PMID- 22342873 OWN - NLM STAT- MEDLINE DCOM- 20120727 LR - 20131121 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 73 IP - 4 DP - 2012 Apr TI - Evidence that HLA-DQ9 confers risk to celiac disease by presence of DQ9-restricted gluten-specific T cells. PG - 376-81 LID - 10.1016/j.humimm.2012.01.016 [doi] AB - We describe the gluten T-cell response of a DR7DQ2/DR9DQ9 heterozygous celiac disease patient (CD555). Interestingly, this patient had T cells recognizing gluten in the context of human leukocyte antigen (HLA) molecules of both haplotypes. For the DR9DQ9 haplotype, DQ9 was identified as the antigen-presenting molecule. As DQ9 carries aspartate at DQ beta57 but is otherwise identical to DQ8 and not considered associated with celiac disease, we aimed to characterize this DQ9-restricted T-cell response in detail. By fractionation of pepsin-trypsin digested gliadin we identified an epitope stimulatory for several T-cell clones. This epitope was identical to an epitope (DQ8-glut-1) previously identified in DQ8 patients. In CD555, this was the dominant DQ9-restricted epitope, whereas no T-cell response was found toward two other DQ8-restricted epitopes. These findings correlated with peptide binding data demonstrating that this epitope bound better to DQ9 than the two other DQ8-restricted epitopes. Although glutamine to glutamate exchange at P9 improved binding of all three epitopes to DQ8, no such effect was observed for DQ9. The differential ability of DQ8 and DQ9 to harness a negatively charged anchor at P9 may result in fewer potential gluten epitopes in DQ9 patients. Our data further indicate that DQ9 is a susceptibility factor for celiac disease. CI - Copyright (c) 2012 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Bodd, Michael AU - Bodd M AD - Centre for Immune Regulation and Department of Immunology, Oslo University Hospital-Rikshospitalet, Oslo, Norway. michael.bodd@rr-research.no FAU - Tollefsen, Stig AU - Tollefsen S FAU - Bergseng, Elin AU - Bergseng E FAU - Lundin, Knut E A AU - Lundin KE FAU - Sollid, Ludvig M AU - Sollid LM LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120131 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ8 antigen) RN - 0 (HLA-DQ9 antigen) RN - 0 (Peptides) RN - 0RH81L854J (Glutamine) RN - 3KX376GY7L (Glutamic Acid) RN - 8002-80-0 (Glutens) SB - IM MH - Amino Acid Sequence MH - Antigen Presentation/immunology MH - Celiac Disease/*genetics/*immunology MH - Epitopes, T-Lymphocyte/chemistry/*immunology MH - Female MH - Genetic Predisposition to Disease MH - Glutamic Acid/metabolism MH - Glutamine/metabolism MH - Glutens/chemistry/*immunology MH - HLA-DQ Antigens/*genetics/*immunology MH - Humans MH - Molecular Sequence Data MH - Peptides/chemistry/immunology MH - Protein Binding/immunology MH - Risk MH - T-Lymphocytes/*immunology EDAT- 2012/02/22 06:00 MHDA- 2012/07/28 06:00 CRDT- 2012/02/21 06:00 PHST- 2011/11/02 00:00 [received] PHST- 2012/01/06 00:00 [revised] PHST- 2012/01/24 00:00 [accepted] PHST- 2012/02/21 06:00 [entrez] PHST- 2012/02/22 06:00 [pubmed] PHST- 2012/07/28 06:00 [medline] AID - S0198-8859(12)00026-2 [pii] AID - 10.1016/j.humimm.2012.01.016 [doi] PST - ppublish SO - Hum Immunol. 2012 Apr;73(4):376-81. doi: 10.1016/j.humimm.2012.01.016. Epub 2012 Jan 31.