Revisiting the arthritogenic peptide theory: Quantitative - not qualitative - changes in the peptide repertoire of HLA-B27 allotypes — ASN Events

Revisiting the arthritogenic peptide theory: Quantitative - not qualitative - changes in the peptide repertoire of HLA-B27 allotypes (#223)

Ralf B. Schittenhelm 1 , Terry C.C. Lim Kam Sian 1 , Pascal G. Wilmann 1 , Nadine L. Dudek 1 , Anthony W. Purcell 1
  1. Department of Biochemistry and Molecular Biology, Monash University, Clayton, VIC, Australia

The association of Human Leukocyte Antigen (HLA) B27 with spondyloarthropathy is one of the strongest documented for any autoimmune disease. A common hypothesis for this association is the arthritogenic peptide theory. It dictates that differences in the peptide binding preferences of disease-associated and non-associated HLA-B27 allotypes underpin the presentation of bacterial and self-peptides leading to cross-reactive T cell immunity and subsequent autoimmune attack of affected tissues.

Using high-resolution mass spectrometry in combination with SWATH-MS and MRM, we have analyzed and comprehensively quantified the peptide repertoires derived from the 8 most common HLA B27 allotypes, HLA-B*27:02 to HLA-B*27:09. Differences in the peptide binding pockets of these molecules manifest largely as quantitative, but not qualitative changes in the peptide cargo. Thus, absolute binding preferences do not explain disease-association and the arthritogenic peptide theory needs to be reassessed in terms of quantitative changes in self-peptide presentation, T cell selection and altered conformation of bound peptides.