SummaryThe role of antigen presentation as a possible mechanism underlying major histocompatibility complex (MHC) association of autoimmune disease has been studied in non-obese diabetic (NOD) mice. By screening for inhibition of antigen presentation to NOD T cell hybridoma, we have selected a synthetic peptide, yTYTVHAAHAYTYt (small letters denote D amino acids), that efficiently blocks antigen presentation by the NOD class II MHC molecule AoegTA/3g 7 (As 7) in vitro. The inhibition is MHC selective, in that it does not affect antigen presentation by the E d and E k molecules, and has only a marginal effect on presentation by the A d molecule. This peptide also inhibits the priming for As7-restricted T cell responses in vivo, and prevents the spontaneous development of diabetes in female NOD mice, when administered chronically from 3 wk of age on. Chronic treatment with a control peptide, KMKMVHAAHAKMKM, that fails to bind to Ag 7 has no effect on the disease. These data indicate that antigen presentation by the As 7 molecule plays a pivotal role in the induction of autoimmune diabetes. Furthermore, the results demonstrate that interference with antigen presentation by a class II molecule can prevent the onset of spontaneous autoimmune disease associated with the same molecule.
Susceptibility to autoimmune diseases is associated with certain class I or II alleles of the MHC (1). Similarly, animal models of autoimmune diseases often exhibit MHC linkage (2-6). Recently, two sets of findings have shed light on the, thus far enigmatic, mechanisms underlying MHC--disease association. First, MHC molecules have been shown to possess a binding site capable of interacting with antigenic peptides in an allele-dependent, selective manner (7-10). Second, the intramolecular mapping of MHC--disease linkages has revealed that in certain instances susceptibility or resistance depends on particular amino acid residues localized within the peptide-binding site (11)(12)(13)(14). Thus, the most likely explanation for MHC-disease association would be that the disease-inducing autoantigen is selectively presented by the particular allelic form of MHC molecule that confers disease susceptibility (15). Since, however, the antigens involved in most autoimmune diseases are unknown, this hypothesis is not directly testable. Here, we have taken the approach of MHC blockade (16--18) to test the above hypothesis experimentally. Using the non-obese diabetic (NOD) mouse as an autoimmune disease model (19), we demonstrate that a peptide capable of blocking antigen presentation by the NOD class II MHC molecule As 7, in vitro and in vivo, can also prevent the spontaneous development of type I diabetes linked to this class II molecule (6).
Materials and MethodsMice. NOD mice, originally derived from Dr. E. Leiter's colony (The Jackson Laboratory, Bar Harbor, ME), were bred under specific pathogen-free conditions in the Sandoz animal facilities. Diabetes occurs in 65-72% of female and 15-24% of male mice in this colony.Treatment of NOD Mice with P...