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Lys Substitution in HLA-DR Molecules Predisposing to Rheumatoid Arthritis and with Their Selective Interactions with 70-kDa Heat Shock Protein Chaperones1


* Clinical Research Unit for Rheumatology and
Institute of Biochemistry and Molecular Biology, Albert Ludwigs University, Freiburg, Germany; and
Neurosciences Group, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
Several HLA-DR alleles are genetically associated with
rheumatoid arthritis. DRB1*0401 predominates in Northern Europe and has
a characteristic 70QKRAA motif. This sequence contacts
bound peptides and the TCR. Further interactions have been suggested
with additional proteins during Ag loading. We explored the much
stronger processing/presentation of full-length recombinant human
acetylcholine receptor
subunit to a specific T cell clone by APC
from DRB1*0401+ than *0408+ donors. Using DR*04
transfectants, we show that this difference results largely from the
single Lys71
Arg interchange (0401
0408), which
scarcely affects epitope binding, rather than from any other associated
polymorphism. Furthermore, we proved our recombinant polypeptides to
contain the Escherichia coli 70-kDa heat shock protein
molecule DnaK and its requirement for efficient processing and
presentation of the epitope by DRB1*0401+ cells. According
to a recent report, 70-kDa heat shock protein chaperones preferentially
bind to the QKRAA, rather than the
QRRAA, motif. Variations between the shared
epitope motifs QKRAA and QRRAA are emphasized by underlining. We
propose that such interactions enhance the intracellular epitope
loading of *0401 molecules. They may thus broaden immune responses to
pathogens and at least partially explain the distinct contributions of
DRB1*0401 and other alleles to disease
predisposition.
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