PMID- 35272251 OWN - NLM STAT- MEDLINE DCOM- 20220614 LR - 20220725 IS - 1879-033X (Electronic) IS - 0959-440X (Linking) VI - 74 DP - 2022 Jun TI - Structural bases of T cell antigen receptor recognition in celiac disease. PG - 102349 LID - S0959-440X(22)00028-8 [pii] LID - 10.1016/j.sbi.2022.102349 [doi] AB - Celiac disease (CeD) is a human leukocyte antigen (HLA)-linked autoimmune-like disorder that is triggered by the ingestion of gluten or related storage proteins. The majority of CeD patients are HLA-DQ2.5(+), with the remainder being either HLA-DQ8(+) or HLA-DQ2.2(+). Structural studies have shown how deamidation of gluten epitopes engenders binding to HLA-DQ2.5/8, which then triggers an aberrant CD4(+) T cell response. HLA tetramer studies, combined with structural investigations, have demonstrated that repeated patterns of TCR usage underpins the immune response to some HLADQ2.5/8 restricted gluten epitopes, with distinct TCR motifs representing common landing pads atop the HLA-gluten complexes. Structural studies have provided insight into TCR specificity and cross-reactivity towards gluten epitopes, as well as cross-reactivity to bacterial homologues of gluten epitopes, suggesting that environmental factors may directly play a role in CeD pathogenesis. Collectively, structural immunology-based studies in the CeD axis may lead to new therapeutics/diagnostics to treat CeD, and also serve as an exemplar for other T cell mediated autoimmune diseases. CI - Copyright (c) 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Ciacchi, Laura AU - Ciacchi L AD - Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, 3800, Australia. FAU - Reid, Hugh H AU - Reid HH AD - Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, 3800, Australia. FAU - Rossjohn, Jamie AU - Rossjohn J AD - Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute, Monash University, Clayton, Victoria, 3800, Australia; Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, CF14 4XN, United Kingdom. Electronic address: Jamie.Rossjohn@monash.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220307 PL - England TA - Curr Opin Struct Biol JT - Current opinion in structural biology JID - 9107784 RN - 0 (Epitopes) RN - 0 (Receptors, Antigen, T-Cell) RN - 8002-80-0 (Glutens) SB - IM MH - *Celiac Disease/metabolism MH - Epitopes MH - Glutens MH - Humans MH - Receptors, Antigen, T-Cell/chemistry MH - T-Lymphocytes/metabolism EDAT- 2022/03/11 06:00 MHDA- 2022/06/15 06:00 CRDT- 2022/03/10 20:17 PHST- 2021/09/30 00:00 [received] PHST- 2022/01/15 00:00 [revised] PHST- 2022/01/30 00:00 [accepted] PHST- 2022/03/11 06:00 [pubmed] PHST- 2022/06/15 06:00 [medline] PHST- 2022/03/10 20:17 [entrez] AID - S0959-440X(22)00028-8 [pii] AID - 10.1016/j.sbi.2022.102349 [doi] PST - ppublish SO - Curr Opin Struct Biol. 2022 Jun;74:102349. doi: 10.1016/j.sbi.2022.102349. Epub 2022 Mar 7.