PMID- 23555576 OWN - NLM STAT- MEDLINE DCOM- 20130930 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 3 DP - 2013 TI - A broad profile of co-dominant epitopes shapes the peripheral Mycobacterium tuberculosis specific CD8+ T-cell immune response in South African patients with active tuberculosis. PG - e58309 LID - 10.1371/journal.pone.0058309 [doi] LID - e58309 AB - We studied major histocompatibility complex (MHC) class I peptide-presentation and nature of the antigen-specific CD8+ T-cell response from South African tuberculosis (TB) patients with active TB. 361 MHC class I binding epitopes were identified from three immunogenic TB proteins (ESAT-6 [Rv3875], Ag85B [Rv1886c], and TB10.4 [Rv0288], including amino acid variations for Rv0288, i.e., A10T, G13D, S27N, and A71S for MHC allotypes common in a South African population (e.g., human leukocyte antigen [HLA]-A*30, B*58, and C*07). Inter-allelic differences were identified regarding the broadness of the peptide-binding capacity. Mapping of frequencies of Mycobacterium tuberculosis (M. tb) antigen-specific CD8+ T-cells using 48 different multimers, including the newly constructed recombinant MHC class I alleles HLA-B*58:01 and C*0701, revealed a low frequency of CD8+ T-cell responses directed against a broad panel of co-dominant M. tb epitopes in the peripheral circulation of most patients. The antigen-specific responses were dominated by CD8+ T-cells with a precursor-like phenotype (CD45RA+CCR7+). The data show that the CD8+ T-cell response from patients with pulmonary TB (prior to treatment) is directed against subdominant epitopes derived from secreted and non-secreted M. tb antigens and that variant, natural occurring M. tb Rv0288 ligands, have a profound impact on T-cell recognition. FAU - Axelsson-Robertson, Rebecca AU - Axelsson-Robertson R AD - Department of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden. FAU - Loxton, Andre G AU - Loxton AG FAU - Walzl, Gerhard AU - Walzl G FAU - Ehlers, Marthie M AU - Ehlers MM FAU - Kock, Marleen M AU - Kock MM FAU - Zumla, Alimuddin AU - Zumla A FAU - Maeurer, Markus AU - Maeurer M LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20130326 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antigens, Bacterial) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*58:01 antigen) RN - 0 (HLA-C Antigens) SB - IM MH - Adult MH - Antigens, Bacterial/*immunology MH - CD8-Positive T-Lymphocytes/*immunology/pathology MH - Epitopes, T-Lymphocyte/*immunology MH - Female MH - HLA-B Antigens/*immunology MH - HLA-C Antigens/*immunology MH - Humans MH - Male MH - Mycobacterium tuberculosis/*immunology MH - South Africa MH - Tuberculosis, Pulmonary/epidemiology/*immunology/pathology PMC - PMC3608651 COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2013/04/05 06:00 MHDA- 2013/10/01 06:00 PMCR- 2013/03/26 CRDT- 2013/04/05 06:00 PHST- 2012/11/16 00:00 [received] PHST- 2013/02/01 00:00 [accepted] PHST- 2013/04/05 06:00 [entrez] PHST- 2013/04/05 06:00 [pubmed] PHST- 2013/10/01 06:00 [medline] PHST- 2013/03/26 00:00 [pmc-release] AID - PONE-D-12-35626 [pii] AID - 10.1371/journal.pone.0058309 [doi] PST - ppublish SO - PLoS One. 2013;8(3):e58309. doi: 10.1371/journal.pone.0058309. Epub 2013 Mar 26.