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*
Section of Endocrinology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520;
Department of Pathology and Microbiology, University of Bristol, Bristol, United Kingdom; and
Laboratori Experimental de Diabetis, Hospital Clinic Universitari, Barcelona, Spain
| Abstract |
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| Introduction |
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-chain. Other DQ alleles that encode an aspartic acid at this
position are neutral or have been linked to protection from diabetes
(4, 5).
In the nonobese diabetic (NOD) mouse a widely studied murine model of
human T1DM, the MHC is also the most important genetic susceptibility
locus. Interestingly, there is considerable sequence homology between
DQ8 and the only MHC class II molecule expressed in NOD mice,
I-Ag7. Unlike most mouse strains, this I-A
molecule is characterized by substitution of a noncharged amino acid
for the charged aspartic acid residue at position 57 of the
-chain
(as in DQ8), in this case, serine (6, 7).
The crystal structure of I-Ag7 has recently been reported (8, 9). Based on these data it has been suggested that I-Ag7 binds peptides promiscuously, and this allows a different repertoire of peptides to be presented compared with the homologous I-Ad (8, 10). It has been inferred that a larger P9 pocket can specifically accommodate both negatively charged residues and residues with bulky side chains. Peptide binding studies have shown a preference for negatively charged residues (11, 12), and this may contribute to the fact that I-Ag7 is associated with diabetes. Similarly, the structure of DQ8 has also been recently crystallized together with an insulin peptide (13), and a striking similarity has been demonstrated between DQ8 and I-Ag7 binding pockets despite some sequence differences. DQ8 has an alanine residue at position 57 and also has a large P9 pocket that seems to have a preference for negatively charged residues at this position (14). Recently, a comparison was made of the peptides that bind to I-Ag7 compared with those bound by DQ8. This study showed that peptides from three putative autoantigens in diabetes, insulin, glutamic acid decarboxylase 65, and heat shock protein 60, can bind to DQ8 and I-Ag7 with similar, although not identical, binding specificity (15).
In view of the considerable similarities seen between DQ8 and I-Ag7, we examined whether the human and mouse MHC molecules most closely associated with diabetes could select for diabetogenic mouse CD4 T cells. We took advantage of the fact that the BDC2.5 T cell transgenic mouse (16) requires I-Ag7 for selection, but diabetes occurs at a relatively higher frequency and earlier when this MHC molecule is expressed on a C57BL/6 genetic background (17). To test our hypothesis that DQ8 might be able to substitute for I-Ag7 and induce positive selection of the BDC2.5 T cells, we crossed BDC2.5 TCR transgenic mice to our HLA-DQ8 transgenic mice deficient in mouse MHC class II so that the only MHC class II molecules present were the transgenic DQ8. We used these mice to study selection of T cells and development of diabetes. Our studies have shown that DQ8 not only shares structural similarity with I-Ag7 but also is able to functionally substitute for I-Ag7, thereby providing in vivo biological evidence supporting the crystal structure of DQ8 molecules recently reported by Lee et al. (13). We believe that this animal model could be a very useful tool for studying MHC-TCR interactions in diabetes and, most importantly, for the development of effective immunotherapy.
| Materials and Methods |
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HLA-DQA1*0301/DQB1*0302 (DQ8) transgenic, murine MHC class II
molecule-deficient (mII-) C57BL/6 mice were
generated as described previously (18). The BDC2.5 TCR
transgenic mouse on the B6.H-2g7
(H-2g7/BDC2.5) genetic background was provided by
Drs. C. Benoist and D. Mathis (Harvard School of Medicine, Boston, MA)
(17). DQ8 mice were then bred with
H-2g7/BDC2.5, and their offspring that were
positive for DQ8 and/or BDC2.5 transgene(s) were intercrossed. The
following eight types of mice were used for this study that were
derived from the intercross: 1)
DQ8+BDC2.5+
(mII-H-2g7-), 2)
H-2g7+BDC2.5+
(mII-), 3)
DQ8+H-2g7+BDC2.5+
(mII-), 4)
DQ8-BDC2.5+
(mII-H-2g7-), 5)
DQ8-H-2g7-BDC2.5+,
6) DQ8+BDC2.5- (the same
as DQ8 mice), 7)
H-2g7+BDC2.5- (the same as
H-2g7 congenic mice), and 8)
DQ8+H2g7+BDC2.5-.
The expressions of the DQ8, murine class II I-Ab
molecules, and H-2g7 were screened for by flow
cytometric analysis of PBL using mAbs to DQ (IVD12; American Type
Culture Collection, Manassas, VA), I-Ab (212.A1;
BD PharMingen, San Diego, CA), Kd (SF1-1.1; BD
PharMingen), and I-Ag7 (10.2.16; C. Janeway, Jr.,
Yale University, New Haven, CT), respectively. The BDC2.5 transgene was
screened for by PCR (16) and was confirmed by flow
cytometry using mAb to V
4 (BD PharMingen).
The mice were housed in specific pathogen-free facilities, and all experiments were undertaken in accordance with approved Yale animal care and use committee protocols.
RT-PCR for detection of TCRV
mRNA
Total RNA was prepared by TRIzol (Life Technologies, Grand
Island, NY) from purified CD4+ T cells using
magnetic beads. Approximately 1 µg RNA was reverse transcribed into
single-strand cDNA using an oligo(dT) primer (Amersham Pharmacia
Biotech, Piscataway, NJ) and Moloney murine leukemia virus
reverse transcriptase (Life Technologies). One microliter of the cDNA
(from 50 µl) was amplified with primers specific for V
110 and
C
. The PCR were performed with hot start, followed by 35 cycles of
denaturing at 94°C, annealing at 55°C, extension at 72°C, and a
final extension for 7 min. PCR products were analyzed on 1.5% agarose
gels. Primers were synthesized in the Keck Facility of Yale University,
and the primer sequences are (5'
3'): V
1,
-AGCAGAGCCCAGAATCCCTC-; V
2, -GACAGCAATTCTGAACTGCA-; V
3,
-CGACACCTTATCTGTTCTGA-; V
4, -CCCGGAGAAGGTCCACAGCT-; V
5,
-GGACAAGGATTCACTGTCCT-; V
6, -CACAACCAGATTCAATGGAA-; V
7,
-AGAACTCACCCTGGACTGTT-; V
8, -CTCAACGAAGCCCCTCAGGT-; V
9,
-GCTGCGACGTTCCTTAGTGA-; V
10, -CGCAGCTCTTTGCACATTTC-; and C
,
-ATATCTTGGCAGGTGAAGCTTGT.
Isolation of pancreatic islets
The pancreas was placed in a sterile vial containing full-strength collagenase (0.15%; Roche, Indianapolis, IN) and placed in a shaking water bath at 37°C for 20 min. The reaction was then quenched with HBSS (Life Technologies) containing 0.0375% BSA (Life Technologies), 8.75 µmol/liter HEPES, 0.25% DNase (Sigma-Aldrich, St. Louis, MO), 12.5 U/ml penicillin, and 12.5 µg/ml streptomycin, after which the digestion was repeated using a half-strength collagenase (0.075%) solution. Thereafter, islets were hand-picked using a dissecting microscope; this procedure was repeated two or three times until the islets were free of acinar tissue.
Purification of T cells
Total splenocytes, after removing erythrocytes, were incubated with magnetic beads conjugated with goat anti-mouse IgG/IgM (PerSeptive Diagnostics, Cambridge, MA) on ice with gentle agitation for 45 min. B cells were removed by using a magnetic plate (PerSeptive Diagnostics). The purity of the CD3+ population using this method is routinely >90%.
Purification of CD4+ T cells
Total splenocytes after removing erythrocytes were incubated with anti-CD8 mAb (53-6.72, rat IgG2b) on ice for 30 min and washed once with cold Clicks medium. The cells were then incubated with magnetic beads conjugated with goat anti-mouse IgG/IgM and goat anti-rat IgG (PerSeptive Diagnostics) on ice with gentle agitation for 45 min. B cells and CD8+ cells were removed using a magnetic plate (PerSeptive Diagnostics). The purity of the CD4+ population using this method is routinely >90%. Erythrocytes were routinely removed by briefly exposing the cells to hypotonic solution, followed whenever necessary by further Ficoll (ICN Biomedicals, Costa Mesa, CA) separation.
Proliferation and cytokine assays
Splenic CD4 T cells (105/well) were
assayed for antigenic response against islets. Secreted cytokine
proteins (IL-4, IL-6, IL-10, and IFN-
) from those responses were
measured by ELISA using mAbs and recommended protocols (BD
PharMingen).
Immunohistology
Pancreas, kidney, liver, and salivary gland from all mice used in this study were examined by immunohistochemistry as described previously (19).
Microsatellite analysis of mice used in this study
Genetic background can influence immune responses. Therefore, to examine whether the mice used in the study were on the same genetic background, we performed microsatellite analysis using 10 genetic markers that were described for the original H-2g7/BDC2.5 colony (17). These markers span mouse chromosomes 14, 6, 7, and 15 (17). The mapping results are identical at the loci for the C57BL/6 strain (Massachusetts Institute of Technology database).
| Results |
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To test whether human DQ8 molecules could cross the species
barrier and functionally replace their murine homolog
I-Ag7, DQ8 mice were bred with BDC2.5 TCR
transgenic mice on the H-2g7 congenic
(I-Ag7,
KdDb) C57BL/6 background
(B6.H-2g7/BDC2.5), and their progeny were
intercrossed. Eight types of mice were used for the study that were
derived from a cohort of breeding, and the genotypes of these mice are
summarized in Table I
. It is interesting
that DQ8 molecules are able to positively select BDC2.5 T cells in the
absence of I-Ag7 (Fig. 1
). The selection appears to be less
complete compared with I-Ag7 in both the thymus
and periphery, as more CD4+ T cells were seen in
H-2g7 congenic mice than in
DQ8+ mice (Table II
). CD4+ T cells
are present in reduced numbers, and this appears to be a general
phenotype of human HLA transgenic lines that are deficient for murine
endogenous MHC regardless of the presence or the absence of a TCR
transgene. The weaker positive selection seen in DQ8/BDC2.5 mice is
possibly due to the murine CD4 coreceptor not interacting as strongly
with human MHC class II as with mouse MHC class II molecules
(20). However, to examine whether
CD4+ T cells in DQ8/BDC2.5 mice express BDC2.5
TCR (V
4V
1), we stained the cells with anti-V
4 mAb and
analyzed them by flow cytometry. The cells were also stained with a
mixture of anti-V
2, -V
3.2, and -V
8.3 to indirectly
identify the
-chain of BDC2.5 TCR because there is no clonotypic Ab
available to directly examine either the BDC2.5 TCR or V
1. Similar
to their counterpart H2g7/BDC2.5 mice, most CD4 T
cells in DQ8/BDC2.5 mice express the BDC2.5 TCR, as shown in Table II
.
There is no evidence that the expression of V
or V
in the
selected 
T cell population differs in DQ8/BDC2.5 mice compared
with H2g7/BDC2.5 mice (data not shown). However,
it appears that there is a greater variation in the number of BDC2.5 T
cells found in DQ8/BDC2.5 mice than was seen in
H2g7/BDC2.5 mice (Table II
). The selection of
BDC2.5 TCR (identified as positive for V
4) in DQ8/BDC2.5 mice could
be grouped into complete, relatively complete, and incomplete, as shown
in Fig. 2
, whereas the frequency of
incomplete BDC2.5 selection was less in
H2g7/BDC2.5 mice (data not shown). It is
interesting that there were very few T cells that stained positively
for non-V
1 (estimated by staining with the mixture of available V
Abs) even in the mice with incomplete selection of BDC2.5 T cells (data
not shown). To circumvent this limitation, we performed RT-PCR from
both thymus and spleen of DQ8/BDC2.5 mice using a panel of 10
V
-specific primers for the detection of those V
expression at
mRNA level. Apart from the strong amplification of V
1 in the RT-PCR,
we did not obtain obvious amplification of the other V
s tested (data
not shown). This result, however, still cannot rule out the possibility
that other V
s were used, because there are >100 functional V
gene segments in the mouse, and we have no way of detecting all of
these. We also analyzed the usage of other V
s in the V
4-negative
population of the mice expressing incomplete BDC2.5 TCR using a panel
of mAbs specific for V
2, -3, -5, -6, -7, -8, -9, -10, -11, -12, -13,
-14, and -17. It appears that non-BDC2.5 T cells use a relatively
diverse V
repertoire with dominant V
5 usage (
20% of
non-BDC2.5 T cells; data not shown).
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-DQB1*0302
molecules was excluded by negative staining of PBL with a mAb specific
for I-A
b (AF6-120.1; BD PharMingen). BDC2.5 T cells selected by DQ8 molecules retain Ag specificity
Both the parental BDC2.5 T cell clone and BDC2.5 T cells from the
BDC2.5 TCR transgenic mouse respond to pancreatic islets
(21, 22, 23, 24). The response is restricted to NOD MHC
(I-Ag7), whereas the Ag (islet) is not unique to
the NOD mouse strain, as BDC2.5 cells are able to respond to islets
from many mouse strains (24). To test whether BDC2.5 CD4 T
cells selected by DQ8 molecules retain ligand specificity, we performed
proliferation assays using islets isolated from DQ8/B6 and NOD mice.
B6.H-2g7/BDC2.5 mice were also examined as
positive controls. As shown in Fig. 3
, splenic CD4 T cells from DQ8/BDC2.5 mice exhibited proliferative
responses to islets from both DQ8/B6 and NOD mice; the response was
slightly greater when the CD4 T cells were stimulated with DQ8/B6
islets (Fig. 3
A). As expected, CD4 T cells from
H-2g7/BDC2.5 mice also responded to islets of
both NOD and DQ8/B6 strains (Fig. 3
B). It is noteworthy that
a better response was observed in B6.H-2g7/BDC2.5
T cells toward NOD islets, whereas the reverse pattern was seen in
DQ8/BDC2.5 mice, which respond more strongly to DQ8/B6 islets. The
response was accompanied by IFN-
production (Fig. 3
C).
The islet reactivity of DQ8/BDC2.5 and
H-2g7/BDC2.5 mice was restricted to DQ8 and
I-Ag7, respectively, as demonstrated by Ab
inhibition assays (82 and 87% inhibition, respectively). There was no
cross-inhibition observed; namely anti-I-Ag7
mAb 10.2.16 did not block islet reactivity of DQ8/BDC2.5 T cells, nor
did the anti-DQ mAb IVD12 block the islet response of
H-2g7/BDC2.5 T cells. This is not surprising
given the fact that the two mAbs recognize very different epitopes
(25, 26, 27). In keeping with this,
anti-I-Ag7 did not stain
B220+ cells from DQ8 transgenic mice, nor did
anti-DQ mAb IVD12 stain B220+ cells from NOD
mice or B6.H-2g7 congenic mice (data not
shown).
|
The studies shown above demonstrated that the human homolog of NOD
I-Ag7, the DQ8 molecule, could positively select
BDC2.5 T cells, and this selection retains the BDC2.5 TCR Ag
specificity toward islets. To investigate the diabetogenicity of BDC2.5
T cells selected by DQ8 molecules, we performed a natural history
study. Eight groups of mice were used in this study, and the
observation period was 7 mo (Table III
).
Like H-2g7/BDC2.5 mice, DQ8/BDC2.5 mice also
developed diabetes with similar kinetics, although the overall
incidence of diabetes in DQ8/BDC2.5 mice was slightly, but not
significantly, lower (20%) than that seen in
H-2g7/BDC2.5 mice (28%). BDC2.5 mice expressing
both MHC molecules, DQ8 and H-2g7, had a similar
incidence of diabetes (18%) as DQ8/BDC2.5 (20%; Fig. 4
). The incidence of diabetes was not
statistically significant among the three groups (by Students
t test, p = 0.48 for DQ8/BDC2.5 vs
H-2g7/BDC2.5, p = 0.08 for
DQ8/BDC2.5 vs DQ8/H-2g7/BDC2.5, and
p = 0.1 for H-2g7/BDC2.5 vs
DQ8/H-2g7/BDC2.5), and there was no obvious sex
preference in diabetes development (Table III
). It is interesting that
two DQ8/BDC2.5 mice with incomplete selection of BDC2.5 T cells also
developed diabetes (data not shown). Neither the BDC2.5
transgene-negative mice expressing DQ8 or H-2g7
nor the BDC2.5 transgene-positive mice expressing neither DQ8 nor
H-2g7 developed diabetes (Table III
). The mice
with the latter genotype
(DQ8-H-2g7-BDC2.5+)
were generally smaller than other types of mice in this study, and
their life span was shorter (data not shown).
|
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Pancreata from mice that developed diabetes were analyzed for
lymphocytic infiltration by immunohistochemistry staining. Unlike
normal NOD mice, in which CD4, CD8 and B cells are the three main types
of infiltrating lymphocytes, examination of diabetic
H-2g7/BDC2.5 pancreatic islets revealed heavy CD4
T cell infiltrates and very few CD8 T cells (Fig. 5
). Like NOD mice, many
B220+ B cells are also found in the islet
infiltrates where CD4 T cells are located (Fig. 5
). Similar to
H-2g7/BDC2.5 mice, diabetic DQ8/BDC2.5 islets
also showed very few CD8 T cells in the infiltrates (Fig. 5
). However,
there were also fewer CD4 T cells in the infiltrates despite the fact
that the mice were diabetic (Fig. 5
).
|
| Discussion |
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|---|
-chain (4, 6), and this feature plays an important role
in conferring susceptibility to diabetes (4, 6, 14, 30).
The sequence similarities between human DQ8 and mouse
I-Ag7 molecules have promoted many studies to
dissect and compare the biochemical properties of these two molecules
(8, 13). However, it was not known whether the biological
function of one molecule could cross the species barrier and replace
the other molecule. Taking advantage of an
I-Ag7-restricted and diabetogenic TCR transgenic
model system, we show in this study that human HLA-DQ8 molecules can
indeed cross the species barrier and functionally replace their murine
homolog I-Ag7. Moreover, BDC2.5 T cells selected
on human DQ8 molecules not only retain their TCR ligand specificity but
can also cause diabetes with a similar frequency.
Intrathymic positive selection of BDC2.5 T cells by HLA-DQ8 was not as
efficient as that on I-Ag7 molecules as a
relative higher fraction of mice (two of seven examined) was found
expressing <70% V
4 (Fig. 2
and Table II
), whereas fewer
H2g7/BDC2.5 mice (one of six analyzed) showed a
similar expression pattern (data not shown). Because a reduced number
of CD4 (V
4+) single-positive cells was seen in
DQ8/BDC2.5 thymocytes, this may result in a reduced number of mature
CD4 BDC2.5 T cells in the periphery, as well as in the islets. It is
possible that the murine CD4 coreceptor recognizes the DQ8 molecule
with low affinity, in other words, the murine CD4 coreceptor does not
interact as strongly with human MHC class II as with mouse MHC class II
molecules (20). It is also plausible that the relatively
weak positive selection and antigenic response in DQ8/BDC2.5 mice are
due to the differences between I-Ag7 and DQ8
molecules. Although there are striking similarities between
I-Ag7 and DQ8 molecules, there are several
differences in sequence between the two molecules. The obvious sequence
differences close to position 57 are at residues 5557 and 61 of the
-chain (proline 55-proline 56-alanine 57 and tyrosine 61 for DQ8 and
arginine 55-histidine 56-serine 57 and tryptophan 61 for
I-Ag7, respectively). Proline and tryptophan at
positions 56 and 61 of the
-chain are conserved in most alleles of
both species (8, 13, 31). It is possible that all three
residues, histidine, serine, and tyrosine at positions 56, 57, and 61,
are required for the best fit of the ligand of BDC2.5 TCR and lead to
optimal positive selection. The crystal structure of
I-Ag7 indicates that the substitution of
histidine for proline at position 56, which immediately precedes
position 57, opens the side of the P9 pocket that contains the
-helix of the
-chain (8). This suggests that the
neighboring residues are very important for antigenic peptide binding
by shaping and accommodating the unique character of the
I-Ag7 P9 pocket. As the DQ8
-chain lacks
histidine and tyrosine at positions 56 and 61, respectively, and the
noncharged residue at position 57 is alanine rather than serine, these
differences may account for less efficient positive selection in the
DQ8/BDC2.5 mice. Interestingly, NOD mice carrying a mutated
I-Ag7 transgene that encodes proline and aspartic
acid at positions 56 and 57, respectively, were protected from
developing diabetes (32, 33, 34). Although transgenic NOD mice
with single positional (56 or 57) mutations were not generated in one
of those studies (33), the fact that the double mutation
of I-Ag7 inhibits diabetes suggests that both
residues 56 and 57 are important. The difference in
-chains at
position 56 between DQ8 and I-Ag7 may also
explain the less potent proliferative response of peripheral mature
CD4+ T cells to islet autoantigen in DQ8/BDC2.5
mice. However, it is interesting that the selection difference does not
seem to contribute to disease development, as DQ8/BDC2.5 mice developed
spontaneous diabetes with similar kinetics to
B6.H-2g7/BDC2.5 mice even with fewer positively
selected cells in the thymus and a less potent antigenic response in
the periphery. Due to the lack of reagents to identify the BDC2.5
-chain (V
1), we used a mixture of anti-V
mAbs (V
2,
V
3.2, and V
8.2) to analyze the BDC2.5
-chain indirectly.
Surprisingly, very few non-V
4+ T cells
expressed the V
s for which staining was performed. This suggests
that non-V
4+ T cells either still use the
BDC2.5
-chain (V
1) or express V
chains other than V
2,
V
3.2, and V
8.2. As more reagents are available for detection of
V
s, we found that a diverse V
repertoire was expressed in the
non-V
4+ T cells. It is not clear whether these
non-BDC2.5 T cells play a down-regulatory role in diabetes development
in our DQ8/BDC2.5 model. This question could be answered by the
generation of DQ8/BDC2.5 mice with either RAG deficiency or TCR C
or
C
deficiency, as shown in the parental
H2g7/BDC2.5 model. However, this would be beyond
the scope of the current study.
The incidence of spontaneous diabetes in H-2g7/BDC2.5 mice in our study is lower (28%) than that found in the original colony (58%) (17). Microsatellite analysis suggests that mice used in this study were not different from those in the original colony. However, it is possible that some unidentified genetic loci may be different between the two colonies. In contrast, biological heterogeneity has been well recognized in both pure in-bred animals as well as animals that express TCR transgenes. For example, NOD mice neither develop diabetes at the same time point, nor develop 100% diabetes. The heterogeneity is also expressed in several TCR transgenic systems (16, 17, 35, 36, 37), including our current study. We have noticed that individual differences may be present in both intrathymic-positive and -negative selection and peripheral maturation/regulation levels (unpublished observations). However, the discrepancy seen in diabetes incidence between the original H-2g7/BDC2.5 colony and our colony may also be due to environmental factors, as the original H-2g7/BDC2.5 colony was housed in a different animal facility.
Our study using an in vivo model demonstrates that human HLA-DQ8 molecules can cross a species barrier and functionally replace I-Ag7 molecules to produce spontaneous diabetes. Our study also provides in vivo biological evidence supporting the recent reports of crystal structures of I-Ag7 and DQ8 molecules. This suggests that diabetes susceptibility in human and mouse might result from similar Ag processing and presentation. We believe that our model system will provide us with a useful tool for testing specific therapeutic interventions for human type 1 diabetes.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Li Wen, Section of Endocrinology, Department of Internal Medicine, Yale University School of Medicine, Box 208020, New Haven, CT 06520-8020. E-mail address: li.wen{at}yale.edu ![]()
3 Abbreviations used in this paper: T1DM, type 1 diabetes mellitus; NOD, nonobese diabetic. ![]()
Received for publication September 10, 2001. Accepted for publication January 30, 2002.
| References |
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gene contributes to susceptibility and resistance to insulin-dependent diabetes mellitus. Nature 329:599.[Medline]
57-Asp plays an essential role in the unique SDS stability of HLA-DQA1*0102/DQB1*0602 
protein dimer, the class II MHC allele associated with protection from insulin-dependent diabetes mellitus. J. Immunol. 165:3232.
chain is unique. Proc. Natl. Acad. Sci. USA 84:2435.
-chains. J. Immunol. 130:2277.[Abstract]
-transgenic nonobese diabetic mice by
cell cytotoxic CD8+ T cells expressing identical endogenous TCR-
chains. J. Immunol. 157:4726.[Abstract]
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