title: A humanized model for multiple sclerosis using HLA-DR2 and a human T-cell receptor.
abstract: Multiple sclerosis (MS) is a complex chronic neurologic disease with a suspected autoimmune pathogenesis. Although there is evidence that the development of MS is determined by both environmental influences and genes, these factors are largely undefined, except for major histocompatibility (MHC) genes. Linkage analyses and association studies have shown that susceptibility to MS is associated with genes in the human histocompatibility leukocyte antigens (HLA) class II region, but the contribution of these genes to MS disease development less compared with their contribution to disorders such as insulin-dependent diabetes mellitus. Due to the strong linkage disequilibrium in the MHC class II region, it has not been possible to determine which gene(s) is responsible for the genetic predisposition. In transgenic mice, we have expressed three human components involved in T-cell recognition of an MS-relevant autoantigen presented by the HLA-DR2 molecule: DRA*0101/DRB1*1501 (HLA-DR2), an MHC class II candidate MS susceptibility genes found in individuals of European descent; a T-cell receptor (TCR) from an MS-patient-derived T-cell clone specific for the HLA-DR2 bound immunodominant myelin basic protein (MBP) 4102 peptide; and the human CD4 coreceptor. The amino acid sequence of the MBP 84-102 peptide is the same in both human and mouse MBP. Following administration of the MBP peptide, together with adjuvant and pertussis toxin, transgenic mice developed focal CNS inflammation and demyelination that led to clinical manifestations and disease courses resembling those seen in MS. Spontaneous disease was observed in 4% of mice. When DR2 and TCR double-transgenic mice were backcrossed twice to Rag2 (for recombination-activating gene 2)-deficient mice, the incidence of spontaneous disease increased, demonstrating that T cells specific for the HLA-DR2 bound MBP peptide are sufficient and necessary for development of disease. Our study provides evidence that HLA-DR2 can mediate both induced and spontaneous disease resembling MS by presenting an MBP self-peptide to T cells.
authors.affiliation: Department of Clinical Immunology, The Royal Danish School of Pharmacy,Copenhagen, Denmark.
authors.forename: L S
authors.initials: LS
authors.lastname: Madsen
authors.forename: E C
authors.initials: EC
authors.lastname: Andersson
authors.forename: L
authors.initials: L
authors.lastname: Jansson
authors.forename: M
authors.initials: M
authors.lastname: krogsgaard
authors.forename: C B
authors.initials: CB
authors.lastname: Andersen
authors.forename: J
authors.initials: J
authors.lastname: Engberg
authors.forename: J L
authors.initials: JL
authors.lastname: Strominger
authors.forename: A
authors.initials: A
authors.lastname: Svejgaard
authors.forename: J P
authors.initials: JP
authors.lastname: Hjorth
authors.forename: R
authors.initials: R
authors.lastname: Holmdahl
authors.forename: K W
authors.initials: KW
authors.lastname: Wucherpfennig
authors.forename: L
authors.initials: L
authors.lastname: Fugger
mesh_terms: D000818:Animals; D001324:Autoantigens / Q000235:genetics / Q000276:immunology; D015704:CD4 Antigens / Q000235:genetics / Q000276:immunology; D002490:Central Nervous System / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D004268:DNA-Binding Proteins; D004195:Disease Models, Animal; D004660:Encephalitis / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D005620:Freund's Adjuvant / Q000276:immunology; D005803:Genes, Immunoglobulin / Q000235:genetics; D020022:Genetic Predisposition to Disease / Q000235:genetics*; D015802:HLA-DR2 Antigen / Q000235:genetics / Q000276:immunology*; D006801:Humans; D051379:Mice; D008810:Mice, Inbred C57BL; D008811:Mice, Inbred DBA; D008822:Mice, Transgenic; D009103:Multiple Sclerosis / Q000235:genetics* / Q000276:immunology* / Q000473:pathology; D004676:Myelin Basic Protein / Q000276:immunology; D009687:Nuclear Proteins; D010446:Peptide Fragments / Q000276:immunology; D037342:Pertussis Toxin; D011948:Receptors, Antigen, T-Cell / Q000235:genetics / Q000276:immunology*; D013601:T-Lymphocytes / Q000276:immunology / Q000378:metabolism / Q000473:pathology; D010566:Virulence Factors, Bordetella / Q000276:immunology
chemical_list: D001324:Autoantigens; D015704:CD4 Antigens; D004268:DNA-Binding Proteins; D015802:HLA-DR2 Antigen; D004676:Myelin Basic Protein; D009687:Nuclear Proteins; D010446:Peptide Fragments; C499311:RAG2 protein, human; C499308:Rag2 protein, mouse; D011948:Receptors, Antigen, T-Cell; C064655:V(D)J recombination activating protein 2; D010566:Virulence Factors, Bordetella; D005620:Freund's Adjuvant; D037342:Pertussis Toxin