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

ObjectivesCD8+ 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 (21OH342-350), restricted by HLA-...

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Main Authors: Alexander Hellesen, Sigrid Aslaksen, Lars Breivik, Ellen Christine Røyrvik, Øyvind Bruserud, Kine Edvardsen, Karl Albert Brokstad, Anette Susanne Bøe Wolff, Eystein Sverre Husebye, Eirik Bratland
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.742848/full
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author Alexander Hellesen
Alexander Hellesen
Sigrid Aslaksen
Sigrid Aslaksen
Lars Breivik
Lars Breivik
Lars Breivik
Ellen Christine Røyrvik
Ellen Christine Røyrvik
Øyvind Bruserud
Øyvind Bruserud
Kine Edvardsen
Karl Albert Brokstad
Karl Albert Brokstad
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Eystein Sverre Husebye
Eystein Sverre Husebye
Eystein Sverre Husebye
Eirik Bratland
Eirik Bratland
Eirik Bratland
author_facet Alexander Hellesen
Alexander Hellesen
Sigrid Aslaksen
Sigrid Aslaksen
Lars Breivik
Lars Breivik
Lars Breivik
Ellen Christine Røyrvik
Ellen Christine Røyrvik
Øyvind Bruserud
Øyvind Bruserud
Kine Edvardsen
Karl Albert Brokstad
Karl Albert Brokstad
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Eystein Sverre Husebye
Eystein Sverre Husebye
Eystein Sverre Husebye
Eirik Bratland
Eirik Bratland
Eirik Bratland
author_sort Alexander Hellesen
collection DOAJ
description ObjectivesCD8+ 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 (21OH342-350), restricted by HLA-A2, and EPLARLEL (21OH431-438), restricted by HLA-B8. We aimed to characterize polyclonal CD8+ T cell responses to the proposed epitopes in a larger patient cohort with AAD.MethodsRecombinant 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.ResultsWe 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, 21OH430-447, suggesting alternative dominant epitopes. Accordingly, we discovered that the slightly offset ARLELFVVL (21OH434-442) peptide is a novel dominant epitope restricted by HLA-C7 and not by HLA-B8 as initially postulated.ConclusionWe 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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spelling doaj.art-5a9c0773ab494ceeb083fa4b8ce837352022-12-21T21:34:23ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-10-011210.3389/fimmu.2021.74284874284821-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 MoleculesAlexander Hellesen0Alexander Hellesen1Sigrid Aslaksen2Sigrid Aslaksen3Lars Breivik4Lars Breivik5Lars Breivik6Ellen Christine Røyrvik7Ellen Christine Røyrvik8Øyvind Bruserud9Øyvind Bruserud10Kine Edvardsen11Karl Albert Brokstad12Karl Albert Brokstad13Anette Susanne Bøe Wolff14Anette Susanne Bøe Wolff15Anette Susanne Bøe Wolff16Eystein Sverre Husebye17Eystein Sverre Husebye18Eystein Sverre Husebye19Eirik Bratland20Eirik Bratland21Eirik Bratland22Department of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayBroegelmann Research Laboratory, University of Bergen, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayKG Jebsen Centre for Autoimmune Diseases, University of Bergen, Bergen, NorwayDepartment of Medical Genetics, Haukeland University Hospital, Bergen, NorwayObjectivesCD8+ 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 (21OH342-350), restricted by HLA-A2, and EPLARLEL (21OH431-438), restricted by HLA-B8. We aimed to characterize polyclonal CD8+ T cell responses to the proposed epitopes in a larger patient cohort with AAD.MethodsRecombinant 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.ResultsWe 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, 21OH430-447, suggesting alternative dominant epitopes. Accordingly, we discovered that the slightly offset ARLELFVVL (21OH434-442) peptide is a novel dominant epitope restricted by HLA-C7 and not by HLA-B8 as initially postulated.ConclusionWe 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.https://www.frontiersin.org/articles/10.3389/fimmu.2021.742848/fullCD8+ T cells21-hydroxylaseautoimmuneAddison’s diseaseepitopes
spellingShingle Alexander Hellesen
Alexander Hellesen
Sigrid Aslaksen
Sigrid Aslaksen
Lars Breivik
Lars Breivik
Lars Breivik
Ellen Christine Røyrvik
Ellen Christine Røyrvik
Øyvind Bruserud
Øyvind Bruserud
Kine Edvardsen
Karl Albert Brokstad
Karl Albert Brokstad
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Anette Susanne Bøe Wolff
Eystein Sverre Husebye
Eystein Sverre Husebye
Eystein Sverre Husebye
Eirik Bratland
Eirik Bratland
Eirik Bratland
21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
Frontiers in Immunology
CD8+ T cells
21-hydroxylase
autoimmune
Addison’s disease
epitopes
title 21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
title_full 21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
title_fullStr 21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
title_full_unstemmed 21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
title_short 21-Hydroxylase-Specific CD8+ T Cells in Autoimmune Addison’s Disease Are Restricted by HLA-A2 and HLA-C7 Molecules
title_sort 21 hydroxylase specific cd8 t cells in autoimmune addison s disease are restricted by hla a2 and hla c7 molecules
topic CD8+ T cells
21-hydroxylase
autoimmune
Addison’s disease
epitopes
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.742848/full
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