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A peptide vaccine that prevents experimental autoimmune myasthenia gravis by specifically blocking T cell help.

Abstract
Myasthenia gravis (MG) and its animal model, experimental autoimmune (EA) MG, are caused by T cell-dependent autoantibodies that react with the nicotinic acetylcholine receptor (AChR) on muscle and interfere with neuromuscular transmission. Thus, selective inactivation of CD4(+) AChR-specific T helper cells should lower AChR Ab levels and ameliorate disease. In the Lewis rat model of EAMG, alpha chain residues 100-116 of the AChR represent the dominant T cell epitope, which is important in helping Ab responses to this autoantigen. In the present report, we have applied a new design technique that requires no knowledge of Ag receptor sequences on errant T cells in order to develop a synthetic peptide vaccine against T cells reactive with the aforementioned T cell epitope. Immunization with the peptide 1) induced polyclonal and monoclonal Ab, which inhibited AChR 100-116 stimulation of AChR-sensitized lymphocytes and recognized Vbeta15 containing T cell receptors on AChR 100-116-specific T cell lines and clones; 2) lowered AChR Ab levels; 3) reduced the loss of muscle AChR; and 4) lessened the incidence and severity of EAMG. These findings suggest a new strategy for the functional abrogation of epitope-specific T cells that could have potential application to human autoimmune diseases.
AuthorsS Araga, L Xu, K Nakashima, M Villain, J E Blalock
JournalFASEB journal : official publication of the Federation of American Societies for Experimental Biology (FASEB J) Vol. 14 Issue 1 Pg. 185-96 (Jan 2000) ISSN: 0892-6638 [Print] United States
PMID10627293 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Peptides
  • Receptors, Antigen, T-Cell
  • Receptors, Cholinergic
  • Vaccines
  • DNA
Topics
  • Amino Acid Sequence
  • Animals
  • Base Sequence
  • DNA
  • Female
  • Humans
  • Molecular Sequence Data
  • Myasthenia Gravis (prevention & control)
  • Peptides (immunology)
  • Rats
  • Rats, Inbred Lew
  • Receptors, Antigen, T-Cell (chemistry, immunology)
  • Receptors, Cholinergic (chemistry, immunology)
  • T-Lymphocytes (immunology)
  • Vaccines (immunology)

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