細菌が1型糖尿病を誘発する(Bacteria triggers type-1 diabetes)

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2024-09-18 カーディフ大学

カーディフ大学の研究により、細菌感染が1型糖尿病の引き金になる可能性が示されました。研究では、細菌由来のタンパク質がキラーT細胞を活性化させ、インスリンを生成する細胞を攻撃することが発見されました。このメカニズムは、特定のHLA遺伝子を持つ3%の人々に見られるもので、1型糖尿病の発症に関与している可能性があります。この発見は、1型糖尿病の予防や早期治療の新たな道を開くことが期待されています。

<関連情報>

HLA A*24:02制限T細胞受容体は、1型糖尿病において細菌とプレプロインスリンペプチドを交差認識する HLA A*24:02–restricted T cell receptors cross-recognize bacterial and preproinsulin peptides in type 1 diabetes

Garry Dolton, Anna Bulek, Aaron Wall, Hannah Thomas, Jade R. Hopkins, Cristina Rius, Sarah A.E. Galloway, Thomas Whalley, Li Rong Tan, Théo Morin, Nader Omidvar, Anna Fuller, Katie Topley, Md Samiul Hasan, Shikha Jain, Nirupa D’Souza, Thomas Hodges-Hoyland, the TIRID Consortium, Owen B. Spiller, Deborah Kronenberg-Versteeg, Barbara Szomolay, Hugo A. van den Berg, Lucy C. Jones, Mark Peakman, David K. Cole, Pierre J. Rizkallah, and Andrew K. Sewell
The Journal of Clinical Investigation  Published September: 17, 2024
DOI:https://doi.org/10.1172/JCI164535

Graphical Abstract

細菌が1型糖尿病を誘発する(Bacteria triggers type-1 diabetes)

Abstract

CD8+ T cells destroy insulin-producing pancreatic β cells in type 1 diabetes through HLA class I–restricted presentation of self-antigens. Combinatorial peptide library screening was used to produce a preferred peptide recognition landscape for a patient-derived T cell receptor (TCR) that recognized the preproinsulin-derived (PPI-derived) peptide sequence LWMRLLPLL in the context of disease risk allele HLA A*24:02. Data were used to generate a strong superagonist peptide, enabling production of an autoimmune HLA A*24:02–peptide–TCR structure by crystal seeding. TCR binding to the PPI epitope was strongly focused on peptide residues Arg4 and Leu5, with more flexibility at other positions, allowing the TCR to strongly engage many peptides derived from pathogenic bacteria. We confirmed an epitope from Klebsiella that was recognized by PPI-reactive T cells from 3 of 3 HLA A*24:02+ patients. Remarkably, the same epitope selected T cells from 7 of 8 HLA A*24+ healthy donors that cross-reacted with PPI, leading to recognition and killing of HLA A*24:02+ cells expressing PPI. These data provide a mechanism by which molecular mimicry between pathogen and self-antigens could have resulted in the breaking of self-tolerance to initiate disease.

医療・健康
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