We established six T cell clones specific for
pyruvate dehydrogenase complex (PDC)-E2
peptides from four different patients with
primary biliary cirrhosis using 33 different
peptides of 17-20
amino acid residues corresponding to human PDC-E2 as stimulating
antigens. The minimal
T cell epitopes of these six T cell clones were all mapped to the same region of the PDC-E2
peptide 163-176 (GDLLAEIETDKATI), which corresponds to the inner lipoyl domain of PDC-E2. The HLA restriction molecules for this
epitope were all identified as
HLA DRB4 0101. The common
essential amino acids of this
epitope for these T cell clones were E, D, and K at positions 170, 172, and 173, respectively; other crucial
amino acids for this
epitope differed in each T cell clone. In addition, the
alanine-substituted
peptides at positions 170 and 173, but not 172, inhibited the proliferation of all T cell clones induced by the original
peptide of human PDC-E2 163-176, indicating that
amino acid D at position 172 is a critical MHC-binding site for all T cell clones tested. Interestingly, all T cell clones reacted to PDC-E2
peptide 36-49 (GDLIAEVETDKATV), which corresponds to the outer lipoyl domain of human PDC-E2. Furthermore, one T cell clone cross-reacted with exogenous
antigens such as Escherichia coli PDC-E2
peptide 31-44/134-147/235-248 (EQSLITVEGDKASM), which has an EXDK sequence. This is a definite demonstration of the presence of molecular mimicry at the T cell clonal level in human
autoimmune diseases. It is also considered possible to design
peptide-specific
immunotherapy based on the findings of T cell autoepitopes in
primary biliary cirrhosis.