HLA
MHC Genetics
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Biostatistics
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HLA Molecules,
Biosynthesis and Expression
M.Tevfik Dorak, M.D., Ph.D.
MHC class I
molecules bind to and present endogenous antigens, e.g. viral peptides or
tumour antigens synthesized within the cytoplasm of the cell, to CD8+ cytotoxic
T cells. Their function is the activation of cytotoxic T-lymphocytes to kill
cells compromised through environmental effects which may be infection,
irradiation, chemical modification or some other causes of malignancy. MHC
class II molecules, however, present exogenously derived proteins, e.g.
bacterial proteins or viral capsid proteins, to CD4+ helper T cells. There are
exceptions that class I may handle exogenous antigen and class II may present
endogenous peptides that have not come from endosomes 1-4. The biosynthesis and
expression of each class of MHC molecules are tailored to meet their different
roles.
The HLA class I
and class II proteins have similar structures with subtle functional
differences. Class I molecules are made up of one heavy chain (45 kD) encoded
within the MHC and a light chain called b 2-microglobulin
(b2m; 12 kD) whose gene is on
chromosome 15. Class II molecules consist of one a (34 kD) and one b chain (30 kD) both of
which are encoded within the MHC. The class I heavy chain has three domains of
which the membrane-distal first (a 1) and the second (a 2) are the polymorphic
ones. Within these domains, polymorphisms concentrate on three regions:
positions 62 to 83; 92 to 121; 135 to 157. These areas are called hypervariable
regions (HVR) 5. The two polymorphic domains are encoded by the
exons 2 and 3 of the class I gene 5;6. Diversity in these domains
are very important in that these two domains form the antigen binding cleft
(ABC) or peptide binding region (PBR) of MHC class I molecule. The sides of the
antigen binding cleft is formed by a 1 and a 2, while the floor of the
cleft is comprised of eight anti-parallel b sheets 7;8.
The antigenic peptides of eight to ten amino acids (typically nonamers) bind to
the cleft with low specificity but high stability 9. The a 3 domain contains a
conserved seven amino acid loop (positions 223 to 229) which serves as a
binding site for CD8 10. This domain also contains the TAP
interaction site between amino acid positions 219 and 233 11.
Another site in this segment is also of importance. The amino acid residue at
position 227 (in the a 3 domain) is critical for the
interaction of MHC class I molecule with the chaperon calreticulin 12.
On the other hand, class I heavy chain residues of 77 to 83 (of the a 1 helix) are important in
natural killer (NK) cell recognition 13;14. On the HLA-B molecule,
this segment is contained within the Bw4 / Bw6 supertypic epitope.
In the class II
molecule, generally both a and b chains are polymorphic. In these chains a 1 and b 1 domains form the ABC,
therefore, diversity is located mainly in these domains (except in HLA-DRa which is not
polymorphic). These domains are encoded by the exon 2 of their class II A or B
genes. Hypervariable regions tend to be found in the walls of the cleft.
Antigenic peptides of 12 to 24 amino acids long bind to the cleft and extend on
either side 9. In a region analogous to the CD8-binding site on
class I molecules, a major CD4-binding site is contained within residues 241 to
255 in b 2 domain 15. In
the same domain, the polymorphic residues between positions 180 and 189
determine the quality of CD4 interaction 16. Among the class II
molecules, HLA-DR53 is known to interact poorly with CD4 16.
MHC class I
molecule is synthesized in the rough endoplasmic reticulum (RER). It is the
signal peptide encoded by the first exon of the class I molecule which directs
the insertion of the molecule into the RER during translation. The
intracellular proteins are targeted for degradation to the RER by binding of
ubiquitin. The peptide / ubiquitin complex is transported to the proteasome
complex where it is degraded by low molecular mass polypeptide (LMP2 and LMP7)
- proteasome 17. Both LMPs required for this function are encoded
within the class II region. The resulting antigenic peptides are then
transported into the RER by the heterodimer of
transporters-associated-with-antigen-processing (TAP1 and TAP2) whose genes are
also in the MHC class II region 18.
Newly
synthesized class I heavy chain - b 2m dimer first
associates with the ER chaperone calnexin and calreticulin acting sequentially 12.
In the presence of tapasin (encoded just outside the class II region 19),
empty MHC class I molecules complexed with calnexin / calreticulin and the
reductase ERp57 can then associate with TAP transporters. Peptide binding
releases the class I - b 2m dimer from all auxiliary molecules
for transport to the cell surface via the Golgi body, while lack of binding
results in proteasome-mediated degradation 20;21.
The role of
class I molecules as indicators of the intracellular protein composition is
reflected in this scheme which does not allow them to leave the ER unless they
have bound to a peptide with sufficient affinity. Cytotoxic T cells regularly
patrol to see if any of the presented peptides are non-self. In healthy cells,
the peptides are derived from normal cellular proteins, and the immune system
is rendered tolerant to these peptides during development. Therefore, the
complexes of self peptides and MHC molecules are necessary to establish the
repertoire of T-cell receptors (TCR). It is believed that this fact has been
the limiting factor in the number of HLA class I loci in evolution 22-24. Having the maximum
number of antigen presenting MHC alleles would result in maximum number of T
cells (interacting with self MHC) positively selected, but, at the same time it
would reduce the number due to negative selection (elimination of T-cells
reacting with self-peptides) to avoid autoimmunity. Depending on the
heterozygous allele combination, the net effect could be a reduced number of T
cells compared to a homozygous situation. In no species, more than three
classical class I loci have been found so far. This suggests that further
expansion is deleterious possibly due to the erosion of the TCR repertoire.
Because of the negative selection of self-reactive T cells during ontogeny, the
more MHC molecules present, the fewer the T cells that are available 25.
Therefore, in heterozygotes, there is a trade-off between an advantage as an
increased ability to present foreign peptides and disadvantage as an erosion of
the T cell repertoire. Considering heterozygosity as an ability to mount twice
as potent an immune response as the homozygote may be too simplistic.
Cytotoxic T
cells can recognise the nonself peptides only in conjunction with the self MHC
molecule 26;27. The only exception to that is a nonself MHC molecule
(as in the case of mismatched transplantation) which does not require
presentation by the host MHC molecules 28;29. The obligate
recognition of foreign peptides in the context of MHC molecules is called 'MHC
restriction' of T-cell recognition 5;26;27;30.
It is estimated
that there are up to 250,000 of each HLA class I molecules on the surface of a
somatic cell 31. MHC class I molecules are unstable in the absence
of a bound peptide. Once formed, the complex of antigenic peptide and MHC are
generally very stable with a half life of about 24 hours. Typically the
population of molecules of a single allele will have approximately 1000
different peptides bound on any cell. The expression patterns of each class of
MHC molecules are different. Nearly all somatic cells express class I molecules
but it would be wrong to say that class I molecules are ubiquitously expressed
since there are certain cell types that lack expression 6. It is
believed that having no DNA, red cells cannot support virus replication, thus,
they do not need class I molecules. HLA-C expression is low and about 10% of
the average level of HLA-A and -B 6. This is because HLA-C heavy
chains inefficiently assemble with b2m 32 and also
the cis-regulatory element of transcriptional control called enhancer A (or
region I) is mutated in the promoter of HLA-C which affects the expression 33.
MHC class II
molecule expression is more restricted. MHC class II genes are regulated in a
tissue-specific manner, normally in a co-ordinate fashion 34. Only
antigen presenting cells (APC) express class II molecules. These are B cells,
macrophages, Langerhans and related dendritic cells, and activated T cells.
Unscheduled expression of class II genes has been observed in autoimmunity 34.
Normally, the level of expression decreases in the order of DR > DP > DQ 34;35.
Both chains of
the class II molecules are synthesized in the ribosomes which are associated
with the RER. They enter the RER and are brought together with the assistance
of a chaperone molecule. When the a and b chains join together, a
segment of the invariant chain (Ii or CD74) blocks the peptide binding site
temporarily to prevent the acquisition of immunogenic peptides. The nested set
of peptides that are derived from amino acids 80 to 104 of Ii are called CLIP
(class II-associated invariant chain peptides) 36. The class II -
CLIP complex is then transported to the specialised endosomal compartment MIIC
(MHC class II-containing compartment), a subpopulation of lysosomes 37.
It is in this lysosomal compartment that the complex meets with the antigenic
peptides entered the cell in membrane vesicles. The acidic conditions of the
compartment causes the CLIP to be released, and the peptide with the
appropriate sequence motif binds to the class II molecule. The non-classical
class II molecule HLA-DM acts as a dedicated chaperone in the lysosomal
compartment to prevent the functional inactivation and aggregation of empty
HLA-DR a b dimers 38;39.
These empty class II molecules that are chaperoned by HLA-DM enable the
antigen-processing system to respond promptly to the challenge by newly
entering antigens. The DR-peptide complex is transferred to the cell surface by
means of membrane bound vesicles. Class II molecules present the peptide to CD4+
T-helper cells. Class II molecules often occur in the cell membrane as a dimer
of dimers. In this case, the two molecules must be identical to be recognised
by TCR.
T cell
activation occurs following recognition of peptide / MHC complexes on an APC. T
cell activation can be viewed as a series of intertwined steps, ultimately
result in the ability to secrete cytokines, replicate, and perform various
effector functions. During antigen presentation, CD4 and CD8 are intimately
associated with the TCR and bind to the MHC molecule. Besides this interaction
between T cells and APCs, ligation between counter-receptors on the T cell and
accessory molecules on the APC is also required as additional signals for T
cell activation. The major accessory molecules and their receptors are: B7-1/2
(CD80/86) and CD28/CTLA-4; ICAM-1/2/3 (CD54/102/50) and LFA-1 (CD11a/CD18);
LFA-3 (CD58) and CD2 40;41. Among these CD28 engagement of its
ligands, the B7 molecules, represent the main co-stimulatory interactions 42;43.
Co-stimulatory activity largely involves the coupling of many intracellular
signalling pathways that form an integrated network, eventually leading to the
production of interleukin-2 (IL-2) and proliferation. The importance of
co-stimulation is that TCR occupancy in the absence of adequate co-stimulation
fails to generate T cell responses, and may result in the induction of anergy
in T cell clones 43;44. Another implication is that the mere
expression of class II molecules does not necessarily make a cell a functional
APC.
The expression
of MHC molecules on the cell surface is also important for NK cell activity.
Non-specific immunity provided by NK cells is governed by the expression levels
of MHC molecules. Normally, the presence of class I molecules provide inhibitory
signals for NK cells. When the expression is down-regulated as happens in viral
infections or malignant transformations, NK cells are activated by the lack of
inhibitory MHC antigens (missing self) and they eliminate such cells 45;46.
NK cells have different membrane receptors that bind to MHC class I ligands
which inhibit the lysis of class I-bearing target cells. Each family of these
receptors interacts with different class I molecules. Human NK cells express
receptors encoded by the Killer Inhibitory Receptor (KIR) gene family present
on chromosome 19q13.4 47. Different KIR molecules are displayed on
overlapping subsets within the total NK cell population and the repertoire of
expressed receptors is heterogeneous in different individuals. The specificity
of KIRs maps to the a1 domain of HLA-C and HLA-B molecules 14;48.
Another group of human NK cell inhibitory receptor is CD94/NKG2 which is
specific for the non-classical class I molecule HLA-E 49. This
recent understanding of the regulation of NK cell function implies an important
role for MHC class I molecules in tumour immunity. The loss of MHC class I
molecules may help a transformed cell escape from cytotoxic T cell attack but
makes it susceptible to NK cell-mediated lysis.
HLA
Biosynthesis (Animations) MHC Animations (Serotec) KEGG Antigen Processing and Presentation Pathways
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Lab
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M.Tevfik DORAK, MD, PhD
Last edited on 22 February 2007
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