The biased expression of V beta 5.2 and V beta 6.1 by T cells specific for
myelin basic protein (BP) has led to our use of TCR
peptides from these V gene sequences to induce anti-TCR immunity in patients with
multiple sclerosis (MS). Injection of V beta 5.2-39-59 or V beta 6.1-39-59
peptides significantly increased the
peptide specific T cell frequency in 7 of 11 MS patients, often with an accompanying
delayed hypersensitivity reaction at the injection site. Here, we validate these cellular immune responses by characterizing TCR
peptide specific T cells from an MS patient with biased V beta 5.2 expression in BP reactive T cells before treatment with TCR
peptides, and from two MS patients in whom the frequencies of anti-TCR
peptide specific T cells were significantly boosted after injection with low doses of TCR
peptides. In both cases, T cell lines were established with relative ease, especially after boosting with the
peptides. A V beta 5.2-39-59 reactive line responded selectively to the boosting
peptide and was restricted by both MHC class I (HLA-B7) and MHC class II (HLA-DR2) molecules. Characterization of 22 clonal isolates revealed that the responding T cells were predominantly activated CD4+CD8lo, circulating memory cells restricted by either
HLA-B7 or
HLA-DR2, that utilized mainly V beta 4, V beta 6, V beta 12, and V beta 14, but not V beta 5.2 in their TCR. T cell isolates specific for V beta 6.1-39-59 possessed similar characteristics but contained specificities cross-reactive with an N-terminal sequence on V beta 5.2-39-59. Upon stimulation with
peptide or Con A, the TCR
peptide specific T cell lines had increased message production for IFN-gamma,
GM-CSF,
IL-4,
IL-5, and to a lesser degree,
IL-2. This lymphokine
mRNA profile differed from a BP-specific T cell line that produced message for IFN-gamma and
GM-CSF but low or absent levels of
IL-4 and
IL-5. The extensive parallels between human T cells specific for V beta 5.2 and V beta 6.1 CDR2
peptides and rat T cells specific for V beta 8.2 CDR2
peptide that are highly protective against experimental
encephalomyelitis strengthen the rationale for the
therapeutic use of TCR
peptides in human autoimmunity.