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Research Report 2000 - MDC

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Cellular Immunology<br />

Kirsten Falk<br />

Olaf Rötzschke<br />

The newly established group will start<br />

operation in spring <strong>2000</strong>. One of the<br />

major areas of interest is the<br />

investigation of mechanisms relevant<br />

for the induction or suppression of<br />

immune tolerance.<br />

The thymal selection of T cells, in<br />

concert with peripheral tolerance<br />

mechanisms, generates and maintains<br />

a T cell repertoire, which responds to<br />

foreign antigens but not to peptides<br />

derived from self-proteins. Under<br />

certain circumstances, however, these<br />

tolerance mechanisms can fail.<br />

Autoreactive T cells escape the<br />

selection-process and cause the<br />

induction of chronic autoimmune<br />

diseases, such as multiple sclerosis,<br />

diabetes mellitus or rheumatoid<br />

arthritis. In most of these autoimmune<br />

diseases the typical tissue-specific<br />

damage is caused by the activity of<br />

autoreactive CD4 + T cells (and not by<br />

CD8 + T cells). In the case of<br />

experimental autoimmune<br />

encephalomyelitis (EAE) the CD4 + T<br />

cells are responsible for the removal<br />

of the isolating myelin sheath from<br />

the axons of the CNS. They inflict the<br />

damage either by a direct attack of the<br />

myelin sheath or indirectly by<br />

activating B cells, which produce<br />

myelin-specific antibodies. While in<br />

these chronic autoimmune diseases<br />

the effect of autoreactive CD4 + T cells<br />

is extremely harmful, it could be very<br />

beneficial if the response could be<br />

directed against self-proteins<br />

expressed in transformed tissue.<br />

In order to break tolerance it is<br />

necessary to increase the sensitivity of<br />

the T cells to the autoantigen. One<br />

way is to manipulate co-stimulatory<br />

signals. For instance, the blockade of<br />

CTLA-4, an attenuator of the T cell<br />

activation cascade, can significantly<br />

lower the threshold for the T cell<br />

activation. However, a general<br />

118<br />

disadvantage of this approach is the<br />

complete lack of selectivity. Our<br />

efforts, therefore, concentrated on<br />

ways to address autoreactive T cells in<br />

an antigen–specific manner. In<br />

previous studies we showed that<br />

multimers containing repeats of a<br />

peptide antigen derived from the<br />

influenza hemagglutinin protein can<br />

trigger an antigen-specific T cell<br />

response at almost 1000 fold lower<br />

concentrations than the peptide. The<br />

enhancement was strictly antigenspecific<br />

and appeared to result from<br />

the cross-linking of MHC/peptide/TCR<br />

complexes. To adapt this approach to<br />

a true autoimmune model system<br />

multimerized forms of<br />

encephalitogenic peptides derived<br />

from the myelin basic protein (MBP)<br />

or proteolipid protein (PLP) were<br />

generated and tested in the EAE<br />

system. The trials revealed that the<br />

multimerization increased the in vivo<br />

potency of these epitopes to such an<br />

extent that EAE was induced even in<br />

strains of mice normally not effected<br />

by the monomeric peptides.<br />

Furthermore utilizing immunization<br />

protocols, which aim at a tolerization<br />

rather than the activation of the T<br />

cells, relatively small amounts of<br />

these multimers were found to be<br />

sufficient to suppress the disease (the<br />

monomeric peptides did not show any<br />

suppressive effect). In vitro<br />

experiments in the hemagglutinin<br />

system indicated that this suppression<br />

results from the apoptotic elimination<br />

of overstimulated CD4 + T cells (‘highzone<br />

tolerance’), one of the main<br />

mechanisms of peripheral tolerance.<br />

Another tool to enhance the sensitivity<br />

of CD4 + T cells was found during<br />

biochemical studies of two<br />

conformational variants of MHC class<br />

II/ligand complexes. Binding<br />

experiments revealed that the on-rate<br />

for the formation of the peptide/MHC<br />

complex was significantly increased if<br />

certain small molecular compounds<br />

were present during the binding<br />

reaction. Subsequent studies revealed<br />

that these compounds catalyze the<br />

ligand exchange in mechanism similar<br />

to HLA-DM molecules. In contrast to<br />

HLA-DM, however, these compounds<br />

facilitated the peptide exchange<br />

directly on the surface of antigen<br />

presenting cell, increasing the<br />

sensitivity of an antigen-specific T<br />

cell response by almost 2 logs. This<br />

project is still at an early stage and<br />

will be continued utilizing<br />

combinatorial chemistry. The control<br />

of autoimmune reactions is crucial for<br />

the treatment of autoimmune diseases<br />

as well as for the development of<br />

tumor immunotherapies. To achieve<br />

this goal the group will continue to<br />

investigate the underlying<br />

mechanisms in vitro, in vivo as well<br />

as on the molecular level.<br />

Selected Publications<br />

Rötzschke, O., Falk, K., and<br />

Strominger, J. L. (1997) Superactivation<br />

of an immune response<br />

triggered by oligomerized T cell<br />

epitopes. Proc. Natl. Acad. Sci. U S A.<br />

94, 14642-14647.<br />

Rötzschke, O., Falk, K., Mack, J.,<br />

Lau, J. M., Jung, G., and Strominger,<br />

J. L. (1999) Conformational variants<br />

of class II MHC/peptide complexes<br />

induced by N- and C-terminal<br />

extensions of minimal peptide<br />

epitopes. Proc. Natl. Acad. Sci. U S A.<br />

96, 7445-7450.<br />

Falk, K., Rötzschke, O.,<br />

Santambrogio, L., Dorf, M. E.,<br />

Brosnan, C., and Strominger, J. L.<br />

(<strong>2000</strong>) Induction and suppression of<br />

an autoimmune disease: Enhanced in<br />

vivo potency of oligomerized T cell<br />

epitopes. J. Exp. Med. 191, 1-14.<br />

Structure of the Group<br />

Group leaders<br />

Dr. Kirsten Falk<br />

Dr. Olaf Rötzschke

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