[HTML][HTML] Exploring T cell reactivity to gliadin in young children with newly diagnosed celiac disease

E Liu, K McDaniel, S Case, L Yu, B Gerhartz… - Autoimmune …, 2014 - hindawi.com
E Liu, K McDaniel, S Case, L Yu, B Gerhartz, N Ostermann, G Fankhauser, V Hungerford…
Autoimmune Diseases, 2014hindawi.com
Class II major histocompatibility molecules confer disease risk in Celiac disease (CD) by
presenting gliadin peptides to CD4 T cells in the small intestine. Deamidation of gliadin
peptides by tissue transglutaminase creates immunogenic peptides presented by HLA-DQ2
and DQ8 molecules to activate proinflammatory CD4 T cells. Detecting gliadin specific T cell
responses from the peripheral blood has been challenging due to low circulating
frequencies and heterogeneity in response to gliadin epitopes. We investigated the …
Class II major histocompatibility molecules confer disease risk in Celiac disease (CD) by presenting gliadin peptides to CD4 T cells in the small intestine. Deamidation of gliadin peptides by tissue transglutaminase creates immunogenic peptides presented by HLA-DQ2 and DQ8 molecules to activate proinflammatory CD4 T cells. Detecting gliadin specific T cell responses from the peripheral blood has been challenging due to low circulating frequencies and heterogeneity in response to gliadin epitopes. We investigated the peripheral T cell responses to alpha and gamma gliadin epitopes in young children with newly diagnosed and untreated CD. Using peptide/MHC recombinant protein constructs, we are able to robustly stimulate CD4 T cell clones previously derived from intestinal biopsies of CD patients. These recombinant proteins and a panel of - and -gliadin peptides were used to assess T cell responses from the peripheral blood. Proliferation assays using peripheral blood mononuclear cells revealed more CD4 T cell responses to -gliadin than -gliadin peptides with a single deamidated -gliadin peptide able to identify 60% of CD children. We conclude that it is possible to detect T cell responses without a gluten challenge or in vitro stimulus other than antigen, when measuring proliferative responses.
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