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- Title
A new clustering method identifies multiple sclerosis‐specific T‐cell receptors.
- Authors
Hayashi, Fumie; Isobe, Noriko; Glanville, Jacob; Matsushita, Takuya; Maimaitijiang, Guzailiayi; Fukumoto, Shoko; Watanabe, Mitsuru; Masaki, Katsuhisa; Kira, Jun‐ichi
- Abstract
Objective: To characterize T‐cell receptors (TCRs) and identify target epitopes in multiple sclerosis (MS). Methods: Peripheral blood mononuclear cells were obtained from 39 MS patients and 19 healthy controls (HCs). TCR repertoires for α/β/δ/γ chains, TCR diversity, and V/J usage were determined by next‐generation sequencing. TCR β chain repertoires were compared with affectation status using a novel clustering method, Grouping of Lymphocyte Interactions by Paratope Hotspots (GLIPH). Cytomegalovirus (CMV)‐IgG was measured in an additional 113 MS patients and 93 HCs. Regulatory T cells (Tregs) were measured by flow cytometry. Results: TCR diversity for all four chains decreased with age. TCRα and TCRβ diversity was higher in MS patients (P = 0.0015 and 0.024, respectively), even after age correction. TRAJ56 and TRBV4‐3 were more prevalent in MS patients than in HCs (pcorr = 0.027 and 0.040, respectively). GLIPH consolidated 208,674 TCR clones from MS patients into 1,294 clusters, among which two candidate clusters were identified. The TRBV4‐3 cluster was shared by HLA‐DRB1*04:05‐positive patients (87.5%) and predicted to recognize CMV peptides (CMV‐TCR). MS Severity Score (MSSS) was lower in patients with CMV‐TCR than in those without (P = 0.037). CMV‐IgG‐positivity was associated with lower MSSS in HLA‐DRB1*04:05 carriers (P = 0.0053). HLA‐DRB1*04:05‐positive individuals demonstrated higher CMV‐IgG titers than HLA‐DRB1*04:05‐negative individuals (P = 0.017). CMV‐IgG‐positive patients had more Tregs than CMV‐IgG‐negative patients (P = 0.054). Interpretation: High TCRα/TCRβ diversity, regardless of age, is characteristic of MS. Association of a CMV‐recognizing TCR with mild disability indicates CMV's protective role in HLA‐DRB1*04:05‐positive MS.
- Subjects
SUPPRESSOR cells; BLOOD cells; NUCLEOTIDE sequencing
- Publication
Annals of Clinical & Translational Neurology, 2021, Vol 8, Issue 1, p163
- ISSN
2328-9503
- Publication type
Article
- DOI
10.1002/acn3.51264