1. Crystal structure of HLA-DQ0602 that protects against type 1 diabetes and confers strong susceptibility to narcolepsy
- Author
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Wyer, John I. Bell, Karl Harlos, Bjarke E. Hansen, Jack L. Strominger, Robert E. Esnouf, Lars Fugger, Christian Siebold, Arne Svejgaard, and E. Yvonne Jones
- Subjects
Models, Molecular ,Protein Conformation ,Population ,Human leukocyte antigen ,Plasma protein binding ,Biology ,Crystallography, X-Ray ,Structure-Activity Relationship ,Protein structure ,HLA-DQ Antigens ,medicine ,HLA-DQ beta-Chains ,Humans ,Genetic Predisposition to Disease ,Amino Acid Sequence ,Allele ,education ,Peptide sequence ,Alleles ,Narcolepsy ,Genetics ,education.field_of_study ,Binding Sites ,Membrane Glycoproteins ,Polymorphism, Genetic ,Multidisciplinary ,HLA-DQ Antigen ,Biological Sciences ,medicine.disease ,Diabetes Mellitus, Type 1 ,Immunology ,Protein Binding - Abstract
The MHC class II molecule DQ0602 confers strong susceptibility to narcolepsy but dominant protection against type 1 diabetes. The crystal structure of DQ0602 reveals the molecular features underlying these contrasting genetic properties. Structural comparisons to homologous DQ molecules with differential disease associations highlight a previously unrecognized interplay between the volume of the P6 pocket and the specificity of the P9 pocket, which implies that presentation of an expanded peptide repertoire is critical for dominant protection against type 1 diabetes. In narcolepsy, the volume of the P4 pocket appears central to the susceptibility, suggesting that the presentation of a specific peptide population plays a major role.
- Published
- 2004
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