2014
DOI: 10.1016/j.cell.2014.04.048
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Structural Basis of Chronic Beryllium Disease: Linking Allergic Hypersensitivity and Autoimmunity

Abstract: SUMMARY T cell-mediated hypersensitivity to metal cations is common in humans. How the T cell antigen receptor (TCR) recognizes these cations bound to a major histocompatibility complex (MHC) protein and self-peptide is unknown. Individuals carrying the MHCII allele, HLA-DP2, are at risk for chronic beryllium disease (CBD), a debilitating inflammatory lung condition caused by the reaction of CD4 T cells to inhaled beryllium. We show here that the T cell ligand is created when a Be2+ cation becomes buried in an… Show more

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Cited by 103 publications
(155 citation statements)
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References 59 publications
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“…We showed that the Be 2+ ion was buried in the acidic pocket between MHC and self-peptides (Clayton et al ., 2014), which limits the alleles of Be 2+ presenting MHC molecules. In contrast, Ni 2+ presentation is far more promiscuous, since Ni 2+ ions are coordinated on top of MHC molecules and self-peptides (Yin et al ., 2012).…”
Section: Discussionmentioning
confidence: 99%
“…We showed that the Be 2+ ion was buried in the acidic pocket between MHC and self-peptides (Clayton et al ., 2014), which limits the alleles of Be 2+ presenting MHC molecules. In contrast, Ni 2+ presentation is far more promiscuous, since Ni 2+ ions are coordinated on top of MHC molecules and self-peptides (Yin et al ., 2012).…”
Section: Discussionmentioning
confidence: 99%
“…Possible candidates include autoantigens (44), or self-antigens modified, for example, by reactive oxygen species generated by UPM (45), or by the structural distortion of the surface of self-peptide MHC complexes, via internal interaction with metallic cations, as has been reported for the HLA-DP2-restricted mechanism of chronic beryllium disease (46). This is of particular interest, because UPM contains a multitude of transition and alkali metals.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, the structural basis of chronic beryllium disease has been elucidated (98). This disease is associated with HLA-DP2, where the Be 2+ ion was buried within the Ag-binding cleft and made contacts with the peptide.…”
Section: Aberrant Tcr Reactivitymentioning
confidence: 99%