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P a r t i c i p a n t s :<br />

Maria Teresa Fiorillo, researcher; Fabiana Paladini, post-doc<br />

fellow; Francesca Belfiore, Elisa Cocco, Adriana<br />

Magnacca, Elisa Nurzia, PhD students.<br />

C o l l a b o r a t i o n s :<br />

<strong>Istituto</strong> di Biologia Cellulare, CNR, Roma (Dr. Isabella Cascino);<br />

Department for Crystallography, FU Berlin, Germany (Prof.<br />

Wolfang Saenger); Institut für Immungenetik,<br />

Universitätsklinikum Charité Humboldt-Universität zu Berlin,<br />

Berlin, Germany (Prof. Andreas Ziegler, Dr Barbara<br />

Uchanska-Ziegler); Dipartimento di Scienze Mediche, Università<br />

di Cagliari (Prof. Alessandro Mathieu).<br />

Report of activity<br />

The project plan was subdivided in three different<br />

parts:<br />

Analysis of T cell responses specific for<br />

peptides sharing homology with the viral<br />

peptide pLMP2 in patients with AS versus<br />

healthy controls<br />

The viral pLMP2 (RRRWRRLTV) and the self<br />

pVIPR (RRKWRRWHL) peptides are unusually<br />

rich in arginines. This amino acid can undergo<br />

post-translational modifications consisting in citrullination.<br />

These modifications could confer some<br />

new antigenic properties to these peptides making<br />

the immune system able to recognize them as<br />

novel antigens and mount a cytotoxic T cell<br />

response (Beltrami et al., J Biol Chem. 2008,<br />

283:27189-99).<br />

We therefore have synthesized new peptides possessing<br />

citrulline instead of arginine, either in single<br />

(p1; p5 and p6) or in multiple positions (p1 and<br />

p5; p1 and p6; p5 and p6). One of these peptides,<br />

pVIPR-U5 (RRKWURWHL; U = citrulline), has<br />

already been analysed both at functional and crystallographic<br />

levels to verify whether the exchange of<br />

Principal investigator: Rosa Sorrentino<br />

Professor of Pathology<br />

Dipartimento di Biologia Cellulare e dello Sviluppo<br />

Tel: (+39) 06 49917706; Fax: (+39) 06 49917594<br />

rosa.sorrentino@uniroma1.it<br />

105<br />

Cellular and molecular immunology - AREA 5<br />

The role of HLA-B27 in autoimmunity: from the genetics to the<br />

function<br />

arginine to citrulline affects the display of this peptide<br />

by two human major histocompatibility antigen<br />

class I subtypes, HLA-B*2705 and HLA-B*2709.<br />

The crystal structures show that a modified selfpeptide,<br />

pVIPR-U5 (RRKWURWHL; U = citrulline)<br />

is presented by the two HLA-B27 molecules<br />

in distinct conformations. These binding modes differ<br />

not only drastically from each other but also<br />

from the conformations exhibited by the non-citrullinated<br />

peptide in a given subtype. The differential<br />

reactivity of HLA-B27-restricted cytotoxic T cells<br />

with modified or unmodified pVIPR supports the<br />

structural findings and shows that the presentation<br />

of citrullinated peptides has the potential to influence<br />

immune responses. Furthermore, citrullinated<br />

peptides such as pVIPR-U5 and pVIPR-U5+U6<br />

have been tested for their ability to induce self-reactivity<br />

in B*2705 patients with AS. So far, we have<br />

observed CD8+ T cell responses in 2 out of 5<br />

patients and the responsive CTL lines have shown<br />

either specificity for the citrullinated forms of<br />

pVIPR or cross-reactivity with the native peptide.<br />

This result supports the possibility that some circustances<br />

such as chronic inflammatory conditions<br />

that occur in AS could favor the activity of PAD<br />

(peptidylarginine deiminases), the enzyme involved<br />

in the arginine to citrulline conversion. T cells from<br />

B*2709 positive individuals have also been stimulated<br />

with citrullinated forms of pVIPR and so far no<br />

reactivity has been detected. In progress is a large<br />

screening in which CTL lines primarily driven by<br />

pLMP2, pVIPR and pVIPR-U5 or pVIPR-U5+U6<br />

are assayed against the complete panel of citrullinated<br />

pVIPR and pLMP2 analogs (the arginine at<br />

each position substituted by citrullines). These<br />

immunological results will be combined with structural<br />

data assessing the ability of the citrullinated<br />

peptides to form a stable complex with either<br />

B*2705 and B*2709 molecules and with spettroscopic<br />

measurements,i.e. circular dichroism (CD)<br />

and differential scanning calorimetric (DSC).

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