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The Journal of Immunology, 1998, 160: 2365-2373.
Copyright © 1998 by The American Association of Immunologists

A Peptide Binding Motif for HLA-DQA1*0102/DQB1*0602, the Class II MHC Molecule Associated with Dominant Protection in Insulin-Dependent Diabetes Mellitus1

Ruth A. Ettinger and William W. Kwok2

Virginia Mason Research Center, Seattle, WA 98101


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HLA-DQA1*0102/DQB1*0602 (DQ0602) is observed at a decreased frequency in insulin-dependent diabetes mellitus in different ethnic groups, suggesting a protective role for DQ0602. Analysis of overlapping peptides from human insulin found that insulin B(1–15) bound well to DQ0602 and exhibited a high degree of allelic specificity. Truncation analysis of insulin B(1–15) identified insulin B(5–15) as the minimal peptide for DQ0602 binding. Insulin B(5–15) bound to DQ0602 with an apparent KD of 0.7 to 1.0 µM and peptide binding reached equilibrium at 96 h. Single arginine substitutions at each position of the insulin B(5–15) peptide identified amino acids 6, 8, 9, 11, and 14 (relative positions P1, P3, P4, P6, and P9) as important for binding. Extensive substitutions for each of these amino acids revealed that amino acids 11 and 14 (P6 and P9) exhibited the highest specificity. Amino acid 11 (P6) preferred large aliphatic amino acids, while amino acid 14 (P9) preferred smaller aliphatic and hydroxyl amino acids. Binding of an overlapping series of peptides from a randomly chosen protein, the herpes simplex virus-2 tegument protein UL49, correlated completely with the presence or absence of the DQ0602 peptide binding motif. Peptides 11 amino acids long were selected from GAD65, IA-2, and proinsulin, that contained the DQ0602 peptide binding motif. Of these, 79% (19 of 24) were able to bind DQ0602. This study identifies a peptide binding motif for DQ0602 and peptides from insulin-dependent diabetes mellitus autoantigens that bind DQ0602 in vitro.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The MHC on human chromosome 6p21 is the major susceptibility locus in insulin-dependent diabetes mellitus (IDDM)3 (1). The strongest genetic association on the MHC is with the highly polymorphic HLA-DR and -DQ genes. Susceptibility is associated primarily with DRB1*04-DQB1*0302 and DRB1*0301-DQB1*0201 haplotypes, whereas protection is associated with the DR2 haplotype (2). Protection on the DR2 haplotype associates most closely with the DQB1*0602 gene which has been observed at a decreased frequency in different ethnic groups, including Caucasian, Black, and Japanese (3). Protection attributed to DQB1*0602 is dominant to the susceptibility associated with other DQ alleles but is not absolute given that IDDM patients have been identified with the DQB1*0602 allele (4, 5, 6, 7).

The MHC class II molecules, HLA-DR and -DQ, are heterodimeric proteins that function as peptide receptors for presentation of antigenic peptide to T lymphocytes (8). The rules that govern peptide interaction with MHC class II molecules have been described for some HLA-DR and -DQ alleles through binding studies with synthetic peptides, biochemical isolation of naturally associated MHC class II peptides, and x-ray crystallography. The x-ray crystal structure of HLA-DRA/DRB1*0101 complexed with the influenza virus hemagglutinin peptide, HA(306–318), has provided a foundation for current knowledge on MHC class II/peptide interaction (9). The more recent elucidation of the x-ray crystal structure for HLA-DRA/DRB1*0301 complexed with the class II-associated invariant chain peptide, CLIP(81–104), demonstrated that CLIP(81–104) interaction with HLA-DRA/DRB1*0301 was almost identical with HA(306–318) interaction with HLA-DRA/DRB1*0101 (10), suggesting universal rules for peptide binding to MHC class II.

Peptide binding motifs have been described for many HLA-DR molecules and a few HLA-DQ molecules (8). These include peptide binding motifs for molecules encoded by HLA-DRA/DRB1*0401 (11), HLA-DRA/DRB1*0402 (12), HLA-DRA/DRB1*0405 (13), HLA-DRA/DRB1*0301 (14), HLA-DQA1*0301/DQB1*0302 (15), and HLA-DQA1*0501/DQB1*0201 (16, 17), MHC class II molecules found on haplotypes associated with susceptibility to IDDM. A peptide binding motif for HLA-DRA/DRB1*1501 and HLA-DRA/DRB5*0101 found on the DR2 protective haplotype in the Caucasian population has also been described (18, 19). However, a peptide binding motif for the MHC class II molecule most closely associated with IDDM protection, HLA-DQA1*0102/DQB1*0602 (DQ0602), has not been determined.

More than a dozen putative autoantigens for IDDM have been identified, including GAD65, IA-2, and (pro)insulin (20). Of these, proinsulin is unique in its tissue distribution, being expressed primarily in the pancreas, and at very low levels in the fetal and postnatal thymus (21, 22). In the thymus, a higher level of insulin mRNA expression correlates with the class III variable number of tandem repeats polymorphism found in the insulin gene promoter, an allele associated with protection in IDDM. The correlation of high thymic insulin expression with protection has raised the hypothesis that higher concentrations of (pro)insulin expression result in negative selection of (pro)insulin-specific T lymphocytes. In nonobese diabetic (NOD) mice, it was shown that mice made transgenic for proinsulin expression in thymus were protected from diabetes (23).

A number of additional lines of evidence are supportive of proinsulin as an important autoantigen in IDDM. In humans, insulin and proinsulin autoantibodies have been associated with an increased risk for IDDM development (24, 25). Insulin-specific T lymphocyte proliferation has been demonstrated in peripheral blood derived from prediabetics and diabetics (26), including low levels of proliferation to the proinsulin peptide B24–C36 (27). In NOD mice, insulin-specific T lymphocytes represent a predominant component of islet infiltrates (28). Adoptive transfer experiments have shown that insulin-specific T cell clones are capable of accelerating IDDM in NOD mice (29). A direct role for the insulin B(9–23) peptide in the development of IDDM in NOD mice has been suggested based on the observation that s.c. and intranasal administration of insulin B(9–23) resulted in a marked delay in the onset and a decrease in the incidence of diabetes relative to mice given the control peptide, tetanus toxin-(830–843) (30).

The potential role of HLA-DQ in presenting peptides to disease-mediating T lymphocytes in IDDM led us to examine binding of peptides derived from IDDM autoantigens to HLA-DQ. We report the identification of insulin B(5–15) as a peptide that binds well and with allelic specificity to DQ0602. A peptide binding motif for DQ0602 was elucidated and used to identify additional peptides from IDDM autoantigens that bind DQ0602 in vitro.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines

Homozygous EBV-transformed B-lymphoblastoid cell lines (B-LCL) from the Tenth International Histocompatibility Workshop include MGAR (DQA1*0102/DQB1*0602), AMAI (DQA1*0102/DQB1*0602), HOM-2 (DQA1*0101/DQB1*0501), KT3 (DQA1*0301/DQB1*0401), AMALA (DQA1*0501/DQB1*0301), JVM (DQA1*0501/DQB1*0301), DEU (DQA1*0301/DQB1*0301), BSM (DQA1*0301/DQB1*0302), and COX (DQA1*0501/DQB1*0201) (31). Other EBV-transformed B-LCLs used in this study include LG2 (DQA1*0101/DQB1*0501), HAS-15 (DQA1*0301/DQB1*0401), PF97387 (DQA1*0301/DQB1*0301), PRIESS (DQA1*0301/DQB1*0302), and MAT (DQA1*0501/DQB1*0201), and they were HLA typed by high resolution oligonucleotide typing (Puget Sound Blood Center, Seattle, WA). HLA class II-deficient BLS-1 was a gift from Dr. Janet Lee (32). Cells were grown in Iscove’s modified Dulbecco’s medium with L-glutamine and 25 mM HEPES buffer (Life Technologies, Gaithersburg, MD) supplemented with 10% FCS, 1 mM sodium pyruvate, 50 U/ml penicillin, and 50 µg/ml streptomycin.

Peptides

Peptides were synthesized with an Applied Biosystems 432 Peptide Synthesizer (Foster City, CA) or purchased from GeneMed Synthesis, Inc. (South San Francisco, CA). Peptides were biotinylated as described (33). The m.w. of each peptide was analyzed by mass spectrometry. Mass spectrometry was performed by Anaspec, Inc. (San Jose, CA), GeneMed Synthesis, Inc., and the Protein and Carbohydrate Structure Facility at the University of Michigan (Ann Arbor, MI). The amino acid sequence of peptides that are not given elsewhere are: insulin A(1–15), GIVEQCCTSICSLYQ; insulin A(7–21), CTSICSLYQLENYCN; insulin B(1–15), FVNQHLCGSHLVEAL; insulin B(9–23), SHLVEALYLVCGERG; insulin B(16–30), YLVCGERGFFYTPKT.

Antibodies

SPVL3 (anti-DQ) hybridoma cells were kindly provided by Dr. Hans Yssel of DNAX Research Institute of Molecular and Cellular Biology, Palo Alto, CA. L243 (anti-DR) hybridoma cells were purchased from American Type Culture Collection (Rockville, MD). Mouse IgG was purchased from Sigma BioSciences (St. Louis, MO). SPVL3 and L243 ascites were prepared at the University of Washington (Seattle, WA). SPVL3 and L243 were purified from ascites using protein A-Sepharose chromatography. Mouse IgG-, L243-, and SPVL3-Sepharose columns were prepared by coupling 20 mg of purified Ab with 5 ml of cyanogen bromide-activated Sepharose 4B (Sigma).

Purification of DQ0602

DQ0602 was purified from 1010 MGAR cells. All manipulations occurred at 4°C. Cells were lysed in 100 ml of 20 mM Tris-HCl (pH 7.5), 100 mM NaCl, 1% Nonidet P-40, 5 mM EDTA, 1 mM PMSF, 1 mM iodoacetamide by mixing for 1 h. The lysate was centrifuged at 100,000 x g for 60 min. The supernatant was precleared by sequential incubations on a rotator with mouse IgG-Sepharose (5 ml) for 1 h and L243-Sepharose (5 ml) for 3 h. The supernatant was than incubated with SPVL3-Sepharose (5 ml) overnight at 4°C. The SPVL3-Sepharose was poured into a column and the flowthrough was collected. The resin was than washed with Buffer 1 (10 mM Tris-HCl, pH 7.5, 0.1% deoxycholate), Buffer 2 (10 mM Tris-HCl, pH 7.5, 1 M NaCl, 1% n-octyl-ß-D-glucopyranoside), and Buffer 3 (10 mM Tris-HCl, pH 7.5, 1% n-octyl-ß-D-glucopyranoside). DQ0602 was eluted with 100 mM Tris (pH 11.2), 1% n-octyl-ß-D-glucopyranoside and neutralized immediately with concentrated acetic acid. Purified DQ0602 was stored at -80°C.

Whole cell peptide binding assay

EBV-transformed B-LCLs (1.5 x 106 cells) were washed with HBSS and than incubated for 20 min in 1% paraformaldehyde. Fixed cells were washed with Iscove’s complete medium followed by PBS. Cells were resuspended in 200 µl of 150 mM citrate-phosphate (pH 5.4), 5 mM EDTA, 1 mM iodoacetamide, 1 mM benzamidine, 1 mM PMSF. Biotinylated peptide was added to the cells in 4 µl of a DMSO:ß-mercaptoethanol solution (1 part DMSO and 1 part ß-mercaptoethanol diluted 1:10 in whole cell peptide binding buffer) to a final concentration of 10 µM and incubated for 18 h at 37°C. Cells were washed with HBSS and lysed by resuspending in 100 µl of 50 mM Tris-HCl (pH 7.5), 5 mM EDTA, 0.15 M NaCl, 1% Nonidet P-40, 1 mM PMSF, 1 µg/ml leupeptin, 1 µg/ml pepstatin A for 1 h on ice. The lysates were centrifuged at 20,000 x g for 10 min, and the supernatants were transferred to a 96-well microtiter plate coated with 10 µg/ml SPVL3, neutralized with 100 µl of 50 mM Tris-HCl (pH 8.0), 0.02% n-dodecyl-ß-D-maltoside, and incubated overnight at 4°C. The plate was washed with PBS containing 0.05% Tween-20. DELFIA europium-labeled streptavidin (Wallac, Turku, Finland) diluted 1:1000 in DELFIA assay buffer (Wallac) was added to the wells and incubated for 4 h at room temperature. The plate was washed with PBS containing 0.05% Tween-20. DELFIA enhancement solution (Wallac) was added to the wells and incubated for 1 h at room temperature. Fluorescence was measured using a DELFIA 1232 fluorometer (Wallac).

Purified DQ peptide binding assay

The reaction mixture consisted of 48 µl of affinity-purified DQ0602 in 150 mM citrate-phosphate (pH 5.4), 1 mM PMSF, 0.02% n-dodecyl-ß-D-maltoside at a final concentration of 25 nM and 2 µl of biotinylated peptide in a DMSO:ß-mercaptoethanol solution (1 part DMSO and 1 part ß-mercaptoethanol diluted 1:20 in purified peptide binding buffer) at a final concentration of 0.001 to 30 µM. Nonspecific binding was determined by omitting DQ0602 from the reaction mixture. DQ0602 was incubated with peptide for 48 h at 37°C. The reaction mixture was transferred to a 96-well microtiter plate coated with 10 µg/ml SPVL3, neutralized with 50 µl of 50 mM Tris-HCl (pH 8.0), 0.02% n-dodecyl-ß-D-maltoside, and incubated overnight at 4°C. The detection of bound biotinylated peptide was conducted as described above for the whole cell peptide binding assay. For the peptide saturation curve, nonspecific binding was determined by the addition of 200 µM nonbiotinylated peptide to the reaction mixture and was conducted under equilibrium conditions with a 96-h incubation time. For the time course experiment, the reaction was started by the addition of 10 µM biotinylated peptide and was stopped by the addition of 200 µM nonbiotinylated peptide. The reaction time varied from 15 min to 120 h.

DQ0602 competition assay

The reaction mixture consisted of 46 µl of affinity-purified DQ0602 in 150 mM citrate-phosphate (pH 5.4), 1 mM PMSF, 0.02% n-dodecyl-ß-D-maltoside at a final concentration of 25 nM, 2 µl of nonbiotinylated competitor peptide in DMSO:ß-mercaptoethanol solution (1 part DMSO and 1 part ß-mercaptoethanol diluted 1:20 in purified peptide binding buffer), and 2 µl of biotinylated insulin B(5–15) in DMSO:ß-mercaptoethanol solution at a final concentration of 0.25 µM. The competitor peptide was added first at 0.1, 0.3, 1.0, 3.0, 10, 30, and 100 µM final concentrations to the assay. The incubation was conducted at 37°C for 48 h. The reaction mixture was transferred to a microtiter plate coated with 10 µg/ml SPVL3, and the remainder of the assay was conducted as described above for the purified peptide binding assay. The concentration at which 50% inhibition occurs (IC50) was determined by plotting a curve for each peptide examined and extrapolating from the curve the concentration at which 50% inhibition occurs. Relative binding values were calculated by dividing the IC50 for insulin B(5–15) by the IC50 for the analogue peptide.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Insulin peptide binding to DQ alleles

Binding of the insulin peptides to HLA-DQ alleles was examined in an assay that uses paraformaldehyde-fixed EBV-transformed B-LCLs derived from individuals who are homozygous for different HLA-DQ alleles. The insulin peptides chosen, insulin A(1–15), insulin A(7–21), insulin B(1–15), insulin B(9–23), and insulin B(16–30), represent the primary structure of insulin and were used previously for mapping insulin T cell epitopes in NOD mice (29). Figure 1Go shows the results of insulin peptide binding to DQA1*0101/DQB1*0501, DQA1*0102/DQB1*0602, DQA1*0501/DQB1*0201, DQA1*0501/DQB1*0301, DQA1*0301/DQB1*0301, DQA1*0301/DQB1*0302, and DQA1*0301/DQB1*0401. These molecules are representative of HLA-DQ serologic specificities and are also commonly found in the Caucasian population with the exception of DQA1*0301/DQB1*0401, which is rare in Caucasians but is prevalent in Japanese (3). Figure 1Go shows that insulin B(1–15) bound the best to DQ0602, whereas the other peptides showed lower levels of binding to the HLA-DQ alleles examined. In addition, binding of insulin B(1–15) to DQ0602 occurred with high allelic specificity. Similar results were obtained with a second panel of EBV-transformed B-LCLs (data not shown).



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FIGURE 1. Binding of insulin A(1-15) (A), insulin A(7–21) (B), insulin B(1–15) (C), insulin B(9–23) (D), and insulin B(16–30) (E) to HLA-DQ alleles on B-LCLs. Biotinylated insulin peptides (10 µM) were incubated with 1.5 x 106 paraformaldehyde-fixed B-LCLs in whole cell peptide binding buffer. Cells were washed to remove unbound peptide and lysed. HLA-DQ was bound to a microtiter plate coated with SPVL3. Bound biotinylated peptide was detected by fluorescence using a europium-labeled streptavidin system. Data are the means ± SD of triplicate determinations. The HLA-DQ genotype of the homozygous B-LCL is indicated on the y-axis and was represented by BLS-1 (none), LG2 (0101/0501), AMAI (0102/0602), COX (0501/0201), JVM (0501/0301), DEU (0301/0301), BSM (0301/0302), and HAS-15 (0301/0401).

 
Insulin B(1–15) interaction with DQ0602

The minimal insulin B(1–15) peptide required for binding to DQ0602 was determined by measuring binding of truncated biotinylated insulin peptides to purified DQ0602. Figure 2Go shows that insulin B(1–15) and insulin B(5–15) bound to DQ0602 in a similar fashion. Further truncations at the amino- and carboxyl-terminal end of insulin B(1–15) resulted in a decrease in binding, suggesting that the minimal peptide for maximal binding was insulin B(5–15). Insulin B(6–15) and insulin B(1–14) were efficient binders compared with insulin B(7–15) and insulin B(1–13) but bound less well than insulin B(1–15), suggesting that the minimal required epitope for binding is insulin B(6–14).



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FIGURE 2. Binding of truncated insulin B(1–15) peptides to DQA1*0102/DQB1*0602. Biotinylated insulin B(1–15), insulin B(5–15), insulin B(6–15), insulin B(7–15), insulin B(1–14), and insulin B(1–13) at concentrations from 0.001 to 10 µM were incubated with 25 nM purified DQA1*0102/DQB1*0602 in purified peptide binding buffer for 48 h at 37°C. HLA-DQ was bound to a microtiter plate coated with SPVL3, and samples were washed to remove unbound peptide. Bound biotinylated peptide was detected by fluorescence using a europium-labeled streptavidin system. Data are the means ± SD of triplicate determinations.

 
The interaction of insulin B(5–15) with DQ0602 was characterized in a peptide saturation curve and time course experiment. A linear saturation isotherm for insulin B(5–15) binding to purified DQA1*0102/DQB1*0602 is shown in Figure 3GoA. An apparent KD calculated by Scatchard analysis for insulin B(5–15) binding to DQ0602 was 0.7 to 1.0 µM. An apparent KD of 0.01 to 3 µM has been reported for other MHC class II molecules (34, 35, 36). Figure 3GoB shows the time course for binding of insulin B(5–15) to purified DQA1*0102/DQB1*0602. A slow association time was exhibited, with 96 h being required to reach equilibrium. The association of peptides with purified MHC class II molecules has been shown to occur slowly, ranging between 1 and 5 days for various HLA-DR, HLA-DQ, IA, and IE alleles (34, 35, 36, 37). These results suggest that insulin B(5–15) interaction with DQ0602 is occurring in a manner consistent with conventional MHC class II peptide interaction.



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FIGURE 3. Peptide saturation curve (A) and time course (B) of insulin B(5–15) binding to DQA1*0102/DQB1*0602. A, Biotinylated insulin B(5–15) (0.001–30 µM) was incubated with 25 nM purified DQA1*0102/DQB1*0602 in purified peptide binding buffer for 96 h at 37°C. Nonspecific binding was determined by the addition of 200 µM nonbiotinylated insulin B(5–15). B, Biotinylated insulin B(5–15) (10 µM) was incubated with 25 nM purified DQA1*0102/DQB1*0602 in purified peptide binding buffer for 15 min to 120 h at 37°C. The reaction was stopped with 200 µM nonbiotinylated insulin B(5–15). Nonspecific binding was determined by omitting HLA-DQ from the reaction mixture. Bound peptide was determined in both A and B by transferring the samples to a microtiter plate coated with SPVL3 and washing to remove unbound peptide. Bound biotinylated peptide was detected by fluorescence using a europium-labeled streptavidin system. Data are the means ± SD of triplicate determinations.

 
DQ0602 peptide binding motif

The peptide binding motif for DQ0602 was defined by examining the effect of single amino acid substitutions in insulin B(5–15) on binding to DQ0602. Arginine substitutions were chosen to map the primary anchors, even though its effect could be pleiotropic, because of the effectiveness of using positively charged substitutions to determine peptide contact sites for HLA-DQ (15, 17, 38). Alanine substitutions, which typically have been used to define motifs for HLA-DR alleles, often have little effect on binding to HLA-DQ alleles (17, 38). Figure 4Go shows the effect of single arginine (R) substitutions in biotinylated insulin B(5–15) on binding to DQ0602 on AMAI B-LCLs. Binding of 6R, 8R, 9R, 11R, and 14R insulin B(5–15) peptides to DQ0602 on AMAI B-LCLs was greatly reduced, whereas 5R, 7R, 10R, 12R, 13R, and 15R insulin B(5–15) peptides bound as well as the unsubstituted peptide. Comparable results were obtained with MGAR B-LCL (data not shown). Table IGo shows the results of analyzing nonbiotinylated arginine (R)-substituted insulin B(5–15) peptides in a competition assay with biotinylated insulin B(5–15) and purified DQ0602. In this assay, the binding of 6R, 8R, 9R, 11R, and 14R insulin B(5–15) peptides to DQ0602 was also greatly reduced.



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FIGURE 4. Binding of single Arg-substituted insulin B(5–15) peptides to DQA1*0102/DQB1*0602. Biotinylated Arg analogue insulin B(5–15) peptides (10 µM) were incubated with 1.5 x 106 paraformaldehyde-fixed B-LCLs in whole cell peptide binding buffer for 18 h at 37°C. Cells were washed to remove unbound peptide. Cells were lysed and DQA1*0102/DQB1*0602 was bound to a microtiter plate coated with SPVL3. Bound biotinylated peptide was detected by fluorescence using a europium-labeled streptavidin system. The HLA-DQ genotype of the homozygous B-LCLs is BLS-1 (none), AMAI (0102/0602). The fluorescence units for insulin B(5–15) binding are: BLS-1, 8,324 ± 822; AMAI, 576,001 ± 8,608. Data are means ± SD of triplicate determinations.

 

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Table I. Binding capacity of single Arg insulin B(5–15) analogues for DQA1*0102/DQB1*06021

 
The importance of the nature of the amino acids at amino acids 6, 8, 9, 11, and 14 (P1, P3, P4, P6, and P9) for binding was further investigated by making additional single amino acid-substituted peptides. Peptides were chosen to represent the general classes of amino acid side chains: glycine (G), aliphatic (A, V, L, I), cyclic imino acid (P), hydroxyl (S, T), acidic (D, E), amide (N, Q), basic (K, R), aromatic (F, Y, W), and sulfur-containing (C, M) (39). Histidine (H), although having unique properties, was treated as a basic amino acid since the pH of the peptide binding assay is 5.4. The effect of these substitutions in insulin B(5–15) is shown in Figure 5Go and is expressed as relative binding. The relative binding value was determined by dividing the IC50 for insulin B(5–15) by the IC50 for each insulin B(5–15) analogue peptide. At amino acids 6, 8, and 9 (P1, P3, and P4), Arg (R)- and Pro (P)-substituted peptides had a binding capacity of <0.1 (Fig. 5Go, AC). In addition, a Gly (G)-substituted peptide was not tolerated at amino acid 6; Cys (C)- and Asp (D)-substituted peptides were not tolerated at amino acid 9. At amino acid 11 (P6), Arg (R)-, Cys (C)-, Phe (F)-, Asp (D)-, Asn (N)-, and Gly (G)-substituted peptides had a relative binding capacity of <0.1 and Thr (T)-, Pro (P)-, and Ala (A)-substituted peptides had a relative binding capacity between 0.1 and 0.3 (Fig. 5GoD). Only the highly conservative Val- and Ile-substituted peptides bound well to DQ0602 with relative binding capacities of 0.63 and 1.0, respectively (data not shown), suggesting that a large aliphatic amino acid at amino acid 11 (P6) is important for binding. At amino acid 14 (P9), Arg (R)-, Cys (C)-, Asp (D)-, Asn (N)-, and Phe (F)-substituted peptides had a relative binding capacity of 0.1 or less, whereas Pro (P)- and Leu (L)-substituted peptides exhibited relative binding capacities between 0.1 and 0.3, and Gly (G)-, Thr (T)-, and Ser (S)-substituted peptides exhibited relative binding capacities between 0.3 and 0.5 (Fig. 5GoE). Insulin B(5–15) contains an Ala at amino acid 14, thus suggesting a general trend toward smaller amino acids, which possess aliphatic and hydroxyl side chains at this position. The deduced DQ0602 peptide binding motif is shown in Figure 6Go.



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FIGURE 5. Relative binding capacity of insulin B(5–15) analogues for DQA1*0102/DQB1*0602. A, amino acid 6-substituted insulin B(5–15) analogues. B, amino acid 8-substituted insulin B(5–15) analogues. C, amino acid 9-substituted insulin B(5–15) analogues. D, amino acid 11-substituted insulin B(5–15) analogues. E, amino acid 14-substituted insulin B(5–15) analogues. Insulin B(5–15) analogues (0.1–100 µM) were incubated with 25 nM purified DQA1*0102/DQB1*0602 and biotinylated insulin B(5–15) (0.25 µM) in purified peptide binding buffer for 48 h at 37°C. The reaction mixture was transferred to a microtiter plate coated with SPVL3, and samples were washed to remove unbound peptide. Bound biotinylated peptide was detected by fluorescence using a europium-labeled streptavidin system. Relative binding values were calculated by dividing the IC50 for insulin B(5–15) by the IC50 for the analogue peptide.

 


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FIGURE 6. DQA1*0102/DQB1*0602 peptide binding motif. The arrows indicate the amino acids critical for binding to DQA1*0102/DQB1*0602 and the designated relative position. Residues in parentheses are weakly tolerated.

 
Predictive power of the DQ0602 peptide binding motif

The predictive power of the deduced motif for DQ0602 was tested by examining the binding capacity of a randomly chosen set of seven overlapping peptides to DQ0602 in the DQ0602 competition assay. Binding of overlapping peptides from a region of herpes simplex virus-2 (HSV-2) UL49, amino acids 105 to 190, is shown in Table IIGo. The correlation of motif with binding was 100%. The four peptides that did not contain the motif bound to DQ0602 with an IC50 of >100 µM. The three peptides that did contain the motif bound to DQ0602 with IC50 values between 8.6 and 27 µM. Each of the peptides that contained the motif had one weakly tolerated anchor amino acid (relative binding between 0.1 and 0.3), whereas the four other anchor positions were tolerated (relative binding between 0.3 and 1.0). The DQ0602 motif in UL49(135–156) also lacked carboxyl-terminal flanking residues which are predicted to increase binding (Fig. 2Go). UL49(145–166), which contains the same motif found in UL49(135–156), but located centrally within the peptide, bound 2.9-fold better to DQ0602. These results suggest that the DQ0602 motif identified is typical because the presence of the motif correlates with binders and the absence of the motif correlates with nonbinders.


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Table II. Binding capacity of overlapping peptides from HSV-2 UL49(105–190) to DQA1*0102/DQB1*06021

 
In addition, the predictive power of the deduced DQ0602 peptide binding motif was examined by identifying all of the peptides in GAD65, IA-2, and proinsulin (40, 41, 42) that contain the DQ0602 peptide binding motif and testing them for binding to DQ0602. GAD65, IA-2, and proinsulin were selected because of their putative role as autoantigens in IDDM, and thus the potential importance of the identification of peptides derived from these Ags that bind to DQ0602. A total of 24 peptides were identified that contained tolerated anchors in all 5 positions. These were synthesized including the amino acid at the -1 position and the +10 position and were examined in the DQ0602 competition assay for their capacity to bind DQ0602. GAD65(503–513), GAD65(526–536), and insulin B(11–21) (proinsulin (11–21)), which are found within sequences identified as immunodominant epitopes in NOD mice, were among the peptides identified to contain the DQ0602 peptide binding motif (30, 43). Table IIIGo shows the IC50 for competition with biotinylated insulin B(5–15) for binding to DQ0602. Of these peptides, 79% (19 of 24) bound to DQ0602 (IC50 >100 µM). The IC50 value of the binders ranged from 0.7 to 90 µM, with insulin B(5–15) binding with an IC50 of 1.7 µM. The range of binding may be explained, in part, by a loose correlation between binding and the number of highly preferred amino acids at anchor positions. These results suggest that the DQ0602 motif, deduced within the context of the insulin B(5–15) peptide, is able to select peptides which bind DQ0602. However, it is also apparent that there are factors that have not been elucidated by this study that will modify the DQ0602 peptide binding motif.


View this table:
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Table III. Binding capacity of GAD65, proinsulin, and IA-2 peptides containing the deduced DQA1*0102/DQB1*0602 peptide binding motif for DQA1*0102/DQB1*06021

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HLA-DR and -DQ molecules have been associated with susceptibility and protection in IDDM (2). The HLA molecule most strongly associated with protection in IDDM is DQ0602. Very little is known regarding the biochemical properties of DQ0602 and peptide ligands for DQ0602. Only one peptide, the p21 ras oncogene peptide derived from mutated ras genes found in human cancer, has previously been reported to bind DQ0602 (44). A peptide binding motif for DQ0602 was not determined.

The approach utilized in this report to identify a DQ0602 peptide ligand was to screen synthetic peptide ligands derived from human insulin, a putative autoantigen in IDDM, for binding to HLA-DQ on EBV-transformed B-LCLs. Insulin is considered to be an important autoantigen in IDDM because detection of insulin autoantibodies along with GAD65 and IA-2 contributes to accurate prediction of IDDM (20). Insulin is of particular interest as an autoantigen in IDDM because the expression of its precursor, proinsulin, occurs primarily in the pancreas along with low levels in thymus. Recently, a correlation between higher insulin expression level in thymus and the presence of the class III variable number of tandem repeats allele, associated with protection in IDDM, has been drawn (21, 22).

The peptide identified as a model peptide ligand for DQ0602 was insulin B(5–15). Insulin B(5–15) was shown to bind DQ0602 following the general rules that govern most MHC class II/peptide interactions and not in a fashion that would suggest peptide groove-independent interaction as was recently reported for insulin B(10–30) and HLA-DRA/DRB1*0101 (45). Interaction of insulin B(5–15) with the peptide binding groove of DQ0602 is supported by the allelic specificity of binding. A peptide binding motif suggestive of pockets at P1, P4, P6, and P9 is consistent with the x-ray crystal structure deduced for HLA-DRA/DRB1*0101 complexed with HA(306–318) and HLA-DRA/DRB1*0301 complexed with CLIP(81–104) (9, 10). In addition, the time course of insulin B(5–15) binding with purified DQ0602 requires days to reach equilibrium and not hours as was seen for insulin B(10–30) and HLA-DRA/DRB1*0101.

The peptide binding motif for DQ0602 deduced using insulin B(5–15) as a model peptide suggests that large aliphatic amino acids in relative position 6 and small aliphatic or hydroxyl amino acids in relative position 9 are most important for binding to DQ0602. A critical role for position 6 in allele-specific binding was previously demonstrated by Hammer et al. (46) by selection of peptides from a M13 phage display library with HLA-DRA/DRB1*0101, HLA-DRA/DRB1*0401, and HLA-DRA/DRB1*1101. Sequence analysis revealed peptide binding motifs for the three HLA-DR molecules that shared anchor residues at relative positions 1 and 4 while having an allele-specific anchor at position 6. This suggests that pocket 6 plays a critical role in peptide binding; however, the mechanism by which position 6 confers allelic specificity is not clear.

The preference for a small aliphatic or hydroxyl residue in position 9 of DQ0602-binding peptides is consistent with previous observations that ß57-Asp containing MHC class II alleles bind peptides with Ala in position 9. These studies showed that peptides with acidic residues at position 9 bind well to non-Asp-containing alleles but do not bind well to Asp-containing alleles (47, 48). By changing the acidic residue at position 9 to Ala, peptides reverse their binding pattern, binding well to Asp-containing alleles and not binding well to non-Asp-containing alleles. This phenomenon has been attributed to a salt bridge that forms between ß57-Asp in P9 and Arg76 of the {alpha}-chain in HLA-DRA/DRB1*0101. In HLA-DQ molecules, an analogous salt bridge has been proposed to form between ß57-Asp in P9 and Arg79 of the {alpha}-chain.

Naturally processed DQ0602 peptides have not been described, and very few DQ0602 binders are known. Therefore, examination of these peptides for the DQ0602 peptide binding motif could not be used as a method for validating the motif determined herein. In note, the p21 ras oncogene peptide (VVGAAGVGKSA) previously identified to bind DQ0602 (44) does contain the deduced DQ0602 peptide binding motif. As a result, the approach that was taken to address the validity of the motif was to correlate the presence of the motif with binding to overlapping peptides from HSV-2 UL49 and insulin. As is shown in Table IIGo, the binding of overlapping peptides from HSV-2 UL49 correlated completely (7 of 7) with the presence or absence of the motif. For insulin, the whole cell peptide binding data (Fig. 1Go) suggested that insulin A(1–15), insulin A(7–21), and insulin B(9–23) bound moderately to DQ0602 whereas insulin B(16–30) bound poorly. The presence or absence of the motif correlated with binding for insulin A(1–15), insulin B(9–23), and insulin B(16–30), with insulin A(7–21) being the exception. In addition, the DQ0602 peptide binding motif was used to identify peptides from GAD65, proinsulin, and IA-2. Of the peptides identified as containing the motif, 79% (19 of 24) competed for binding with insulin B(5–15) to DQ0602. The correlation of binding with motif in overlapping peptides from randomly selected Ags as well as the ability to select peptides that bind to DQ0602 provides evidence that the preferences determined with the insulin B(5–15) peptide define, at least in part, the requirements of conventional DQ0602 binding peptides.

The inability of the deduced DQ0602 peptide binding motif to correctly predict all peptides that will bind to DQ0602 suggests that there are additional factors involved in determining motif. This has been observed in other studies determining peptide binding motifs for MHC class II molecules (11, 14). One explanation for the inadequacy of the motif may be the overall amino acid composition of the peptide which was not addressed by single amino acid substitutions in the insulin B(5–15) peptide. The amino acid composition may affect the ability of the peptide to interact with the peptide binding groove or simply its solubility in aqueous solution. This point is exemplified by three of the IDDM autoantigen peptides that did not bind and were somewhat unusual in their amino acid composition; IA-2(361–371) had five leucine amino acids, and GAD65(378–388) and GAD65(526–536) both had three positively charged residues. Another factor that was not addressed by the single amino acid substitutions in insulin B(5–15) is the contribution of each individual anchor to the overall motif. The wide range (0.7–90 µM) of IC50 values obtained for the peptides containing a DQ0602 peptide binding motif may partially result from different additive effects between the anchors.

The DQ0602 binding peptides identified from GAD65 (86–96, 91–101, 116–126, 334–344, 365–375, 396–406, 503–513), proinsulin (5–15, 11–21, 36–46, 66–80, 72–86), and IA-2 (229–239, 379–389, 499–509, 504–514, 530–540, 543–553, 544–554, 576–586, 584–594, 586–596) have not previously been implicated in the context of DQ0602. However, autoantibodies to GAD65, insulin, and IA-2 have been identified in DQ0602 individuals who are first-degree relatives of type I diabetics (49). Of the peptides found within regions identified as immunodominant T cell epitopes in NOD mice, insulin B(11–21) bound moderately well, GAD65(503–513) bound poorly, and GAD65(526–536) did not bind to DQ0602.

Insulin B(5–15) was found to bind well and with specificity to DQ0602 in vitro, but whether insulin B(5–15) will be presented by DQ0602 on APC in vivo remains to be determined. The only human insulin-specific T cell clones to be reported were restricted by HLA-DRA/DRB1*0406 and came from healthy donors and insulin autoimmune syndrome patients (50). The epitope specificity of these T cell clones was not determined. Jensen (51) determined that reduction of disulfide bonds is both necessary and sufficient for presentation of insulin to a major population of class II-restricted T cells from H-2d and H-2b mice. Insulin A(1–13), existing in an extended conformation with its A-loop disulfides reduced, was characterized as the major immunogenic determinant presented by I-Ad (52). However, the effect of different MHC class II molecules and APC on insulin processing and presentation is not known.

In conclusion, we have identified peptides that bind DQ0602 in vitro and determined a peptide binding motif for DQ0602. These results provide a stepping stone for understanding the biochemical properties of DQ0602 and its ligands in IDDM. However, these results do not address the physiologic relevance of the peptides being identified. This will be the objective of further study.


    Acknowledgments
 
We thank Patricia Byers for peptide synthesis and Gerald T. Nepom, Helena Reijonen, and Susan Masewicz for critically reading the manuscript.


    Footnotes
 
1 This work was supported by Grants DK02319 and DK40964 from the National Institutes of Health. Back

2 Address correspondence and reprint requests to Dr. William W. Kwok, Virginia Mason Research Center, 1000 Seneca St., Seattle, WA 98101. E-mail address: Back

3 Abbreviations used in this paper: IDDM, insulin-dependent diabetes mellitus; DQ0602, HLA-DQA1*0102/DQB1*0602; B-LCL, B-lymphoblastoid cell line; NOD, nonobese diabetic; IC50, concentration at which 50% inhibition occurs; HSV-2, herpes simplex virus 2. Back

Received for publication June 23, 1997. Accepted for publication November 11, 1997.


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