HLA autoimmune risk alleles restrict the hypervariable region of T cell receptors

Nat Genet. 2022 Apr;54(4):393-402. doi: 10.1038/s41588-022-01032-z. Epub 2022 Mar 24.

Abstract

Polymorphisms in the human leukocyte antigen (HLA) genes strongly influence autoimmune disease risk. HLA risk alleles may influence thymic selection to increase the frequency of T cell receptors (TCRs) reactive to autoantigens (central hypothesis). However, research in human autoimmunity has provided little evidence supporting the central hypothesis. Here we investigated the influence of HLA alleles on TCR composition at the highly diverse complementarity determining region 3 (CDR3), which confers antigen recognition. We observed unexpectedly strong HLA-CDR3 associations. The strongest association was found at HLA-DRB1 amino acid position 13, the position that mediates genetic risk for multiple autoimmune diseases. We identified multiple CDR3 amino acid features enriched by HLA risk alleles. Moreover, the CDR3 features promoted by the HLA risk alleles are more enriched in candidate pathogenic TCRs than control TCRs (for example, citrullinated epitope-specific TCRs in patients with rheumatoid arthritis). Together, these results provide genetic evidence supporting the central hypothesis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Alleles
  • Amino Acids / genetics
  • Autoimmune Diseases* / genetics
  • Complementarity Determining Regions / genetics
  • HLA-DRB1 Chains / genetics
  • HLA-DRB1 Chains / metabolism
  • Humans
  • Receptors, Antigen, T-Cell* / genetics
  • Receptors, Antigen, T-Cell* / metabolism

Substances

  • Amino Acids
  • Complementarity Determining Regions
  • HLA-DRB1 Chains
  • Receptors, Antigen, T-Cell