostatic properties of the peptide-binding groove of HLA-DR in relation to PSC. Thus, four-digit resolution HLA-DRB1 genotyping was performed in 356 PSC patients and 366 healthy controls. Sequence information was used to assign which amino acids were encoded at all polymorphic positions. In stepwise logistic regressions, variations at residues 37 and 86 were independently associated with PSC (P = 1.2 x 10(-32) and P = 1.8 x 10(-22) in single-residue models, respectively). Three-dimensional modeling was performed to explore the effect of these key residues on the HLA-DR molecule. This analysis indicated that residue 37 was a major determinant of the electrostatic properties of pocket P9 of the peptide-binding groove. Asparagine at residue 37, which was associated with PSC, induced a positive charge in pocket P9. Tyrosine, which protected against PSC, induced a negative charge in this pocket. Consistent with the statistical observations, variation at residue 86 also indirectly influenced the electrostatic properties of this pocket. DRB1*13:01, which was PSC-associated, had a positive P9 pocket and DRB1*13:02, protective against PSC, had a negative P9 pocket. CONCLUSION: The results suggest that in patients with PSC, residues 37 and 86 of the HLA-DRbeta chain critically influence the electrostatic properties of pocket P9 and thereby the range of peptides presented. CI - Copyright (c) 2011 American Association for the Study of Liver Diseases. FAU - Hov, Johannes R AU - Hov JR AD - Norwegian PSC Research Center, Clinic for Specialized Medicine and Surgery, Oslo University Hospital Rikshospitalet, Oslo, Norway. FAU - Kosmoliaptsis, Vasilis AU - Kosmoliaptsis V FAU - Traherne, James A AU - Traherne JA FAU - Olsson, Marita AU - Olsson M FAU - Boberg, Kirsten M AU - Boberg KM FAU - Bergquist, Annika AU - Bergquist A FAU - Schrumpf, Erik AU - Schrumpf E FAU - Bradley, J Andrew AU - Bradley JA FAU - Taylor, Craig J AU - Taylor CJ FAU - Lie, Benedicte A AU - Lie BA FAU - Trowsdale, John AU - Trowsdale J FAU - Karlsen, Tom H AU - Karlsen TH LA - eng GR - G0401569/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110513 PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM CIN - Hepatology. 2011 Jun;53(6):1798-800. PMID: 21538433 MH - Adolescent MH - Adult MH - Aged MH - Amino Acid Motifs/genetics MH - Binding Sites/genetics MH - Case-Control Studies MH - Child MH - Cholangitis, Sclerosing/epidemiology/genetics MH - Female MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - HLA-DR Antigens/*chemistry/*genetics MH - HLA-DRB1 Chains MH - Haplotypes/genetics MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Risk Factors MH - *Static Electricity MH - Young Adult PMC - PMC3128712 EDAT- 2011/03/18 06:00 MHDA- 2011/08/30 06:00 CRDT- 2011/03/18 06:00 PHST- 2010/03/07 00:00 [accepted] PHST- 2010/11/23 00:00 [received] PHST- 2011/03/18 06:00 [entrez] PHST- 2011/03/18 06:00 [pubmed] PHST- 2011/08/30 06:00 [medline] AID - 10.1002/hep.24299 [doi] PST - ppublish SO - Hepatology. 2011 Jun;53(6):1967-76. doi: 10.1002/hep.24299. Epub 2011 May 13.