
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 α and β chains from DQ2 and DQ8 express unique β-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.
Male, Heterozygote, Syndecans, Adolescent, T-Lymphocytes, Thymosin/metabolism, Epitopes, B-Lymphocyte/immunology, Islets of Langerhans, MHC class II type 1 diabetes HLA-DQ trans-dimer insulin genetic risk autoimmune disease class-ii molecule t-cell responses hla-dq celiac-disease binding characteristics epitope specificity cytokine production unique properties dutch population immune-response, Syndecans/metabolism, HLA-DQ Antigens, Humans, Insulin, Genetic Predisposition to Disease, B-Lymphocytes, Homozygote, Insulin/genetics, Islets of Langerhans/*immunology, Diabetes Mellitus, Type 1/genetics/immunology/*metabolism, Thymosin, Diabetes Mellitus, Type 1, HLA-DQ Antigens/*genetics, B-Lymphocytes/cytology/immunology, Epitopes, B-Lymphocyte, T-Lymphocytes/cytology/immunology, Protein Binding
Male, Heterozygote, Syndecans, Adolescent, T-Lymphocytes, Thymosin/metabolism, Epitopes, B-Lymphocyte/immunology, Islets of Langerhans, MHC class II type 1 diabetes HLA-DQ trans-dimer insulin genetic risk autoimmune disease class-ii molecule t-cell responses hla-dq celiac-disease binding characteristics epitope specificity cytokine production unique properties dutch population immune-response, Syndecans/metabolism, HLA-DQ Antigens, Humans, Insulin, Genetic Predisposition to Disease, B-Lymphocytes, Homozygote, Insulin/genetics, Islets of Langerhans/*immunology, Diabetes Mellitus, Type 1/genetics/immunology/*metabolism, Thymosin, Diabetes Mellitus, Type 1, HLA-DQ Antigens/*genetics, B-Lymphocytes/cytology/immunology, Epitopes, B-Lymphocyte, T-Lymphocytes/cytology/immunology, Protein Binding
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