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Identification of multiple public TCR repertoires in chronic beryllium disease.

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.
AuthorsNatalie A Bowerman, Michael T Falta, Douglas G Mack, Fabian Wehrmann, Frances Crawford, Margaret M Mroz, Lisa A Maier, John W Kappler, Andrew P Fontenot
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 192 Issue 10 Pg. 4571-80 (May 15 2014) ISSN: 1550-6606 [Electronic] United States
PMID24719461 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • HLA-DP beta-Chains
  • HLA-DPw2 antigen
  • Receptors, Antigen, T-Cell, alpha-beta
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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