Abstract

IntroductionImmunosuppressants, including anti-TNFα antibodies, have remarkable effects in rheumatoid arthritis; however, they increase infectious events. The present study was designed to examine the effects and immunological change of action of altered peptide ligands (APLs) on glucose-6-phosphate isomerase (GPI) peptide-induced arthritis.MethodsDBA/1 mice were immunized with hGPI325-339, and cells of draining lymph node (DLN) were stimulated with hGPI325-339 to investigate the T-cell receptor (TCR) repertoire of antigen-specific CD4+ T cells by flow cytometry. Twenty types of APLs with one amino acid substitution at a TCR contact site of hGPI325-339 were synthesized. CD4+ T cells primed with human GPI and antigen-presenting cells were co-cultured with each APL and cytokine production was measured by ELISA to identify antagonistic APLs. Antagonistic APLs were co-immunized with hGPI325-339 to investigate whether arthritis could be antigen-specifically inhibited by APL. After co-immunization, DLN cells were stimulated with hGPI325-339 or APL to investigate Th17 and regulatory T-cell population by flow cytometry, and anti-mouse GPI antibodies were measured by ELISA.ResultsHuman GPI325-339-specific Th17 cells showed predominant usage of TCRVβ8.1 8.2. Among the 20 synthesized APLs, four (APL 6; N329S, APL 7; N329T, APL 12; G332A, APL 13; G332V) significantly reduced IL-17 production by CD4+ T cells in the presence of hGPI325-339. Co-immunization with each antagonistic APL markedly prevented the development of arthritis, especially APL 13 (G332V). Although co-immunization with APL did not affect the population of Th17 and regulatory T cells, the titers of anti-mouse GPI antibodies in mice co-immunized with APL were significantly lower than in those without APL.ConclusionsWe prepared antagonistic APLs that antigen-specifically inhibited the development of experimental arthritis. Understanding the inhibitory mechanisms of APLs may pave the way for the development of novel therapies for arthritis induced by autoimmune responses to ubiquitous antigens.

Highlights

  • Immunosuppressants, including anti-TNFα antibodies, have remarkable effects in rheumatoid arthritis; they increase infectious events

  • Understanding the inhibitory mechanisms of altered peptide ligands (APLs) may pave the way for the development of novel therapies for arthritis induced by autoimmune responses to ubiquitous antigens

  • We explored the potency of the APLs in inhibiting IL-17 production in the presence of hGPI325-339

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Summary

Introduction

Immunosuppressants, including anti-TNFα antibodies, have remarkable effects in rheumatoid arthritis; they increase infectious events. Pathological examinations show that most of the lymphocytes infiltrating the synovium in RA are CD4+ T cells, which can recognize some antigens and expand oligoclonally intraarticularly [1]. These findings imply the possible role of CD4+ T cells in the pathogenesis of RA. Ab: antibody; APC: antigen-presenting cell; APL: altered peptide ligand; CII: collagen type II; DLN: draining lymph node; ELISA: enzyme-linked immunosorbent assay; GPI: glucose-6-phosphate isomerase; IFN: interferon; IL: interleukin; MBP: myelin basic protein; MHC: major histocompatibility complex; PBS: phosphate-buffered saline; PLP: proteolipid protein; RA: rheumatoid arthritis; rhGPI: recombinant human glucose-6-phosphate isomerase; TCR: T-cell receptor; Th: T-helper; TNF: tumor necrosis factor

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