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Event: 2252
Key Event Title
Human leukocyte antigen DQ2/8-gluten complexes, formation
Short name
Biological Context
| Level of Biological Organization |
|---|
| Molecular |
Cell term
| Cell term |
|---|
| dendritic cell |
Organ term
| Organ term |
|---|
| duodenum |
Key Event Components
| Process | Object | Action |
|---|---|---|
| antigen presentation trait | Human leukocyte antigen complex | occurrence |
Key Event Overview
AOPs Including This Key Event
| AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|
| Gluten-driven immune activation leading to celiac disease | MolecularInitiatingEvent | Antonio Fernandez Dumont (send email) | Under development: Not open for comment. Do not cite | Under Review |
Taxonomic Applicability
| Term | Scientific Term | Evidence | Link |
|---|---|---|---|
| human | Homo sapiens | NCBI |
Life Stages
| Life stage | Evidence |
|---|---|
| All life stages |
Sex Applicability
| Term | Evidence |
|---|---|
| Unspecific |
Key Event Description
Celiac disease is an intestinal disorder triggered by gluten ingestion. It exclusively occurs in individuals who are positive for HLA-DQ2, HLA-DQ8, or both (Sollid, 1989; Dieterich, 1997). In patients with celiac disease, CD4+ T cells specifically recognize complexes formed between HLA-DQ2/8 molecules and modified gluten peptides (Molberg, 1997; Meresse, 2004; Sollid, 2012). The formation of these HLA-DQ2/8-gluten complexes is a prerequisite for T-cell activation (Molberg, 1998; Arentz-Hansen, 2000; Vader, 2002).
Upon gluten ingestion, proteolytic fragments are generated through enzymatic cleavage in the upper gastrointestinal tract. These fragments are subsequently modified by tissue transglutaminase (TG2), which converts specific glutamine residues into glutamic acid (Dieterich, 1997; Molberg, 1998). This modification introduces negatively charged residues, which are crucial for high-affinity binding of the modified peptides to HLA-DQ2 or HLA-DQ8, as these molecules preferentially bind peptides with such negatively charged residues (Vader, 2003; Sollid, 2012). This process underlies the immune response observed in celiac disease.
How It Is Measured or Detected
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Peptide binding assays: To measure the direct binding of gluten peptides to HLA-DQ molecules (Sollid, 1989; Arentz-Hansen, 2000; Sollid, 2012).
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Mass spectrometry: To analyze deamidated gluten peptides and their interaction with HLA-DQ (Van de Wal, 1998b; Vader, 2002; Fallang, 2009).
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HLA-binding assays: To assess the stability and affinity of peptide-HLA complexes (Molberg, 1998; Vader, 2002; Sollid, 2012).
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T cell proliferation assays: To measure T cell response to gluten peptides (Lundin, 1993; Meresse, 2004; Tollefsen, 2006).
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Tetramer staining: To detect gluten-specific T cells bound to HLA-DQ (Qiao, 2011; Broughton, 2012).
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Flow cytometry: To analyze cell surface markers for gluten peptide presentation (Meresse, 2004; Di Niro, 2012; Steinsbo, 2014).
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Immunohistochemistry & Immunofluorescence: To visualize tTG-gluten complexes (Dieterich, 1997; Di Niro, 2012).
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ELISA: To detect IgA anti-tTG antibodies as a marker for gluten interaction (Dieterich, 1998; Di Niro, 2012).
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Surface plasmon resonance (SPR): To measure TCR affinity for HLA-DQ-gluten complexes (Vader, 2002b; Broughton, 2012; Petersen, 2014).
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HPLC: To purify gluten peptides for further analysis (Van de Wal, 1998b; Van de Wal, 1999; Vader, 2002).
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Serological typing & ASO probes: To identify HLA-DQ alleles in patients (Sollid, 1989; Vader, 2003).
Domain of Applicability
Human individuals with celiac disease, particularly those expressing HLA-DQ2 (including HLA-DQ2.5 and HLA-DQ2.2) or HLA-DQ8 (Sollid, 1989; Lundin, 1993; Dieterich, 1997; Molberg, 1997; Dieterich, 1998; Molberg, 1998; Nilsen, 1998; Van de Wal, 1998; Van de Wal, 1998b; Van de Wal, 1999; Arentz-Hansen, 2000; Vader, 2002; Vader, 2002b; Vader, 2003; Vader, 2003b; Meresse, 2004; Meresse, 2006; Tollefsen, 2006; Fallang, 2009; Qiao, 2011; Broughton, 2012; Di Niro, 2012; Sollid, 2012; Petersen, 2014; Qiao, 2014; Steinsbo, 2014). Patients with a genetic predisposition to celiac disease, especially those with specific haplotypes like DR3/DQw2, are most affected (Sollid, 1989; Nilsen, 1998; Van de Wal, 1998; Sollid, 2012).
References
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Arentz-Hansen H, Körner R, Molberg Ø, Quarsten H, Vader W, Kooy YMC, Lundin KEA, Koning F, Roepstorff P, Sollid LM, McAdam S. (2000). The intestinal T cell response to α-gliadin in adult celiac disease is focused on a single deamidated glutamine targeted by tissue transglutaminase. J Exp Med. 191:603-612.
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Broughton SE, Petersen J, Theodossis A, Scally SW, Loh KL, Thompson A, van Bergen J, Kooy-Winkelaar Y, Henderson KN, Beddoe T, Tye-Din JA, Mannering SI, Purcell AW, McCluskey J, Anderson RP, Koning F, Reid HH, Rossjohn J. (2012). Biased T cell receptor usage directed against human leukocyte antigen DQ8-restricted gliadin peptides is associated with celiac disease. Immunity. 37:611-621.
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Di Niro R, Mesin L, Zheng NY, Stamnaes J, Morrissey M, Lee JH, Huang M, Iversen R, du Pré MF, Qiao SW, Lundin KE, Wilson PC, Sollid LM. (2012). High abundance of plasma cells secreting transglutaminase 2-specific IgA autoantibodies with limited somatic hypermutation in celiac disease intestinal lesions. Nat Med. 18:441-445.
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Dieterich W, Ehnis T, Bauer M, Donner P, Volta U, Riecken EO, Schuppan D. (1997). Identification of tissue transglutaminase as the autoantigen of celiac disease. Nat Med. 3:797-801.
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Dieterich W, Laag E, Schöpper H, Volta U, Ferguson A, Gillett H, Riecken EO, Schuppan D. (1998). Autoantibodies to tissue transglutaminase as predictors of celiac disease. Gastroenterology. 115:1317-1321.
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Fallang LE, Bergseng E, Hotta K, Berg-Larsen A, Kim CY, Sollid LM. (2009). Differences in the risk of celiac disease associated with HLA-DQ2.5 or HLA-DQ2.2 are related to sustained gluten antigen presentation. Nat Immunol. 10:1096-1101.
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Lundin KE, Scott H, Hansen T, Paulsen G, Halstensen TS, Fausa O, Thorsby E, Sollid LM. (1993). Gliadin-specific, HLA-DQ(alpha 10501,beta 10201) restricted T cells isolated from the small intestinal mucosa of celiac disease patients. J Exp Med. 178:187-196.
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Meresse B, Chen Z, Ciszewski C, Tretiakova M, Bhagat G, Krausz TN, Raulet DH, Lanier LL, Groh V, Spies T, Ebert EC, Green PH, Jabri B. (2004). Coordinated induction by IL15 of a TCR-independent NKG2D signaling pathway converts CTL into lymphokine-activated killer cells in celiac disease. Immunity. 21:357-366.
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Meresse B, Curran SA, Ciszewski C, Orbelyan G, Setty M, Bhagat G, Lee L, Tretiakova M, Semrad C, Kistner E, Winchester RJ, Braud V, Lanier LL, Geraghty DE, Green PH, Guandalini S, Jabri B. (2006). Reprogramming of CTLs into natural killer-like cells in celiac disease. J Exp Med. 203:1343-1355.
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Molberg Ø, Kett K, Scott H, Thorsby E, Sollid LM, Lundin KE. (1997). Gliadin specific, HLA DQ2-restricted T cells are commonly found in small intestinal biopsies from coeliac disease patients, but not from controls. Scand J Immunol. 46:103-109.
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Molberg Ø, McAdam SN, Körner R, Quarsten H, Kristiansen C, Madsen L, Fugger L, Scott H, Noren O, Roepstorff P, Lundin KE, Sjöström H, Sollid LM. (1998). Tissue transglutaminase selectively modifies gliadin peptides that are recognized by gut-derived T cells in celiac disease. Nat Med. 4:713-717.
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Nilsen EM, Jahnsen FL, Lundin KE, Johansen FE, Fausa O, Sollid LM, Jahnsen J, Scott H, Brandtzaeg P. (1998). Gluten induces an intestinal cytokine response strongly dominated by interferon gamma in patients with celiac disease. Gastroenterology. 115:551-563.
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Petersen J, Montserrat V, Mujico JR, Loh KL, Beringer DX, van Liempt M, Thompson A, Mearin ML, Schweizer J, Kooy-Winkelaar Y, van Bergen J, Drijfhout JW, Kan WT, La Gruta NL, Anderson RP, Reid HH, Koning F, Rossjohn J. (2014). T-cell receptor recognition of HLA-DQ2-gliadin complexes associated with celiac disease. Nat Struct Mol Biol. 21:480-488.
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Qiao SW, Christophersen A, Lundin KE, Sollid LM. (2014). Biased usage and preferred pairing of alpha- and beta-chains of TCRs specific for an immunodominant gluten epitope in coeliac disease. Int Immunol. 26:13-19.
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Qiao SW, Raki M, Gunnarsen KS, Loset GA, Lundin KE, Sandlie I, Sollid LM. (2011). Posttranslational modification of gluten shapes TCR usage in celiac disease. J Immunol. 187:3064-3071.
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Sollid LM, Markussen G, Ek J, Gjerde H, Vartdal F, Thorsby E. (1989). Evidence for a primary association of celiac disease to a particular HLA-DQ alpha/beta heterodimer. J Exp Med. 169:345-350.
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Sollid LM, Qiao SW, Anderson RP, Gianfrani C, Koning F. (2012). Nomenclature and listing of celiac disease relevant gluten T-cell epitopes restricted by HLA-DQ molecules. Immunogenetics. 64:455-460.
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Steinsbø Ø, Henry Dunand CJ, Huang M, Mesin L, Salgado-Ferrer M, Lundin KE, Jahnsen J, Wilson PC, Sollid LM. (2014). Restricted VH/VL usage and limited mutations in gluten-specific IgA of coeliac disease lesion plasma cells. Nat Commun. 5:4041.
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Tollefsen S, Arentz-Hansen H, Fleckenstein B, Molberg Ø, Raki M, Kwok WW, Jung G, Lundin KE, Sollid LM. (2006). HLA-DQ2 and -DQ8 signatures of gluten T cell epitopes in celiac disease. J Clin Invest. 116:2226-2236.
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Vader W, de Ru A, van der Wal Y, Kooy Y, Benckhuijsen W, Mearin L, Drijfhout JW, van Veelen P, Koning F. (2002). Specificity of tissue transglutaminase explains cereal toxicity in celiac disease. J Exp Med. 195:643-649.
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Vader W, Stepniak D, Bunnik EM, Kooy Y, de Haan W, Drijfhout JW, van Veelen PA, Koning F. (2003). Characterization of cereal toxicity for celiac disease patients based on protein homology in grains. Gastroenterology. 125:1105-1113.
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Vader W, Stepniak D, Kooy Y, Mearin ML, Thompson A, Spaenij L, Koning F. (2003). The HLA-DQ2 gene dose effect in celiac disease is directly related to the magnitude and breadth of gluten-specific T-cell responses. Proc Natl Acad Sci U S A. 100:12390-12395.
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Vader W, Kooy Y, van Veelen P, de Ru A, Harris D, Benckhuijsen W, Pena S, Mearin L, Drijfhout JW, Koning F. (2002). The gluten response in children with recent onset celiac disease. A highly diverse response towards multiple gliadin and glutenin-derived peptides. Gastroenterology. 122:1729-1737.
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van de Wal Y, Kooy Y, van Veelen P, Pena S, Mearin L, Papadopoulos G, Koning F. (1998). Selective deamidation by tissue transglutaminase strongly enhances gliadin-specific T cell reactivity. J Immunol 161:1585-1588.
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van de Wal Y, Kooy Y, van Veelen P, Pena S, Mearin L, Papadopoulos G, Koning F. (1998). Small intestinal T cells of celiac disease patients recognize a natural pepsin fragment of gliadin. Proc Natl Acad Sci U S A. 95:10050-10054.
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van de Wal, Y., Kooy, Y.M.C., Veelen, van P., August, S.A., Drijfhout, J.W. and Koning, F. (1999). Glutenin is involved in the gluten-driven mucosal T cell response. Eur. J. Immunol. 29, 3133-3139.