Diabetes, Vol 48, Issue 10 1937-1947, Copyright © 1999 by American Diabetes Association
Identification of peptides from autoantigens GAD65 and IA-2 that bind to HLA class II molecules predisposing to or protecting from type 1 diabetes
E Harfouch-Hammoud, T Walk, H Otto, G Jung, JF Bach, PM van Endert and S Caillat-Zucman
Laboratory of Immunology and INSERM U25, Hopital Necker, Paris, France.
Type 1 diabetes is a T-cell-mediated disease in which presentation of
autoantigens to CD4+ T-cells is thought to play a crucial role.
Polymorphism of HLA class II genes accounts for 50% of the genetic risk of
contracting type 1 diabetes. HLA-DQ and -DR molecules predisposing to or
protecting from type 1 diabetes have been identified, but the molecular
basis controlling these associations is as yet undefined. Apart from
distinct thymic selection of autoreactive T-cells by susceptible and
protective HLA molecules, exclusive presentation of autoantigenic peptides
by type 1 diabetes-predisposing HLA molecules or, alternatively, induction
of regulatory T-cells by protective alleles are potential mechanisms for
modification of type 1 diabetes risk by HLA polymorphism. As a first step
in exploring the role of HLA molecules in autoantigen-specific cellular
responses in type 1 diabetes, we have screened peptides covering the
sequence of two major autoantigens targeted by humoral and cellular immune
responses, GAD65 and islet associated-2 (IA-2), for binding to class II
molecules. We developed a sensitive novel competition binding assay
allowing us to measure peptide binding on intact cells to 10 HLA-DR and 4
HLA-DQ molecules. For all tested alleles, multiple peptides binding with
high affinity were identified. We report clustering of binding peptides in
the COOH-terminal regions of GAD65 and IA-2, as well as highly promiscuous
binding patterns of some peptides. Our results demonstrate that most
peptides derived from the GAD and IA-2 autoantigens can bind to both type 1
diabetes-predisposing and type 1 diabetes-protective HLA molecules,
although some exceptions were observed. The binding inventory presented
here for GAD and IA-2 peptides can be useful for mapping natural epitopes
and predicting peptide-specific responses induced by preventive
immunization.