Gunnar Reiske/Sandbox 102

IntroductionIntroduction

The protein gluten is found in wheat and grains such as rye and barley. Gluten is also involved with inducing an inflammatory response in individuals with celiac disease. Individuals who have the disease cannot digest gluten due to the protein’s structure, which will damage the small intestine. In detail, if an individual with celiac disease ingests foods containing gluten, the immune system responds by damaging the villi, which are fingerlike projections lining the small intestine. This type of immune response denies the body’s ability to absorb nutrients that pass through the small intestine and into the bloodstream. As a result of the damaged villi, people with celiac disease can become malnourished. Although celiac disease is genetic, the question of how the protein triggers an immune response in the gastrointestinal tract of affected individuals was further explored.

Gluten is a protein complex comprised of gliadin and glutenin. Gliadins, for those with celiac disease, are the principle toxic component of gluten and are composed of proline and glutamine peptide sequences. The peptides enter the circulatory system and come into contact with lymphocytes and T-cells, resulting in the release of inflammatory chemicals. The inflammatory chemicals interact with the villi of the small intestine and damage them, disabling the body from nutrient absorption. The symptoms can include abdominal pain, weight loss, fatigue, and many other symptoms associated with malnutrition. As of now, the only treatment for celiac disease is the total exclusion of gluten from the person’s diet.

Gluten Protein Complex Function File:GliadenComplex.png The gluten protein complex is made up of gliadin and glutenin components. Of the complex, gliadin directly affects the induction of an innate immune response via the proline and glutamine peptide sequences. In the small intestine of patients with celiac disease, HLA-DQ2 restricted T-cells are present. After ingestion of a gluten product, the gliadin peptides enter the circulatory system and come into contact with lymphocytes and the gliadin-specific, HLA-DQ2 restricted T-cells, which is the fundamental step in producing the inflammatory response associated with celiac disease. Relevance Human leukocyte antigens (HLA) are responsible for regulation of the immune system. The binding of gliadin peptides to HLA should be the same in celiac and non-celiac patients. However, it is unclear why only specific individuals produce the gliadin-specific, HLA-DQ2 restricted T-cells with pathogenic consequences. These implications suggest an underlying genetic component. Immune Response HLA-DQ2 and HLA-DQ8 HLA-DQ2 and HLA-DQ8 proteins are at high concentrations, 95% and 5% of all celiac disease victims respectively, in those with celiac disease. The proteins are able to amplify the autoimmune response by binding the gluten complex to the transglutaminase tissue of the small intestine lumen. The new complexes are comprised of three chains, two being MHC class II antigens of alpha helical and beta sheet nature with the third being the gluten peptide. The MHC class II molecules HLA-DQ2 and HLA-DQ8 are human leukocyte antigens associated with the genetic risk of developing celiac disease and serves as a MHC class II molecule in the immune system of the body. In addition, the complexes have conformations that only expose the gliadin sequence that has gastrointestinal protease resistance. As a result, the body sends out antibodies, which bind the epitopes of the complex thus labeling it as a toxin. The end result is an amplified autoimmune response that attacks the lining of the small intestine to help rid the body of the resistant complex. Interactions The gluten protein complex binds the HLA-DQ2 complex with hydrogen bonds. Glutamine and lysine hydrogen bond to water, the nitrogen backbone of gliadin, and the asparagine, lysine, tyrosine and serine hydrogens of HLA-DQ2. The proline amino acids are all exposed to the external environment and do not participate in hydrogen binding while also preventing other amino acids from hydrogen binding through steric hindrance. Only proline rich complexes are able to hydrogen bond properly with HLA-DQ2, such as gliadin. All other proteins do not have the proper conformation and organization of proline to effectively bind HLA-DQ2, making the HLA-DQ2-gliadin complex very specific. File:HLADQ2.png When the gluten peptide enters the HLA-DQ8 antigen binding cleft and makes contact, numerous contacts are made. Notable contacts include: 16 direct hydrogen bonds, 24 water mediated hydrogen bonds, and four salt bridges. The side chains of two glutamic acids and one phenylalanine buried deep in pockets of the complex serve to anchor the peptide within the antigen-binding groove. A proline and serine can be found in shallow pockets with their side chain serving as minor anchor residues to the peptide. Treatments Prolyl endopeptidases (PEPs) are a family of serine protease enzymes that help accelerate the breakdown of proline residues in peptides. Since gluten is a proline-rich complex, these enzymes can be used to help treat individuals with celiac disease. A study was done to explore the structural features of two bacterial PEPs, one with a bound enzyme and one without. Both PEPs have two domains: one that is the catalytic binding site and one called the propeller domain. With further investigation of domain features of the PEP isolated from Myxococcus xanthus, interactions were observed that give the enzyme its proline-cleaving properties. Interactions between the domains of the PEP isolated from Myxococcus xanthus and the inhibitor in the binding pocket, which is colored yellow. Residues from the catalytic domain are labeled in black with their hydrogen bonds represented by blue dashed lines and residues from the propeller domain are labeled in gray with the salt bridges represented by yellow dashed lines. Using the structural components of the open and bound forms of PEP enzymes, a mechanism was proposed in which the incoming proline-rich peptide causes a conformational change that opens the catalytic binding site. This conformation is stabilized by the prolines in the substrate interacting with the arginine and aspartate residues in the binding site. The propeller region does not interact with the bound substrate, but the aspartates and glutamate residues interact with arginine residues in the catalytic region to stabilize the unbound form of the enzyme. Bacterial PEPs can detoxify immunotoxic proline-rich peptides in gut lumen of celiac patients by breaking down the gliadin before it reaches the small intestines. Given orally as a therapeutic treatment for those with celiac disease. Further research would need to be done on how we can make these enzymes more acid-stable to withstand the acidic environment of the human intestine. Studies have been done to determine the feasibility of the therapeutic implementation of bacterial PEPs for detoxification of gliadin complexes in individuals with celiac disease. The study showed that a substantially high concentration of PEPs as well as long exposure times (3 hours) were required for a complete detoxification of gliadin peptides and thus prevent intestinal transport of the peptides.

spinqualitylabelsall models Structure of the HLA-DQ2-gliadin complex. (PDB code 1s9v) Show:Asymmetric Unit Biological Assembly Drag the structure with the mouse to rotate   Export Animated Image