PMID- 35914171 OWN - NLM STAT- MEDLINE DCOM- 20220803 LR - 20220927 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 119 IP - 32 DP - 2022 Aug 9 TI - Characterization of T cell receptors reactive to HCRT(NH2), pHA(273-287), and NP(17-31) in control and narcolepsy patients. PG - e2205797119 LID - 10.1073/pnas.2205797119 [doi] LID - e2205797119 AB - Narcolepsy type 1 (NT1), a disorder caused by hypocretin/orexin (HCRT) cell loss, is associated with human leukocyte antigen (HLA)-DQ0602 (98%) and T cell receptor (TCR) polymorphisms. Increased CD4(+) T cell reactivity to HCRT, especially DQ0602-presented amidated C-terminal HCRT (HCRT(NH2)), has been reported, and homology with pHA(273-287) flu antigens from pandemic 2009 H1N1, an established trigger of the disease, suggests molecular mimicry. In this work, we extended DQ0602 tetramer and dextramer data to 77 cases and 44 controls, replicating our prior finding and testing 709 TCRs in Jurkat 76 T cells for functional activation. We found that fewer TCRs isolated with HCRT(NH2) ( approximately 11%) versus pHA(273-287) or NP(17-31) antigens ( approximately 50%) were activated by their ligand. Single-cell characterization did not reveal phenotype differences in influenza versus HCRT(NH2)-reactive T cells, and analysis of TCR CDR3alphabeta sequences showed TCR clustering by responses to antigens but no cross-peptide class reactivity. Our results do not support the existence of molecular mimicry between HCRT and pHA(273-287) or NP(17-31). FAU - Luo, Guo AU - Luo G AD - Center for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA 94304. FAU - Zhang, Jing AU - Zhang J AD - Center for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA 94304. FAU - Lin, Ling AU - Lin L AUID- ORCID: 0000-0002-3406-0058 AD - Center for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA 94304. FAU - Mignot, Emmanuel Jean-Marie AU - Mignot EJ AUID- ORCID: 0000-0002-6928-5310 AD - Center for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA 94304. LA - eng GR - AI144798-01A1/HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID)/ PT - Journal Article DEP - 20220801 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (HCRT protein, human) RN - 0 (Orexins) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Viral Proteins) SB - IM MH - Humans MH - *Influenza A Virus, H1N1 Subtype/immunology MH - Influenza, Human MH - *Narcolepsy/immunology/physiopathology MH - *Orexins/metabolism MH - *Receptors, Antigen, T-Cell/genetics/immunology MH - Viral Proteins/immunology PMC - PMC9371724 OTO - NOTNLM OT - DQ0602 OT - TCR OT - hypocretin OT - narcolepsy OT - tetramer COIS- Competing interest statement: E.J.-M.M. and B.K. are co-authors on a current (2022) genome-wide association study. EDAT- 2022/08/02 06:00 MHDA- 2022/08/04 06:00 PMCR- 2022/08/01 CRDT- 2022/08/01 15:23 PHST- 2022/08/01 15:23 [entrez] PHST- 2022/08/02 06:00 [pubmed] PHST- 2022/08/04 06:00 [medline] PHST- 2022/08/01 00:00 [pmc-release] AID - 202205797 [pii] AID - 10.1073/pnas.2205797119 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2022 Aug 9;119(32):e2205797119. doi: 10.1073/pnas.2205797119. Epub 2022 Aug 1.