T-cell recognition of peptides bound to MHC class II (MHCII) molecules is a central event in cell-mediated adaptive immunity. The current paradigm holds that prebound class II-associated invariant chain peptides (CLIP) and all subsequent antigens maintain a canonical orientation in the MHCII binding groove. Here we provide evidence for MHCII-bound CLIP inversion. NMR spectroscopy demonstrates that the interconversion from the canonical to the inverse alignment is a dynamic process, and X-ray crystallography shows that conserved MHC residues form a hydrogen bond network with the peptide backbone in both orientations. The natural catalyst HLA-DM accelerates peptide reorientation and the exchange of either canonically or inversely bound CLIP against antigenic peptide. Thus, noncanonical MHC-CLIP displays the hallmarks of a structurally and functionally intact antigen-presenting complex.bidirectional binding | antigen presentation | peptide loading I mmune responses against extracellular pathogens rely on antigen presentation by MHC class II (MHCII) molecules (1). After endocytosis, exogenous proteins are proteolytically degraded in endolysosomal vesicles that also harbor MHCII molecules, which at this point are bound to self-peptides originating from the invariant chain protein. HLA-DM catalyzed exchange of class II-associated invariant chain peptides (CLIP) for pathogenderived peptides of higher affinity then leads to the formation and surface presentation of immunogenic MHCII-peptide complexes (2). However, evidence is mounting that CLIP function extends beyond its placeholder properties: stable MHCII-CLIP complexes are up-regulated on dendritic cells upon maturation and modulate the activation of T cells specific for exogenous foreign antigen (3). The continued presentation of CLIP on the surface of antigen presenting cells requires the active maintenance of peripheral tolerance against self (4). MHC alleles susceptible to autoimmune diseases, in contrast, are associated with low affinities for, and thus low surface levels of, CLIP (5). Taken together, the presence of the self-peptide CLIP on the cell surface seems to shape the T-cell repertoire in vivo, which, as observed for other peptides as well, has additionally been shown to be influenced by N-terminal length variations (6, 7).The MHCII-peptide binding mode might account for these observations. Peptides are assumed to bind in a conserved N-to C-terminal orientation by two governing principles: (i) a set of hydrogen bonds between the peptide backbone and MHC side chains; and (ii) the geometrically and chemically favorable accommodation of four to five peptide side chains by defined MHC surface pockets (8). The observation that single peptide-MHC complexes can elicit functionally distinct immune responses has been attributed to distinct peptide binding registers (9, 10) or the existence of different conformational isomers of the MHCII itself (11, 12). However, because X-ray crystallography might not capture the dynamic rearrangements that accompany alternati...