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      21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules

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          Abstract

          Objectives

          CD8+ T cells targeting 21-hydroxylase (21OH) are presumed to play a central role in the destruction of adrenocortical cells in autoimmune Addison’s disease (AAD). Earlier reports have suggested two immunodominant CD8+ T cell epitopes within 21OH: LLNATIAEV (21OH 342-350), restricted by HLA-A2, and EPLARLEL (21OH 431-438), restricted by HLA-B8. We aimed to characterize polyclonal CD8+ T cell responses to the proposed epitopes in a larger patient cohort with AAD.

          Methods

          Recombinant fluorescent HLA-peptide multimer reagents were used to quantify antigen-specific CD8+ T cells by flow cytometry. Interferon-gamma (IFNγ) Elispot and biochemical assays were used to functionally investigate the 21OH-specific T cells, and to map the exactly defined epitopes of 21OH.

          Results

          We found a significantly higher frequency of HLA-A2 restricted LLNATIAEV-specific cells in patients with AAD than in controls. These cells could also be expanded in vitro in an antigen specific manner and displayed a robust antigen-specific IFNγ production. In contrast, only negligible frequencies of EPLARLEL-specific T cells were detected in both patients and controls with limited IFNγ response. However, significant IFNγ production was observed in response to a longer peptide encompassing EPLARLEL, 21OH 430-447, suggesting alternative dominant epitopes. Accordingly, we discovered that the slightly offset ARLELFVVL (21OH 434-442) peptide is a novel dominant epitope restricted by HLA-C7 and not by HLA-B8 as initially postulated.

          Conclusion

          We have identified two dominant 21OH epitopes targeted by CD8+ T cells in AAD, restricted by HLA-A2 and HLA-C7, respectively. To our knowledge, this is the first HLA-C7 restricted epitope described for an autoimmune disease.

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          Most cited references38

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          Reliable prediction of T-cell epitopes using neural networks with novel sequence representations.

          In this paper we describe an improved neural network method to predict T-cell class I epitopes. A novel input representation has been developed consisting of a combination of sparse encoding, Blosum encoding, and input derived from hidden Markov models. We demonstrate that the combination of several neural networks derived using different sequence-encoding schemes has a performance superior to neural networks derived using a single sequence-encoding scheme. The new method is shown to have a performance that is substantially higher than that of other methods. By use of mutual information calculations we show that peptides that bind to the HLA A*0204 complex display signal of higher order sequence correlations. Neural networks are ideally suited to integrate such higher order correlations when predicting the binding affinity. It is this feature combined with the use of several neural networks derived from different and novel sequence-encoding schemes and the ability of the neural network to be trained on data consisting of continuous binding affinities that gives the new method an improved performance. The difference in predictive performance between the neural network methods and that of the matrix-driven methods is found to be most significant for peptides that bind strongly to the HLA molecule, confirming that the signal of higher order sequence correlation is most strongly present in high-binding peptides. Finally, we use the method to predict T-cell epitopes for the genome of hepatitis C virus and discuss possible applications of the prediction method to guide the process of rational vaccine design.
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            Gapped sequence alignment using artificial neural networks: application to the MHC class I system.

            Many biological processes are guided by receptor interactions with linear ligands of variable length. One such receptor is the MHC class I molecule. The length preferences vary depending on the MHC allele, but are generally limited to peptides of length 8-11 amino acids. On this relatively simple system, we developed a sequence alignment method based on artificial neural networks that allows insertions and deletions in the alignment.
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              Molecular mimicry and autoimmunity

              Molecular mimicry is one of the leading mechanisms by which infectious or chemical agents may induce autoimmunity. It occurs when similarities between foreign and self-peptides favor an activation of autoreactive T or B cells by a foreign-derived antigen in a susceptible individual. However, molecular mimicry is unlikely to be the only underlying mechanism for autoimmune responses; other factors such as breach in central tolerance, non-specific bystander activation, or persistent antigenic stimuli (amongst others) may also contribute to the development of autoimmune diseases. Host genetics, exposure to microbiota and environmental chemicals are additional links to our understanding of molecular mimicry. Our current knowledge of the detailed mechanisms of molecular mimicry is limited by the issues of prolonged periods of latency before the appearance of disease, the lack of enough statistical power in epidemiological studies, the limitations of the potential role of genetics in human studies, the relevance of inbred murine models to the diverse human population and especially the limited technology to systematically dissect the human T-cell repertoire and B-cell responses. Nevertheless, studies on the role of autoreactive T-cells that are generated secondary to molecular mimicry, the diversity of the T-cell receptor repertoires of auto-reactive T-cells, the role of exposure to cryptic antigens, the generation of autoimmune B-cell responses, the interaction of microbiota and chemical adjuvants with the host immune systems all provide clues in advancing our understanding of the molecular mechanisms involved in the evolving concept of molecular mimicry and also may potentially aid in the prevention and treatment of autoimmune diseases.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/460463
                URI : https://loop.frontiersin.org/people/747978
                URI : https://loop.frontiersin.org/people/1467833
                URI : https://loop.frontiersin.org/people/441579
                URI : https://loop.frontiersin.org/people/100399
                Journal
                Front Immunol
                Front Immunol
                Front. Immunol.
                Frontiers in Immunology
                Frontiers Media S.A.
                1664-3224
                14 October 2021
                2021
                : 12
                : 742848
                Affiliations
                [1] 1 Department of Clinical Science, University of Bergen , Bergen, Norway
                [2] 2 KG Jebsen Centre for Autoimmune Diseases, University of Bergen , Bergen, Norway
                [3] 3 Department of Medicine, Haukeland University Hospital , Bergen, Norway
                [4] 4 Broegelmann Research Laboratory, University of Bergen , Bergen, Norway
                [5] 5 Department of Medical Genetics, Haukeland University Hospital , Bergen, Norway
                Author notes

                Edited by: Urs Christen, Goethe University Frankfurt, Germany

                Reviewed by: Adnane Achour, Karolinska Institutet (KI), Sweden; Elena Lorente, Instituto de Salud Carlos III (ISCIII), Spain

                *Correspondence: Eirik Bratland, eirik.bratland@ 123456uib.no

                †These authors have contributed equally to this work and share first authorship

                This article was submitted to Autoimmune and Autoinflammatory Disorders, a section of the journal Frontiers in Immunology

                Article
                10.3389/fimmu.2021.742848
                8551825
                34721410
                9e508d4f-538f-4dea-a024-1f20fcc2b318
                Copyright © 2021 Hellesen, Aslaksen, Breivik, Røyrvik, Bruserud, Edvardsen, Brokstad, Wolff, Husebye and Bratland

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 July 2021
                : 29 September 2021
                Page count
                Figures: 4, Tables: 2, Equations: 0, References: 38, Pages: 12, Words: 7616
                Funding
                Funded by: Norges Forskningsråd , doi 10.13039/501100005416;
                Award ID: 262677
                Funded by: Stiftelsen Kristian Gerhard Jebsen , doi 10.13039/100007793;
                Funded by: Novo Nordisk Fonden , doi 10.13039/501100009708;
                Funded by: Helse Vest Regionalt Helseføretak , doi 10.13039/501100005029;
                Categories
                Immunology
                Original Research

                Immunology
                cd8+ t cells,21-hydroxylase,autoimmune,addison’s disease,epitopes
                Immunology
                cd8+ t cells, 21-hydroxylase, autoimmune, addison’s disease, epitopes

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