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The Journal of Immunology, 1998, 161: 60-64.
Copyright © 1998 by The American Association of Immunologists

A Viral Peptide with Limited Homology to a Self Peptide Can Induce Clinical Signs of Experimental Autoimmune Encephalomyelitis1

Anand M. Gautam2,*, Roland Liblau, Gareth Chelvanayagam{ddagger}, Lawrence Steinman§ and Tanya Boston*

* Antigen Presentation Laboratory, Division of Immunology and Cell Biology and {dagger} Human Genetics Group, Division of Molecular Medicine, John Curtin School of Medical Research, Australian National University, Canberra, Australia; and {ddagger} Cellular Immunology Laboratory and § Institut National de la Santé et de la Recherche Médicale, CJF 9608, Pitie-Salpetriere Hospital, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Molecular mimicry has been suggested as a mode of autoreactive T cell stimulation in autoimmune diseases. Myelin basic protein (MBP) peptide 1–11 induces experimental autoimmune encephalomyelitis (EAE) in susceptible strains of mice. Here we show that a herpesvirus Saimiri (HVS) peptide, AAQRRPSRPFA, with a limited homology to MBP1–11 peptide, ASQKRPSQRHG (underlined letters showing homology), can stimulate a panel of MBP1–11-specific T cell hybridomas and more importantly cause EAE in mice. We demonstrate that this is due to cross-recognition of these two peptides by TCRs. Results presented in this communication are the first demonstration that a viral peptide with homology at just 5 amino acids with a self peptide can induce clinical signs of EAE in mice. These findings have important implications in understanding the breakdown of T cell tolerance to self Ags in autoimmune diseases by means of cross-reactivity with unrelated peptides.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Thelper cells recognize foreign peptides bound to MHC class II molecules on APCs (1, 2, 3, 4). In an autoimmune disease, MHC class II molecules can bind and present self peptides to pathogenic T cells (5, 6). Therefore, activation of self-reactive CD4+ T cells is a crucial event in the induction of autoimmune diseases. In animals, experimental autoimmune encephalomyelitis (EAE)3 can be transferred by T cells activated by Ags from the central nervous system (CNS) (5, 7). These cells then migrate into the CNS and cause inflammation and demyelination (5, 6, 7). However, the question remains as to the natural trigger that results in chronic activation of a self-reactive T cell repertoire in human autoimmune diseases. Environmental Ags, such as viruses and bacteria, may play a role in stimulating self-reactive T cells by a mechanism known as molecular mimicry (8). Stimulation and clonal expansion of self-reactive pathogenic T cells in the periphery can also occur by bacterial or viral superantigens (9, 10, 11). There are numerous reports that suggest viral infection may precede autoimmune diseases such as type 1 diabetes, multiple sclerosis (MS), and myocarditis (12, 13, 14). Overall, these studies suggest that the exposure to pathogens may stimulate the self-reactive T cell repertoire such that it may trigger or exacerbate autoimmunity.

MBP1–11 is a dominant epitope in MBP that induces EAE in susceptible mouse strains expressing I-Au MHC class II molecules (5, 6, 15). Previously, we and others have studied this peptide extensively to determine how it binds to I-Au class II molecules, stimulates MBP-reactive T cells clones, and induces EAE. We also determined just how much of this peptide sequence was in fact required for stimulation of T cells and for the induction of EAE (15). We showed that an 11-amino acid polyalanine peptide with just five native MBP residues could induce EAE (16).

Wucherpfennig and Strominger have provided strong evidence that peptides derived from certain viruses and bacteria could stimulate MBP-specific T cell clones generated from MS patients (17). We have utilized a similar approach of data base search based on MHC and TCR contact residues and identified a herpesvirus Saimiri (HVS) peptide with homology to the disease causing MBP1–11 peptide (15). This peptide stimulates MBP1–11-specific T cell hybridomas and induces clear clinical signs of EAE in some (PL/J x SJL/J)F1 mice. We show that this is due to cross-recognition between MBP1–11:I-Au and HVS peptides:I-Au complexes by CD4+ T cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

PL/J and (PL/J x SJL/J)F1 mice (8–12 wk of age) were obtained from The Jackson Laboratory (Bar Harbor, ME) and bred at the animal facility at the John Curtin School of Medical Research (Canberra, Australia) in specific pathogen-free conditions.

Peptides

Peptides were synthesized by standard F-moc chemistry using the Applied Biosystems (Foster City, CA) model 431A peptide synthesizer. Peptides were analyzed by HPLC and purified if necessary; structure was confirmed by amino acid analysis and mass spectrometry.

Cell incubations, medium, and conditions

RPMI 1640 supplemented with either 10% FCS or 2% normal mouse serum, 100 µg/ml streptomycin, 100 U/ml penicillin, 2 mM glutamine, and 0.05 mM 2-ME was used in most cultures. Cells were incubated at 37°C in a 5% CO2 atmosphere.

Lymphoproliferation assay

Popliteal lymph nodes were removed 10 days after initial immunization of mice with MBP1–11 emulsified in CFA with 400 µg of heat-killed Mycobacterium tuberculosis H37 Ra (Difco, Detroit, MI). Single-cell suspensions were prepared, and cells (2 x 105) were cultured in flat-bottom 96-well microtiter plates in 2% normal mouse serum with or without peptides for 72 h, pulsed with [3H]thymidine, harvested, and counted as described (7). Data are presented as stimulation index on triplicate wells. The SDs were 1–15% of the mean.

T cell hybridoma assays

The T cell hybridomas were established from clones PJR-25, PJPR7.5, PJB20, and BR4, as described previously (6). Activation of T cell hybridoma (2 x 104) was assessed by incubating cells with an I-Au-expressing B cell line (2 x 104) as APC and various concentrations of peptides. After 24 h, 50 µl of supernatant were harvested from each well and tested for IL-2 production by using an IL-2-dependent cell line HT-2, as described previously (16).

Computer modeling

A structural model of I-Au has previously been described (18) and was obtained from the authors. Initial models for MBP and HVS peptides were constructed testing all four nongapped alignments of the 11-residue peptide sequences with the 15-residue class II-associated invariant chain peptide (CLIP). These preliminary models were then scanned for general complementarity between residues of the peptide and the class II molecules as well as their potential to explain observed experimental data. For both the MBP and HVS peptides, the third binding mode was selected, and these models were subjected to further refinement as follows. First, the models were minimized, then shaken with a short burst of molecular dynamics, and then further minimized, making use of the DISCOVER program in the Biosym package (Biosym, San Diego, CA). Structures were initially minimized with respect to the consistent valence force field (CVFF) energy potential in vacuum for 100 steps, using steepest descent minimization, with no cross or morse terms but including charges, a distance-dependent dielectric constant, and a nonbound interaction cutoff of 12 Å. Final minimization was performed until the maximum derivative converged to 0.05 Kcal/mol Å. Molecular dynamics was used to shake the system and was performed for 100 cycles at 303 °K, allowing 1000 steps for equilibration, with all other conditions as for minimization. The final structures are shown in Figure 3Go.



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FIGURE 3. Computer models of MBP (A) and HSV (B) peptides with I-Au MHC class II molecules as described in Materials and Methods.

 
EAE induction

EAE was induced as described (6, 15, 16) by injecting 200 µg MBP or HVS peptides emulsified in CFA s.c. at the base of the tail in a total volume of 0.1 ml. Two hundred nanograms of pertussis toxin (JRH Biosciences, Woodland, CA) was injected i.v. at the time of immunization and again 48 h later. Mice were examined daily for 30 to 40 days and were scored as follows: 1, limp tail; 2, partial hind limb paralysis; 3, complete hind limb paralysis; 4, hind and fore limb paralysis; 5, moribund. The data are presented as cumulative incidence, calculated as total number of mice that showed signs of EAE at any point during the experiment.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A viral peptide activates I-Au-restricted MBP-specific T cell hybridomas

We have shown that a polyalanine peptide with a Gln-Lys-Arg-Pro (QKRP) motif at positions 3, 4, 5, and 6 can bind I-Au, stimulate MBP-reactive T cells, and, most importantly, induce EAE in mice (16). Wraith and coworkers had previously identified Gln at position 3 and Pro at position 6 to be the main TCR contact residues of MBP1–11 peptide, while Lys at position 4 to be an MHC contact residue (6). The finding that a specific in vivo response can be generated by a peptide containing only five native MBP residues provided evidence that TCR from disease-inducing T cells, at least in this case, recognized only a few residues of the MHC-bound antigenic peptides. Since only five native residues in a peptide are sufficient to induce EAE, it is conceivable that a pathogen with homology to self proteins at only a few residues may trigger autoimmune disease. We therefore identified a few closely matched peptides of viral origin (Ref. 15 and Table IGo) and used one of them as a model unrelated viral peptide to test the hypothesis that a viral peptide with little homology with MBP1–11 can stimulate self-reactive T cells and cause EAE.


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Table I. Sequence similarities between MBP1-11 and viral proteins1

 
Four MBP1–11 specific T cell hybridomas, 1934.4 (6, 16, 18), PJPR7.5, PJB20, and BR4 were used in these studies. All four hybridomas respond to MBP1–11 (Fig. 1Go). A peptide from HVS, identified in a computer database search as a close match with MBP1–11, was acetylated and used to examined the ability of this peptide to stimulate MBP-reactive T cells. Figure 1GoB shows that the HVS.1 peptide was able to stimulate all four T cell hybridomas but not as well as the wild-type MBP1–11 peptide. Even a short HVS peptide of 8 amino acids stimulated MBP-reactive T cell hybridoma (Fig. 1GoC). These results indicate that a cross-reactive viral peptide can stimulate self-reactive T cells.



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FIGURE 1. Stimulation of MBP1–11-specific T cell hybridomas by MBP1–11 and long or short HVS peptides. A total of 2 x 104 T cell hybridoma cells were incubated for 18 to 24 h with the indicated doses of peptides and an I-Au-expressing cell line as APC. Culture supernatants were analyzed for IL-2 using IL-2-dependent cell line, HT-2, as described in Materials and Methods. Bold letters indicate differences between MBP1–11 and HVS peptides.

 
Cross-reactivity between MBP1–11 and HVS peptides using T cells generated in vivo

If molecular mimicry is one of the mechanisms implicated in autoimmune diseases, one would predict that immunization with a homologous nonself peptide can generate a sufficient number of T cells that can be stimulated by the self peptide. We examined this by immunizing two sets of (PL/J x SJL/J)F1 mice with either HVS.1 or MBP1–11 peptides. T cells from both groups were then stimulated in vitro by either HVS or MBP1–11 peptides (Fig. 2Go). These results show that lymph node cells from MBP1–11-immunized mice can be stimulated by the HVS.1 peptide. However, three- to fourfold higher concentrations of HVS.1 peptide were required for the maximum proliferation. Similarly, lymph node cells from mice immunized with HVS peptide responded to MBP1–11, but overall these responses were lower than the stimulation by HVS peptide (Fig. 2GoB). These results show clearly that a large number of T cells can be generated in vivo that can cross-react with unrelated peptides that have some structural similarity with the immunizing peptide. Indeed, the computer modeling studies have suggested that MBP and HVS peptides are held in the groove by a similar network of hydrogen bonds, including both main chain and side chain atoms of the peptide and I-Au molecule (Fig. 3Go). The major differences between MBP (Fig. 3GoA) and HVS (Fig. 3GoB) peptides are confined to the C-terminal region of the peptides. Strikingly, the backbone orientation of ArgP8 is such that the side chain is projected into the ridge made by the irregularity of the ß-domain helix. Moreover, ProP9 is constrained to the main chain with an angle of -60 degrees and PheP10 must be oriented in such a way as to occupy Asp{alpha}73, Leu{alpha}77, Tyrß30, and Tyrß37 pocket. These differences may explain slightly different patterns of immune responses initiated by the HVS peptides compare to MBP1–11 peptide (See Figs. 1Go, 2Go, and 4Go).



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FIGURE 2. Cross-sensitization of MBP1–11-reactive T cells by HVS peptide. Mice were immunized either with 100 µg of MBP1–11 or with HVS.1 peptides in CFA. Nine days postimmunization, lymph nodes were removed and proliferated with the indicated doses of peptides for 3 days. Cells were harvested after [3H]thymidine incorporation as described in Materials and Methods. The SDs ranged between 10 and 18% in this experiment.

 


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FIGURE 4. HVS peptides induce EAE. EAE in (PL/J x SJL/J) was induced as described in Materials and Methods. Peptides (200 µg) emulsified in CFA with 400 µg Mycobacterium tuberculosis were injected s.c. at the base of the tails in a total volume of 100 µl for each peptide. Mice were examined daily for 30 days. A cumulative incidence of EAE is shown. At least 10 mice were used in each group.

 
The cross-reactive viral peptides induce clinical and histologic signs of EAE

The most challenging test to address cross-reactivity and molecular mimicry is to assess whether HVS peptides can induce EAE. To test this, we immunized (PL/J x SJL/J)F1 mice with either HVS or MBP1–11 peptides to induce EAE. Figure 4Go shows that up to 40% of HVS.1 peptide-immunized mice developed EAE albeit with a slightly reduced severity. While MBP-immunized mice had a mean clinical score of 3.5, the HVS.1 peptide-immunized mice had a mean clinical score of 2.5. Even a short 8-amino acid HVS.2 peptide can induce EAE in 20 to 30% of mice. EAE in these mice was associated with typical perivascular cellular infiltrations in the spinal cord (Fig. 5Gob). The mice that did not develop clear clinical signs of EAE showed some cellular infiltration in the CNS (data not shown). Immunization of control mice with peptides with no sequence homology with MBP1–11 (e.g., ova323–339 or MBP89–101) have never resulted in any clinical or histologic signs of EAE (data not shown).



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FIGURE 5. Representative perivascular cellular infiltration in the spinal cord sections of mice immunized with either MBP1–11 or HVS-1 peptides. Longitudinal thin sections of cervical spinal cord were cut 16 days postimmunization with peptides and stained with haematoxylin and eosin stain. a, MBP1–11- and (b) HVS-1-immunized mouse.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we have provided the first clear demonstration that EAE in mice can be induced by a cross-reactive viral peptide. Although histologic signs of EAE in rabbits were previously demonstrated by Fujanami and Oldstone (19), to our knowledge there is no report showing induction of the clinical signs of EAE by a cross-reactive microbial peptide. Indeed, Fujanami and Oldstone stated clearly that none of the rabbits immunized with hepatitis B virus polymerase peptide (HBVP) develop clinical signs of EAE with the protocol used. We know from our own studies that cellular infiltration in the CNS does not always result in a subsequent clinical disease. Therefore, our demonstration that a viral peptide could induce clear clinical signs of EAE not only complements the previous work by Oldstone but also provides credence for the molecular mimicry model. In addition, two groups have recently shown that structurally similar peptides (17) and random peptide libraries (20) could stimulate MBP-reactive T cells clones. Both studies hypothesize that a similar mechanism may operate in stimulating self-reactive T cells in individuals leading to tissue damage and autoimmune disease. This study provides experimental support for this hypothesis.

We have shown previously that a polyalanine peptide with only a few native MBP amino acids, Gln-Lys-Arg-Pro (QKRP), could induce EAE with a severity identical to that of MBP1–11 (16). This led us to propose that a microbial peptide with some similarity with MBP1–11 could stimulate MBP-reactive T cells and cause EAE (15). The HVS peptide (AAQRRPSRPFR) selected in this study is radically different from MBP1–11, especially on the C-terminal end. In HVS peptide, even the core sequence differs by 1 amino acid (Lys to Arg at position 4). McDevitt and colleagues have shown previously that there is a dramatic change in the binding properties of MBP1–11 peptide to I-Au if position 4 is substituted with certain amino acids (6, 16). It is also important to note that His at position 10 in MBP1–11 improves binding of this peptide to I-Au and enhances induction of EAE (16). Another major difference between MBP1–11 and HVS peptides is the addition of a Proline residue at position 9. This may lead to a "kink" in the peptide. As shown here, the incidence of EAE by HVS peptides is much reduced compared with MBP1–11. This could be due to their ability to stimulate only a subset of MBP1–11-specific T cells, and/or the HVS peptides may act as weak or partial agonist for MBP-reactive TCRs

Four mechanisms have been proposed to explain the activation of an autoimmune process by infections. The first is molecular mimicry, implying some level of homology between a self Ag and an infectious agent (8, 19, 21, 22, 23). This mechanism can operate for both Ab- and T cell-mediated autoimmune diseases (8, 21, 22, 23, 24). The second is activation of a subset of T cells containing self-reactive lymphocytes by a bacterial or viral superantigen. Experimental evidence for such a mechanism exists (9), and indication that such a mechanism could be at play in a human autoimmune disease has recently been published (11). These two mechanisms do not require that the infection take place in the tissue that would be a target of the subsequent autoimmune disease. Thirdly, infection in a tissue may favor the release of self Ags that can be processed and presented to self-reactive T cells leading to the tissue damage. Evidence for such a mechanism has recently been provided in the Theiler’s virus encephalomyelitis (25). Finally, viral-specific T cells in a tissue may activate bystander self-reactive T cells (26). This mechanism has not yet been worked out at the molecular level but appears attractive in view of the fact that cytokine combinations can activate both naive and memory T cells.

How would microbial pathogens initiate an autoimmune disease? One possibility is that self-reactive T cells that have escaped the thymic deletion encounter cross-reactive microbial peptides bound to MHC molecules. This may result in the low level stimulation of self-reactive T cells, migration into a site, and the causing of some tissue damage. Once the tissue destruction has begun, the release of self Ag from the target tissue may perpetuate the immune response against its own Ags even after the microbial pathogen has been cleared. It is important to note that, at least in our model of EAE, MBP1–11 peptide binds I-Au poorly (6, 16). This poor binding of MBP1–11 could result in an inefficient negative T cell selection for this peptide in the thymus. Once in periphery, these cells could be potentially autoreactive, waiting to be stimulated by a trigger such as a virus or bacteria. As has been shown by others, TCR is capable of being stimulated by a variety of peptides presented by the same MHC class II molecule (16, 17, 20, 27).

A question also arises whether a similar viral peptide could contribute to MS pathology. Molecular mimicry has been described between MBP and several viral peptides (Refs. 12, 21, 22; for a brief review see also Refs. 8, 23). Moreover, MS-like symptoms have been observed in a series of patients following hepatitis B surface Ag vaccination (28). There is also convincing evidence for molecular mimicry between Campylobacter jenjuni and Guillain-Barre syndrome (a peripheral nerve inflammatory demyelinating disease) (24). Clearly we need to investigate whether cross-reactive peptides can 1) be generated from microbial pathogens and 2) be loaded on to MHC molecules. There are several examples in the literature that demonstrate clearly that MHC class II molecules can present peptides derived from intracellular proteins (29, 30, 31, 32). This would suggest that a cross-reactive peptide from an intracellular virus could in theory be loaded onto class II MHC molecules and presented to CD4+ encephalitogenic T cells. Peptides derived from extracellular pathogens have not yet been well studied for stimulating self-reactive CD4+ T cells. However, it is plausible that cross-reactive peptides generated from extracellular pathogens via a well-defined class II Ag-processing pathway could result in cross-recognition by autoaggressive T cells (for review on class II see 2 .

In conclusion, we have presented experiments that show that a cross-reactive nonself peptide from a viral protein can generate immune response such that it could lead to a clinical autoimmune disease.


    Acknowledgments
 
We thank our colleagues for critical reading of this manuscript.


    Footnotes
 
1 This work was supported in part by a grant from the National Multiple Sclerosis Society of Australia (to A.M.G.). Back

2 Address correspondence and reprint requests to Dr. Anand M. Gautam, M & E Biotech A/S, Kogle Alle 6, DK-2970 Horsholm, Denmark. E-mail address: Back

3 Abbreviations used in this paper: EAE, experimental autoimmune encephalomyelitis; CNS, central nervous system; MBP, myelin basic protein; MS, multiple sclerosis; HVS, herpesvirus Saimiri. Back

Received for publication February 3, 1998. Accepted for publication February 26, 1998.


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 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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