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* Department of Immunology, Lerner Research Institute, and
Center for Anesthesiology Research, Cleveland Clinic Foundation, Cleveland, OH 44195; and
Department of Pathology, Case Western Reserve University, Cleveland, OH 44106
Idiopathic dilated cardiomyopathy (DCM) is responsible for
25%
of all cases of congestive heart failure. We have recently shown that
immunization of autoimmune-susceptible SWXJ mice with whole cardiac
myosin leads to T cell-mediated experimental autoimmune myocarditis
(EAMC) and DCM. We have now identified two disease-inducing peptides
from cardiac
-myosin heavy chain (CAMHC). Our approach involved the
use of a novel MHC class II-binding motif contained in several peptides
known to be immunogenic in SWXJ (H-2q,s) mice or in the
parental SJL/J (H-2s) or SWR/J (H-2q) mouse
strains. Two of four CAMHC peptides containing the -KXXS- peptide motif
were found to be immunogenic. Immunization of SWXJ or parental SJL/J
and SWR/J mice with CAMHC peptides p
406425 or p
16311650
resulted in EAMC and DCM, characterized by inflammation, fibrosis, and
decompensated right-sided ventricular dilatation. Despite mediating
high incidences of severe disease, both peptides were found to be
cryptic determinants, thereby providing further evidence for the
importance and perhaps predominance of self crypticity in autoimmunity.
Both peptides showed dual parental I-Aq and
I-As restriction and mediated passive transfer of disease
with activated CD4+ T cells. An intact motif was necessary
for antigenicity because loss of activity occurred in peptides
containing nonconservative substitutions at the motifs terminal
lysine and serine residues. Our studies provide a new model for EAMC
and DCM in strains of mice widely used in autoimmune studies. Moreover,
the -KXXS- motif may be particularly useful in implicating previously
overlooked proteins as autoimmune targets and in facilitating the
development of new organ-specific autoimmune mouse models for human
diseases.
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