The Journal of Immunology, 1999, 162: 5888-5893.
Copyright © 1999 by The American Association of Immunologists
Involvement of Epitope Mimicry in Potentiation But Not Initiation of Autoimmune Disease1
Varada P. Rao
,
Adriana E. Kajon*,
Katherine R. Spindler* and
George Carayanniotis2,
*
Department of Genetics, University of Georgia, Athens, GA 30602; and
Faculty of Medicine, Memorial University of Newfoundland, St. Johns, Newfoundland, Canada
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Abstract
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We have examined whether the peptide (368381) from the murine
adenovirus type 1 E1B sequence, exhibiting a high degree of homology
with the known pathogenic thyroglobulin (Tg) T cell epitope
(26952706), can induce experimental autoimmune thyroiditis (EAT) in
SJL/J mice. The viral peptide was a poor immunogen at the T or B cell
level and did not elicit EAT either directly or by adoptive transfer
assays. Surprisingly, however, the viral peptide was highly antigenic
in vitro, activating a Tg26952706-specific T cell clone
and reacting with serum IgG from mice primed with the Tg homologue. The
viral peptide also induced strong recall responses in
Tg26952706-primed lymph node cells, and subsequent
adoptive transfer of these cells into naive mice led to development of
highly significant EAT. These data demonstrate that nonimmunogenic
viral peptides can act as agonists for preactivated autoreactive T
cells and suggest that epitope mimicry may at times play a potentiating
rather than a precipitating role in the pathogenesis of autoimmune
disease.
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Introduction
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Hashimotos
thyroiditis is a T cell-mediated autoimmune disease whose etiology
remains unknown (1). Microbial infection has been associated with
Hashimotos thyroiditis or other forms of thyroiditis (2), but the
supporting evidence, obtained mostly from serological studies, has not
established a cause-effect relationship with viral, retroviral, or
bacterial agents (2, 3, 4, 5). Viral infection has been more directly linked
to the triggering of thyroid disease in animal model studies. Infection
of mice with reovirus type 1 has led to infiltration of the thyroid by
inflammatory cells and production of autoantibodies against
thyroglobulin (Tg)3 and thyroid
peroxidase (6). The lymphocytic choriomeningitis virus has been shown
to persist in the thyrocytes of mice neonatally infected with the virus
and to cause a reduction in the levels of Tg mRNA and circulating
thyroid hormones (7). In addition, infection of chicken embryos with
avian leukosis virus results in hypothyroidism within 3 wk of hatching
and the formation of an extensive lymphocytic infiltrate in the
thyroids of infected chickens (8). Lastly, rats maintained under
pathogen-free conditions are resistant to the induction of experimental
autoimmune thyroiditis (EAT) by thymectomy and irradiation (9). Oral
administration of intestinal contents from conventionally reared rats
significantly enhances their susceptibility to EAT, suggesting that
presensitization to the gut flora plays a role in the development of
disease.
During an infection, autoreactive T cells may be triggered
nonspecifically by microbial superantigens (10) or specifically by self
epitopes secondarily released from infected tissue damaged by an immune
response to the invading pathogen (11). Alternatively, autoreactive T
cells may be activated by molecular mimicry (12) if they cross-react
with antigenic determinants derived from microbial proteins. The latter
concept has been particularly difficult to test in human or
experimental autoimmune thyroid disease because the majority of
pathogenic T cell epitopes on thyroid autoantigens remain unknown. To
date, five EAT-inducing, T cell determinant sites have been mapped on
Tg, and all have been characterized as nondominant (13). One of them is
the 18-mer Tg peptide (26952713) that causes EAT in SJL
(H-2s) (SJL) mice (14). The pathogenicity of this peptide
is most likely attributed to the As-restricted, 12-mer T
cell epitope (26952706) (15), a site that is shared between mouse and
rat Tg (16, 17). In this study we have sought to identify sequences of
microbial origin exhibiting high homology to Tg26952713
with a view to examining whether such sequences could also precipitate
EAT.
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Materials and Methods
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Animals and Ags
Female SJL/J mice were purchased from The Jackson Laboratories
(Bar Harbor, ME) and were used for immunizations at 610 wk of age.
All peptides in this study were synthesized and purified commercially
(Alberta Peptide Institute, Edmonton, Canada). The 10-mer E1B peptide
SFYSSYIQTL was synthesized by Synpep (Dublin, CA). All peptides carried
an acetyl and an amide group at their N- or C-terminal, respectively,
and their purity was assessed by HPLC and mass spectroscopic analysis.
Culture medium and cell lines
All assays were performed in DMEM (Life Technologies,
Burlington, Canada) supplemented with 10% FBS (Bioproducts for
Science, Indianapolis, IN), 20 mM HEPES buffer, 2 mM
L-glutamine, 100 U/ml penicillin, 100 µg/ml streptomycin
(all from Life Technologies), and 5 x 10-5 M 2-ME
(Sigma, St. Louis, MO). The B cell lymphoma LS 102.9, used as APC (18),
and the IL-2-dependent CTLL-2 line (19) were purchased from American
Type Culture Collection (Manassas, VA). The T cell hybridoma clone 6E10
specific for Tg26952713 was generated as previously
described (14). 6E10 activation was monitored by IL-2 release in the
culture supernatant, as measured by the proliferation of CTLL-2 line
using [3H]thymidine (DuPont Canada, Mississauga, Canada)
(15).
ELISA and LNC proliferation assays
The presence of peptide-specific IgG in pooled sera was
determined by ELISA as previously described (20) using an alkaline
phosphatase-conjugated goat anti-mouse IgG (Sigma) as the second
Ab. Detection of cytokines in tissue culture supernatants was performed
by sandwich ELISA based on noncompeting pairs of capture and detection
(biotinylated) anti-cytokine mAbs (PharMingen, San Diego, CA) as
follows: IL-2, JES6-1A12 and JES6-5H4; IFN-
, R4-6A2 and XMG1.2;
IL-4, BVD-4-1D11 and BVD-6-24G2; IL-10, JES5-2A5 and SXC-1. Alkaline
phosphatase-conjugated streptavidin was purchased from Sigma. Standard
curves were generated for each individual plate tested using known
amounts of murine rIL-2 and rIL-10 (PharMingen, San Diego, CA), rIL-4,
(R&D Systems, Minneapolis, MN), or IFN-
(Life Technologies). The
detection limits were 90, 140, 50, and 80 pg/ml for IL-2, IFN-
,
IL-4, and IL-10, respectively. Light absorption at 405 nm was measured
using a Vmax plate reader (Molecular Devices, Sunnyvale, CA).
Peptide-specific LNC proliferative assays were performed as previously
reported (21). The stimulation index is defined as counts per minute in
the presence of Ag/counts per minute in the absence of Ag.
Induction and histological assessment of EAT
For direct induction of EAT, all mice were s.c. challenged with
various doses of peptides emulsified in CFA (with Mycobacterium
butyricum, Difco, Detroit, MI). Two weeks later, they were boosted
with the same peptide in IFA (Difco). EAT was assessed by histological
examination of the thyroids 4 wk after the initial challenge. To induce
EAT by adoptive transfer, donor mice were primed s.c. at the base of
the tail with 50 nmol of peptide in CFA. Ten days after priming,
inguinal LNC were harvested and cultured for 72 h in the presence
of the appropriate peptide (10 µg/ml). The cells were then harvested,
and after washing three times, 23 x 107 cells were
suspended in HBSS and injected i. p. into each syngeneic recipient.
Fourteen days later, thyroid glands and sera were collected.
Formalin-fixed thyroids were embedded in methacrylate, and
approximately 40 sections, 3.0 µm thick, were obtained at 36-µm
intervals from each gland. The sections were stained with hematoxylin
and eosin and were scored for the presence of mononuclear cell
infiltration as follows: 1 = interstitial accumulation of cells
between two or three follicles; 2 = one or two foci of cells at
least the size of one follicle; 3 = extensive infiltration,
1040% of the total area; 4 = extensive infiltration, 4080%
of the total area; and 5 = extensive infiltration, >80% of the
total area. The highest infiltration index observed per gland was
assigned to each mouse.
Infection with mouse adenovirus type 1
Four-week-old female SJL/J mice (n = 5 for each
dose) were injected i.p. with 10-4, 10-3, or
10-2 PFU of wild-type murine adenovirus type 1 (MAV-1) in
a volume of 100 µl. There are at least 1000 particles/PFU (K.
Spindler, unpublished observation) and wild-type 50% lethal doses are
around 10-1 PFU (22, 23). Five mice were injected with 100
µl of conditioned DMEM and used as controls. Mice were monitored
twice a day for the appearance of neurologic signs associated with
MAV-1 infection (24). At 3 wk postinfection thyroid glands were removed
and fixed in formalin. Spleens were removed, and pools of splenic
lymphocyte suspensions for proliferation assays were prepared for each
group as previously reported (21). Four of the mice receiving
10-2 PFU and one mouse receiving 10-3 PFU
presented with severe paralysis between 11 and 14 days postinfection,
requiring euthanasia. Spleens, thyroids, and blood were obtained
immediately postmortem and processed as described above.
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Results
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We sought to identify from the SWISS-PROT databank sequences of
microbial origin exhibiting high homology to the 18-mer Tg peptide
(26952713) that induces EAT in SJL mice (14). Five sequences scored
>30% homology with Tg26952713 with various degrees of
overlap (Table I
). The highest homology
(75%) was observed with an octamer peptide from DNA-directed RNA
polymerase (25). Viral peptides from the adenoviral E1B protein (26)
and the retroviral pol protein (27) exhibited 64.3 and
55.6% homologies, respectively. Lastly, a 12-mer peptide from the
acetyl cholinesterase precursor (28) and a 13-mer peptide from an
Escherichia coli heat shock protein (29) exhibited
41.7 and 30.8% homologies, respectively. Among these five sequences,
the longest (14 aa) overlap was found between Tg26962709
and the MAV-1 E1B protein (aa 368381; Fig. 1
). Nine of the 14 overlapping aa were
identical (64.2%), whereas conservative substitutions were observed in
four other aa positions (28.5%). The coordinates of this high homology
site almost coincide with those of the 12-mer Tg26952706
peptide that causes EAT in SJL mice and encompasses an
As-restricted T cell epitope (15). This observation and a
reported association of adenoviral infection with subacute thyroiditis
(5) encouraged us to further examine whether the synthetic 14-mer
E1B368381 peptide exhibited immunopathogenic properties.

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FIGURE 1. High degree of homology in a 14-aa residue overlap between mouse Tg (aa
26962709) and the murine adenovirus type 1 E1B protein (aa 368381).
Open boxes, Identical amino acids; stippled boxes, conservative
substitutions.
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SJL mice were first challenged with various doses of
Tg26952706 ranging from 0.2200 nmol to confirm the
pathogenicity of this peptide (15). All six mice primed with 200 nmol
and three of six mice primed with 20 nmol developed lymphocytic
infiltration of the thyroid (Table II
).
EAT was not induced in mice that received 2 or 0.2 nmol of peptide,
perhaps due to the nondominant nature of this epitope (14). In
addition, LNC from mice primed with the highest doses of
Tg26952706 proliferated strongly against this Ag in vitro
and secreted significant amounts of IL-2 and IFN-
in an Ag-specific
manner because a similar response was not observed against the control
Tg24952511 (data not shown). The LNC from mice primed
with 200 or 20 nmol of Tg26952706 peptide in vivo
cross-reacted strongly against the viral E1B368381
peptide in culture, and this was demonstrable by both proliferative
capacity and IL-2 or IFN-
release (Table II
). These data suggested
that the viral peptide is clearly antigenic.
Surprisingly, however, SJL mice challenged with E1B368381
in CFA did not develop EAT regardless of the peptide dose used (Table II
). Also, the E1B peptide was weakly immunogenic, eliciting only a
marginal proliferative response or IL-2 or IFN-
release in cultures
of LNC from mice that received the highest (200 nmol) dose. The lack of
response could not be attributed to quantitative effects of the peptide
concentration in vitro. As shown in Fig. 2
A, E1B368381 is
clearly antigenic within the 0.1- 10 µM range in vitro, being capable
of stimulating Tg26952706-primed T cells. In contrast,
within the same molar range in vitro, E1B368381 cannot
induce proliferation of LNC from SJL mice previously primed with the
viral peptide itself (Fig. 2
B). These results attributed the
lack of the in vitro response to the absence of efficient priming in
vivo and confirmed that the viral epitope is an extremely weak
immunogen.

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FIGURE 2. Proliferative in vitro responses to the indicated peptides of pooled
LNC from SJL mice (two mice per group) s.c. primed 10 days earlier with
50 nmol of either Tg26952706 (A) or
E1B368381 (B) peptide. Background counts
per minute were 1257 for A and 1896 for
B. The Tg27012713 epitope was used as a
control. Similar results were obtained in three additional
experiments.
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To confirm cross-recognition of peptides at the clonal T cell level, we
used the As-restricted CD4+ T cell hybrid clone
6E10 that secretes IL-2 upon specific activation with
Tg26952706 (15). As-expressing, LS102.9 cells
pulsed with the 12-mer Tg epitope or the 10-mer
E1B368377 stimulated 6E10 for maximal IL-2 release,
although the viral peptide was effective at an 8- to 10-fold
higher molar concentration (Fig. 3
). This delineated the 10-mer
E1B368377 as a viral epitope that can act as an
agonist or partial agonist for T cells previously selected to respond
to the thyroiditogenic peptide.

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FIGURE 3. IL-2 secretion by the As-restricted 6E10 T cell hybridoma
clone following activation by the peptides shown. IL-2 was assayed by
proliferation of the IL-2-dependent CTLL line, as determined by
[3H]TdR incorporation. As-expressing LS102.9
cells were used as APC. No response was detected against unrelated Tg
peptides (data not shown).
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Evidence for lack of immunogenicity of E1B368381 was also
provided at the serological level. Following s.c. challenge with
Tg26952713, SJL mice produced IgG Abs against both the
viral and Tg peptides, whereas similar administration of
E1B368381 did not generate detectable IgG responses (Fig. 4
). In addition, challenge of mice with
sublethal doses of MAV-1 (10-310-4 PFU) did
not induce mononuclear cell infiltration or discernible
histological alterations in their thyroids (Fig. 5
). Spleen cells from such mice also
failed to proliferate specifically to E1B368381 or
Tg26952713 in vitro (data not shown).

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FIGURE 4. Peptide-specific IgG in pooled sera of SJL mice (five mice per group)
immunized with 50 nmol of Tg26952713 (filled symbols) or
E1B368381 (open symbols). Reactivity was determined by an
alkaline phosphatase-based ELISA.
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FIGURE 5. Lack of EAT induction 3 wk following i.p. challenge of SJL mice (five
mice per group) with various doses of MAV-1. The number of mice
exhibiting signs of paralysis is indicated.
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Peptides that do not directly induce proliferative LNC responses or
thyroid pathology are nevertheless known to mediate EAT by adoptive
transfer into naive hosts of peptide-specific LNC (13). This protocol
usually leads to consistent EAT induction and a more severe lymphocytic
infiltration of the thyroid than direct challenge of mice with peptide
in adjuvant. To test whether E1B368377 falls in this
category, LNC from SJL mice primed with this peptide were boosted in
vitro with the same Ag and were subsequently i.p. transferred into
naive animals. Fourteen days later, histological examination showed
only focal lymphocytic infiltration in the thyroid in one of seven
recipients (Table III
, group 1). In
contrast, five of six animals that received LNC primed with
Tg26952706 and cross-boosted in vitro with
E1B368377 presented with significant thyroid lesions
(group 2). This is similar to the frequency (six of six SJL mice) and
severity (infiltration index, 34) of EAT observed in previous studies
in which LNC primed and boosted with Tg26952706 were
adoptively transferred to naive SJL mice (15). LNC that were stimulated
in vitro with the control 9-mer pathogenic peptide
Tg24962704 that binds to As (30) (group 3) or
cultured in medium alone (group 4) did not transfer EAT in any of the
mice tested. These data confirmed that despite its lack of
immunogenicity, the viral peptide could play a potentiating role in
effector cells mediating EAT.
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Discussion
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Several studies have demonstrated the ability of autoreactive
effector T cells to respond in vitro to cross-reactive epitopes from
different pathogens (31, 32, 33, 34, 35, 36), but in many instances it remained unclear
whether cross-reactive ligands could initiate T cell-mediated
autoimmunity. The present report provides evidence for the existence of
nonimmunogenic viral epitopes, such as the adenoviral peptide
E1B368377, which are unable to initiate disease but
nevertheless potentiate and expand pathogenic T cells. Due to their
nonimmunogenic nature, such epitopes would assume biological importance
only during the effector phase of the immune response, and their
detection would be possible only through the use of preactivated
autoreactive T cells. The present data cannot exclude that
E1B368377 may be pathogenic in a strain other than SJL,
but it is worth noting that its Tg homologue peptide elicits EAT in
SJL, but not in mice of k, b, or d H-2 haplotypes (14).
It has been recently shown in the murine model of autoimmune herpes
stromal keratitis (37) that molecular mimicry is likely to precipitate
autoimmune disease following viral infection. Our results document an
alternative scenario in pathogenesis; MAV-1 does not induce EAT but can
harbor potentially harmful epitopes homologous to thyroiditogenic
determinants on self Tg. While it remains to be seen whether MAV-1
infection can exacerbate ongoing EAT, potentiation of disease via
molecular mimicry is a plausible hypothesis and in accord with
epidemiological studies proposing infection as a necessary cofactor in
the induction of autoimmunity (2). The nondominant nature of
Tg26952713, which can be occasionally generated by
processing of self Tg in vivo but not in vitro (14), is not
incompatible with the above hypothesis. A variety of mechanisms may
generate the Tg peptide to trigger EAT, such as increased uptake or
modified processing of self Tg (38). Alternatively, Tg peptide-reactive
T cells may arise following intramolecular spreading during the course
of an autoimmune response and further expand into effector cells via
molecular mimicry with foreign peptides. Epitope spreading may even be
facilitated during an infection, as has been recently shown for
Theilers murine encephalomyelitis virus (11).
Our data are in agreement with the differential recognition of peptide
analogues observed in naive vs activated CD4+ T cells
responding to the encephalitogenic 139151 peptide of the proteolipid
protein (PLP) (39). Those observations as well as the present findings
can be explained on the basis that naive Tg peptide-specific
CD4+ T cells have more stringent Ag and costimulatory
requirements than memory T cells of the same specificity (40, 41, 42).
Up-regulation of adhesion/costimulatory molecules on the surface of
preactivated, self-reactive T cells may compensate for decreased TCR
affinity for altered peptides of microbial origin encountered during
the course of infection. However, degeneracy of T cell recognition is
limited, since we have previously shown that the human homologue of
Tg26952706, carrying only two amino acid substitutions,
Q2703S and T2704S, is not recognized by T cells and exhibits
contrasting immunopathogenic properties (15). These residues may be
required for TCR contact or for binding to As molecules.
Such a view is supported by the present study, because
E1B368377 is identical with Tg26952706 at
eight aa positions, including Q2703 and T2704.
Our results are also in agreement with the recent findings of Carrizosa
et al. (43), who demonstrated that viral homologue peptides of
PLP139151 cannot directly induce EAE but they can be
recognized by T cells previously activated with the self PLP epitope.
However, in contrast to our data the viral peptides in that study were
immunogenic, i.e., they elicited cross-reactive T cells that required
expansion by the self Ag to induce disease. Although the reasons for
such discrepancies between studies are not clear, the emerging
experimental evidence supports the existence of microbial epitopes that
cross-react with self peptides but cannot precipitate autoimmune
disease. These molecular mimics may even be extremely weak immunogens
as shown here, but they nevertheless can clearly play an important
pathogenic role promoting the differentiation of partially activated
autoreactive T cells into the effector stage. Expansion of autoreactive
T cells by self Ag before or during the infection stage may be an
important predisposing factor that could at least in part explain the
lack of a cause-effect relationship between infection and autoimmune
disease at the population level.
This is the first report in the field of mouse EAT demonstrating
induction of thyroid pathology due to molecular mimicry of a mouse Tg
epitope with a viral peptide. It is unknown whether other sequences
with significant homology with mouse MTg26952706 (Table I
) can be cross-reactive and/or thyroiditogenic. Of particular interest
is the homology with acetylcholinesterase, since patients with
myasthenia gravis or Graves disease have cross-reactive Abs to Tg and
acetylcholinesterase (44). Amino acid sequence homologies between
adenoviral proteins and human thyroid peroxidase, another major thyroid
autoantigen, have also been reported by Dyrberg (45), but the
homologous viral peptides have not been examined for
immunopathogenicity. Knowledge of thyroiditogenic sites will facilitate
screening for peptide molecular mimics derived from various pathogens.
It remains to be seen whether such peptides will tend to precipitate
EAT in naive animals or amplify the thyroiditogenic cascade in
susceptible mice with pre-existing autoreactive immune responses.
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Acknowledgments
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We thank Ed Evelly for his expert help with histology work.
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Footnotes
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1 This work was supported by a grant from the Medical Research Council of Canada (to G.C.), a Memorial University Ph.D. Fellowship (to V.P.R.), and a National Multiple Sclerosis Society Postdoctoral Fellowship (to A.E.K.). 
2 Address correspondence and reprint requests to Dr. George Carayanniotis, Faculty of Medicine, Memorial University of Newfoundland, St. Johns, Newfoundland, Canada A1B 3V6. E-mail address: 
3 Abbreviations used in this paper: Tg, thyroglobulin; EAT, experimental autoimmune thyroiditis; LNC, lymph node cells; MAV-1, mouse adenovirus type 1. 
Received for publication May 11, 1998.
Accepted for publication March 2, 1999.
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