HLA restriction patterns of gliadin- and astrovirus-specific CD4+ T cells isolated in parallel from the small intestine of celiac disease patients

Tissue Antigens. 1998 Nov;52(5):407-15. doi: 10.1111/j.1399-0039.1998.tb03066.x.

Abstract

Celiac disease is a common HLA-DQ2-associated enteropathy caused by an abnormal T-cell-mediated immune response to ingested wheat gliadin proteins. We have previously isolated in situ activated mucosal T cells from celiac disease patients and demonstrated that these T cells were gliadin specific and predominantly DQ2 restricted. In contrast to this, gliadin-specific T cells isolated from peripheral blood display a variable HLA restriction pattern, thereby indicating that the skewed DQ restriction of T cells resident in the celiac lesions could be dictated by a preference for DQ-mediated antigen presentation in the mucosa of CD patients. To address this, we analyzed the HLA restriction of T cells recognizing astrovirus, a common gastroentetitis virus, isolated from intestinal mucosa of six celiac disease patients. As an internal control, gliadin-specific T cells were isolated and analyzed in parallel. The gliadin-specific mucosal T cells were marked in their DQ2 restriction, whereas the parallel astrovirus-specific T cells were predominantly restricted by DR molecules. Our data indicate that the repertoire of T cells present in celiac lesions is determined by the priming antigen(s) and not by a skewing in the expression of functional HLA class II isotypes in the disease affected small intestinal mucosa.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • CD4-Positive T-Lymphocytes / immunology*
  • Celiac Disease / immunology*
  • Celiac Disease / pathology
  • Celiac Disease / virology
  • Cell Division
  • Cytokines / immunology
  • Female
  • Gliadin / immunology*
  • HLA-DQ Antigens / immunology*
  • HLA-DR Antigens / immunology*
  • Humans
  • Intestine, Small / immunology*
  • Intestine, Small / pathology
  • Intestine, Small / virology
  • Male
  • Mamastrovirus / immunology*
  • Phenotype

Substances

  • Cytokines
  • HLA-DQ Antigens
  • HLA-DQ2 antigen
  • HLA-DR Antigens
  • Gliadin