title: Dynamics of the reactivity to MBP in multiple sclerosis.
abstract: Though many lines of evidence support the importance of myelin basic protein (MBP) in the pathogenesis of experimental autoimmune encephalomyelitis (EAE), its role in multiple sclerosis (MS) is still debated as well as the significance of epitope spreading in disease progression. We characterised the response to MBP in eight MS subjects and three of these were followed over time. In one case, the follow up lasted over a 6-year period. Clonal expansion, clonal persistence and epitope spreading against other MBP determinants was detected irrespective of disease course. In one patient we identified a novel T-cell receptor variable gene (BV28S2) which may be involved in the selection of MBP determinants, as suggested by experiments performed in the presence of mismatched antigen presenting cells (APC) between two subjects compatible for HLA-DR2 subtype but differing for the epitope recognised. Our findings do not sustain a role for the response to MBP effecting on clinical course and suggest that a novel TCR gene may be involved in the recognition of unusual self antigens.
authors.affiliation: Department of Neurological Sciences and Vision, University of Genoa, Via De Toni 5, 16132 Genoa, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Uccelli
authors.forename: G
authors.initials: G
authors.lastname: Ristori
authors.forename: D
authors.initials: D
authors.lastname: Giunti
authors.forename: M
authors.initials: M
authors.lastname: Seri
authors.forename: C
authors.initials: C
authors.lastname: Montesperelli
authors.forename: F
authors.initials: F
authors.lastname: Caroli
authors.forename: C
authors.initials: C
authors.lastname: Solaro
authors.forename: A
authors.initials: A
authors.lastname: Murialdo
authors.forename: M
authors.initials: M
authors.lastname: Marchese
authors.forename: C
authors.initials: C
authors.lastname: Buttinelli
authors.forename: G
authors.initials: G
authors.lastname: Mancardi
authors.forename: M
authors.initials: M
authors.lastname: Salvetti
mesh_terms: D000595:Amino Acid Sequence; D017951:Antigen Presentation / Q000276:immunology; D001324:Autoantigens / Q000235:genetics / Q000276:immunology; D004681:Encephalomyelitis, Autoimmune, Experimental / Q000276:immunology; D000939:Epitopes / Q000235:genetics / Q000276:immunology; D005500:Follow-Up Studies; D019674:Genes, T-Cell Receptor beta / Q000235:genetics* / Q000276:immunology; D015802:HLA-DR2 Antigen / Q000276:immunology; D006801:Humans; D008969:Molecular Sequence Data; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000235:genetics* / Q000276:immunology*; D004676:Myelin Basic Protein / Q000235:genetics* / Q000276:immunology*
chemical_list: D001324:Autoantigens; D000939:Epitopes; D015802:HLA-DR2 Antigen; D004676:Myelin Basic Protein