title: T-cell allorecognition: a case of mistaken identity or déjà vu?
abstract: T cells bearing alphabeta T-cell receptors (TCRs) are selected by a subset of peptide-laden major histocompatibility (pMHC) molecules in the thymus and in the periphery and therefore are restricted to recognising host or 'self' MHC molecules. Nevertheless, T cells are inherently cross-reactive and often react with 'foreign' allogeneic MHC molecules (direct T-cell alloreactivity), manifested clinically as organ transplant rejection. Although the basis of T-cell alloreactivity has remained a puzzle to immunologists for decades, studies on alloreactive TCRs have begun to shed light on the basic mechanisms underpinning this 'mistaken identity'. Here we review recent advances in the field, focusing on structural and cellular studies, showing that alloreactivity may sometimes result from cross-reactivity without molecular mimicry and at other times may result directly from TCR interactions with allogeneic pMHC surfaces that mimic the cognate ligand.
authors: Protein Crystallography Unit, Department of Biochemistry and Molecular Biology, Monash University, Clayton, Victoria 3800, Australia.
authors: Julia K
authors: JK
authors: Archbold
authors: Whitney A
authors: WA
authors: Macdonald
authors: Scott R
authors: SR
authors: Burrows
authors: Jamie
authors: J
authors: Rossjohn
authors: James
authors: J
authors: McCluskey
mesh_terms: D000818:Animals; D017951:Antigen Presentation; D003429:Cross Reactions; D018360:Crystallography, X-Ray; D006801:Humans; D007519:Isoantigens / Q000737:chemistry / Q000276:immunology*; D008285:Major Histocompatibility Complex / Q000276:immunology*; D018716:Molecular Mimicry; D046912:Multiprotein Complexes; D010455:Peptides / Q000737:chemistry / Q000276:immunology; D011487:Protein Conformation; D016693:Receptors, Antigen, T-Cell, alpha-beta / Q000737:chemistry / Q000276:immunology; D040681:Structural Homology, Protein; D037182:T-Cell Antigen Receptor Specificity; D016176:T-Lymphocyte Subsets / Q000276:immunology; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D007519:Isoantigens; D046912:Multiprotein Complexes; D010455:Peptides; D016693:Receptors, Antigen, T-Cell, alpha-beta