优化全基因组关联扫描以发现 HLA Ⅰ类受限的次要组织相容性抗原。
Optimized Whole Genome Association Scanning for Discovery of HLA Class I-Restricted Minor Histocompatibility Antigens.
机构信息
Department of Hematology, Leiden University Medical Center, Leiden, Netherlands.
Department of Internal Medicine, Hematology and Internal Oncology, University Hospital Erlangen, Erlangen, Germany.
出版信息
Front Immunol. 2020 Apr 17;11:659. doi: 10.3389/fimmu.2020.00659. eCollection 2020.
Patients undergoing allogeneic stem cell transplantation as treatment for hematological diseases face the risk of Graft-versus-Host Disease as well as relapse. Graft-versus-Host Disease and the favorable Graft-versus-Leukemia effect are mediated by donor T cells recognizing polymorphic peptides, which are presented on the cell surface by HLA molecules and result from single nucleotide polymorphism alleles that are disparate between patient and donor. Identification of polymorphic HLA-binding peptides, designated minor histocompatibility antigens, has been a laborious procedure, and the number and scope for broad clinical use of these antigens therefore remain limited. Here, we present an optimized whole genome association approach for discovery of HLA class I minor histocompatibility antigens. T cell clones isolated from patients who responded to donor lymphocyte infusions after HLA-matched allogeneic stem cell transplantation were tested against a panel of 191 EBV-transformed B cells, which have been sequenced by the 1000 Genomes Project and selected for expression of seven common HLA class I alleles (HLA-A01:01, A02:01, A03:01, B07:02, B08:01, C07:01, and C07:02). By including all polymorphisms with minor allele frequencies above 0.01, we demonstrated that the new approach allows direct discovery of minor histocompatibility antigens as exemplified by seven new antigens in eight different HLA class I alleles including one antigen in HLA-A24:02 and HLA-A23:01, for which the method has not been originally designed. Our new whole genome association strategy is expected to rapidly augment the repertoire of HLA class I-restricted minor histocompatibility antigens that will become available for donor selection and clinical use to predict, follow or manipulate Graft-versus-Leukemia effect and Graft-versus-Host Disease after allogeneic stem cell transplantation.
接受异基因干细胞移植治疗血液疾病的患者面临移植物抗宿主病和复发的风险。移植物抗宿主病和有利的移植物抗白血病效应是由识别多态性肽的供体 T 细胞介导的,这些肽由 HLA 分子在细胞表面呈递,是由于患者和供体之间的单核苷酸多态性等位基因不同而产生的。多态性 HLA 结合肽的鉴定,称为次要组织相容性抗原,一直是一个繁琐的过程,因此这些抗原的数量和广泛临床应用的范围仍然有限。在这里,我们提出了一种优化的全基因组关联方法,用于发现 HLA 类 I 次要组织相容性抗原。从对 HLA 匹配的异基因干细胞移植后接受供体淋巴细胞输注有反应的患者中分离的 T 细胞克隆,与经过 1000 基因组计划测序并选择表达七种常见 HLA 类 I 等位基因(HLA-A01:01、A02:01、A03:01、B07:02、B08:01、C07:01 和 C07:02)的 191 个 EBV 转化的 B 细胞进行了测试。通过包括所有频率大于 0.01 的次要等位基因频率的多态性,我们证明了新方法可以直接发现次要组织相容性抗原,如在八个不同的 HLA 类 I 等位基因中发现的七个新抗原,包括一个在 HLA-A24:02 和 HLA-A23:01 中的抗原,而该方法最初并未设计用于发现这些抗原。我们的新全基因组关联策略有望迅速增加 HLA 类 I 限制性次要组织相容性抗原的 repertoire,这些抗原将可用于供体选择和临床应用,以预测、随访或操纵异基因干细胞移植后的移植物抗白血病效应和移植物抗宿主病。