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Blood, 1 February 2002, Vol. 99, No. 3, pp. 985-992
IMMUNOBIOLOGY
General T-cell receptor antagonists to immunomodulate
HLA-A2-restricted minor histocompatibility antigen HA-1-specific
T-cell responses
Joke M. M. den Haan,
Tuna Mutis,
Els Blokland,
Ad P. IJzerman, and
Els Goulmy
From the Department of Immunohematology and Blood
Transfusion, Leiden University Medical Center, and the Department of
Medicinal Chemistry, Leiden University, Leiden/Amsterdam Center for
Drug Research, The Netherlands.
T-cell receptors (TCRs) of a series of minor histocompatibility
antigen (mHag) HA-1-specific cytotoxic T-cell (CTL) clones isolated
from 3 unrelated patients have been shown to use the same BV6S4A2
segment with conserved amino acids in the CDR3V region. This
suggests that different HA-1-specific TCRs interact similarly
to the HA-1 antigen presented by the HLA-A2 molecule. The mHag
HA-1 forms an immunogenic complex with HLA-A2 and induces strong
alloimmune responses after stem cell transplantation (SCT). It was
questioned, therefore, whether clonal and polyclonal HA-1-specific CTL
responses can be antagonized by a single TCR antagonistic peptide.
Functional analysis and molecular modeling of single and double amino
acid substitutions of TCR contact residues, adjacent residues, and
HLA-A2 binding residues resulted in 4 peptides with high affinity for
HLA-A2 and with the capacity to inhibit the lysis of endogenously
HA-1-expressing EBV-BLCL by 3 different HA-1-specific CTL clones.
These peptides also efficiently antagonized HA-1-specific polyclonal
CTL lines derived from 3 patients and significantly reduced the number
of interferon- -producing HA-1-specific CTL of a patient with
graft-versus-host disease after HA-1-mismatched SCT. These data show
that general TCR antagonists can be developed that inhibit
HLA-A2-restricted HA-1-specific CTL responses on the clonal and the
polyclonal level and that TCR antagonists may modulate the
immunodominant mHag HA-1 responses.

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