Abstract |
Chronic beryllium disease (CBD) is a granulomatous lung disease characterized by the accumulation of beryllium (Be)-specific CD4(+) T cells in bronchoalveolar lavage. These expanded CD4(+) T cells are composed of oligoclonal T cell subsets, suggesting their recruitment to the lung in response to conventional Ag. In the current study, we noted that all bronchoalveolar lavage-derived T cell lines from HLA-DP2-expressing CBD patients contained an expansion of Be-responsive Vβ5.1(+) CD4(+) T cells. Using Be-loaded HLA-DP2-peptide tetramers, the majority of tetramer-binding T cells also expressed Vβ5.1 with a highly conserved CDR3β motif. Interestingly, Be-specific, Vβ5.1-expressing CD4(+) T cells displayed differential HLA-DP2-peptide tetramer staining intensity, and sequence analysis of the distinct tetramer-binding subsets showed that the two populations differed by a single conserved amino acid in the CDR3β motif. TCR Vα-chain analysis of purified Vβ5.1(+) CD4(+) T cells based on differential tetramer-binding intensity showed differing TCR Vα-chain pairing requirements, with the high-affinity population having promiscuous Vα-chain pairing and the low-affinity subset requiring restricted Vα-chain usage. Importantly, disease severity, as measured by loss of lung function, was inversely correlated with the frequency of tetramer-binding CD4(+) T cells in the lung. Our findings suggest the presence of a dominant Be-specific, Vβ5.1-expressing public T cell repertoire in the lungs of HLA-DP2-expressing CBD patients using promiscuous Vα-chain pairing to recognize an identical HLA-DP2- peptide/Be complex. Importantly, the inverse relationship between expansion of CD4(+) T cells expressing these public TCRs and disease severity suggests a pathogenic role for these T cells in CBD.
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Authors | Natalie A Bowerman, Michael T Falta, Douglas G Mack, Fabian Wehrmann, Frances Crawford, Margaret M Mroz, Lisa A Maier, John W Kappler, Andrew P Fontenot |
Journal | Journal of immunology (Baltimore, Md. : 1950)
(J Immunol)
Vol. 192
Issue 10
Pg. 4571-80
(May 15 2014)
ISSN: 1550-6606 [Electronic] United States |
PMID | 24719461
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- HLA-DP beta-Chains
- HLA-DPw2 antigen
- Receptors, Antigen, T-Cell, alpha-beta
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Topics |
- Base Sequence
- Berylliosis
(genetics, immunology, metabolism)
- CD4-Positive T-Lymphocytes
(immunology, metabolism, pathology)
- Chronic Disease
- Female
- Gene Expression Regulation
(immunology)
- HLA-DP beta-Chains
(biosynthesis, genetics, immunology)
- Humans
- Lung
(immunology, metabolism, pathology)
- Male
- Molecular Sequence Data
- Receptors, Antigen, T-Cell, alpha-beta
(biosynthesis, genetics, immunology)
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