PMID- 21562577 OWN - NLM STAT- MEDLINE DCOM- 20120127 LR - 20161125 IS - 1476-5470 (Electronic) IS - 1466-4879 (Linking) VI - 12 IP - 6 DP - 2011 Sep TI - Functional consequences of HLA-DQ8 homozygosity versus heterozygosity for islet autoimmunity in type 1 diabetes. PG - 415-27 LID - 10.1038/gene.2011.24 [doi] AB - Human leukocyte antigen (HLA) class II haplotypes are established risk factors in type 1 diabetes (T1D). The heterozygous DQ2/8 genotype confers the highest risk, whereas the DQ6/8 genotype is protective. We hypothesized that DQ2/8 trans-molecules composed of alpha and beta chains from DQ2 and DQ8 express unique beta-cell epitopes, whereas DQ6 may interfere with peptide binding to DQ8. Here we show that a single insulin epitope (InsB13-21) within the T1D prototype antigenic InsB6-22 peptide can bind to both cis- and trans-dimers, although these molecules display different peptide binding patterns. DQ6 binds a distinct insulin epitope (InsB6-14). The phenotype of DQ8-restricted T cells from a T1D patient changed from proinflammatory to anti-inflammatory in the presence of DQ6. Our data provide new insights into both susceptible and protective mechanism of DQ, where protecting HLA molecules bind autoantigens in a different (competing) binding register leading to 'epitope stealing', thereby inducing a regulatory, rather than a pathogenic immune response. FAU - Eerligh, P AU - Eerligh P AD - Department of Immunohaematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands. FAU - van Lummel, M AU - van Lummel M FAU - Zaldumbide, A AU - Zaldumbide A FAU - Moustakas, A K AU - Moustakas AK FAU - Duinkerken, G AU - Duinkerken G FAU - Bondinas, G AU - Bondinas G FAU - Koeleman, B P C AU - Koeleman BP FAU - Papadopoulos, G K AU - Papadopoulos GK FAU - Roep, B O AU - Roep BO LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110512 PL - England TA - Genes Immun JT - Genes and immunity JID - 100953417 RN - 0 (Epitopes, B-Lymphocyte) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ2 antigen) RN - 0 (HLA-DQ6 antigen) RN - 0 (HLA-DQ8 antigen) RN - 0 (Insulin) RN - 0 (Syndecans) RN - 549LM7U24W (thymosin beta(4)) RN - 61512-21-8 (Thymosin) SB - IM MH - Adolescent MH - B-Lymphocytes/cytology/immunology MH - Diabetes Mellitus, Type 1/genetics/immunology/*metabolism MH - Epitopes, B-Lymphocyte/immunology MH - Genetic Predisposition to Disease MH - HLA-DQ Antigens/*genetics MH - Heterozygote MH - Homozygote MH - Humans MH - Insulin/genetics MH - Islets of Langerhans/*immunology MH - Male MH - Protein Binding MH - Syndecans/metabolism MH - T-Lymphocytes/cytology/immunology MH - Thymosin/metabolism EDAT- 2011/05/13 06:00 MHDA- 2012/01/28 06:00 CRDT- 2011/05/13 06:00 PHST- 2011/05/13 06:00 [entrez] PHST- 2011/05/13 06:00 [pubmed] PHST- 2012/01/28 06:00 [medline] AID - gene201124 [pii] AID - 10.1038/gene.2011.24 [doi] PST - ppublish SO - Genes Immun. 2011 Sep;12(6):415-27. doi: 10.1038/gene.2011.24. Epub 2011 May 12.