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Diabetes 54:2053-2059, 2005
© 2005 by the American Diabetes Association, Inc.

Identification of Naturally Processed HLA-A2—Restricted Proinsulin Epitopes by Reverse Immunology

Yousra Hassainya1, Francisco Garcia-Pons2, Roland Kratzer1, Vivian Lindo3, Fiona Greer3, François A. Lemonnier2, Gabriele Niedermann4, and Peter M. van Endert1

1 Institut National de la Santé et de la Recherche Médicale Unité 580, Université René Descartes, Paris, France
2 Unité d’Immunité Cellulaire Antivirale, Département d’Immunologie, Institut Pasteur, Paris, France
3 M-SCAN, Wokingham, U.K
4 Department of Cellular Immunology, Max Planck Institute of Immunobiology, Freiburg, Germany

Type 1 diabetes is thought to result from the destruction of ß-cells by autoantigen-specific T-cells. Observations in the NOD mouse model suggest that CD8+ cytotoxic T-cells play an essential role in both the initial triggering of insulitis and its destructive phase. However, little is known about the epitopes derived from human ß-cell autoantigens and presented by HLA class I molecules. We used a novel reverse immunology approach to identify HLA-A2–restricted, naturally processed epitopes derived from proinsulin, an autoantigen likely to play an important role in the pathogenesis of type 1 diabetes. Recombinant human proinsulin was digested with purified proteasome complexes to establish an inventory of potential COOH-terminals of HLA class I–presented epitopes. Cleavage data were then combined with epitope predictions based on the SYFPEITHI and BIMAS algorithms to select 10 candidate epitopes; 7 of these, including 3 with a sequence identical to murine proinsulin, were immunogenic in HLA-A2 transgenic mice. Moreover, six of six tested peptides were processed and presented by proinsulin-expressing cells. These results demonstrate the power of reverse immunology approaches. Moreover, the novel epitopes may be of significant interest in monitoring autoreactive T-cells in type 1 diabetes.


Address correspondence and reprint requests to Dr, Peter van Endert, INSERM U580, Hôpital Necker, 161 rue de Sèvres, 75743 Paris, Cedex 15, France. E-mail: vanendert{at}necker.fr

Abbreviations: CTL, cytotoxic T-cell; MHC, major histocompatibility complex; TAP, transporter associated with antigen processing


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