Gonzalez-Gay M A, Zanelli E, Khare S D, Krco C J, Zhou P, Inoko H, Griffiths M M, Luthra H S, David C S
Department of Immunology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Hum Immunol. 1996 Sep 15;50(1):54-60. doi: 10.1016/0198-8859(96)00123-1.
A strong correlation exists between susceptibility to RA in humans and some DRB1 alleles of the MHC region, such as DRB10401 and DRB10101. Meanwhile, incidences of other DR specificities, such as DR2, DR5, or DR7 have often been found reduced among RA patients. Like RA, susceptibility to mouse CIA is influenced by the MHC class II loci. To analyze the effect of a DRB1 molecule associated with low incidence of RA on mouse CIA, a human DRB11502 (DR2Dw12) transgene was introduced into CIA-susceptible B10.RQB3 (H2Aq) mice. Transgene-positive DRB11502 mice showed a significant reduction in the incidence and severity of arthritis. Moreover, the clinical reduction of arthritis correlated with the T-cell proliferative response of B10.RQB3-DRB11502 mice against a self-derived DRB1 peptide from the third hypervariable region. Our results suggest that the DRB11502-mediated protection against CIA can be explained by the DRB1 molecule acting as a source of self-antigenic peptide which interferes with the T-cell response against immunodominant regions(s) of the arthritogenic type II collagen molecule. By analogy, a similar mechanism might play a critical role in influencing the class II-associated predisposition to RA.
人类对类风湿关节炎(RA)的易感性与主要组织相容性复合体(MHC)区域的某些DRB1等位基因之间存在很强的相关性,例如DRB10401和DRB10101。同时,在RA患者中,经常发现其他DR特异性(如DR2、DR5或DR7)的发生率降低。与RA一样,小鼠胶原诱导性关节炎(CIA)的易感性也受MHC II类基因座的影响。为了分析与RA低发病率相关的DRB1分子对小鼠CIA的影响,将人DRB11502(DR2Dw12)转基因导入CIA易感的B10.RQB3(H2Aq)小鼠。转基因阳性的DRB11502小鼠的关节炎发病率和严重程度显著降低。此外,关节炎的临床症状减轻与B10.RQB3-DRB11502小鼠针对来自第三个高变区的自身DRB1肽的T细胞增殖反应相关。我们的结果表明,DRB11502介导的对CIA的保护作用可以解释为DRB1分子作为自身抗原肽的来源,干扰了针对致关节炎II型胶原分子免疫显性区域的T细胞反应。类推而言,类似的机制可能在影响II类相关的RA易感性中起关键作用。