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Updated: Feb 15, 2026

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
The interplay between citrullination and HLA-DRB1 polymorphism in shaping peptide binding hierarchies in rheumatoid
Yi Tian Ting1, Jan Petersen1,2, Sri H Ramarathinam1
1From the Infection and Immunity Program and Department of Biochemistry and Molecular Biology, Biomedicine Discovery Institute Monash University, and.
Insights
Rheumatoid arthritis susceptibility involves HLA-DRB1 and citrullinated peptides. This study reveals how specific HLA-DR variants and peptide citrullination influence binding affinity, impacting rheumatoid arthritis risk.
Area of Science:
- Immunogenetics
- Molecular Immunology
- Rheumatology
Background:
- The HLA-DRB1 locus is a major genetic factor in rheumatoid arthritis (RA) susceptibility.
- Citrullinated self-peptides bind to HLA-DR molecules with the shared epitope (SE) motif, but binding preferences vary.
- The precise molecular mechanisms dictating differential binding affinities remain incompletely understood.
Purpose of the Study:
- To investigate the binding affinities of citrullinated and non-citrullinated self-peptides to different HLA-DRB1 allomorphs.
- To elucidate the structural basis for preferential binding of citrullinated peptides to SE-positive HLA-DRB1 variants.
Main Methods:
- Fluorescence polarization assay to quantify peptide-HLA-DRB1 binding affinities.
- Analysis of 34 self-peptides implicated in RA against three HLA-DRB1*04 allomorphs (HLA-DRB1*04:01, *04:04, *04:05).
- Structural determination of eight HLA-DR4-self-epitope complexes.
Main Results:
- A strong correlation between peptide binding affinity and citrullination at the P4 position was observed for all tested HLA-DRB1 allomorphs.
- Peptide-binding hierarchies differed across HLA-DRB1 allomorphs due to polymorphisms outside the SE motif.
- Structural analysis revealed conformational convergence at P4-Cit and identified polymorphic residues in P1 and P9 pockets influencing binding.
Conclusions:
- Citrullination of self-peptides significantly enhances binding to SE-positive HLA-DRB1 allomorphs.
- Polymorphisms in HLA-DRB1 outside the SE motif contribute to differential peptide binding specificities.
- This study provides a molecular framework for understanding the interaction between self-antigen citrullination and HLA polymorphisms in RA pathogenesis.
Abstract:
The HLA-DRB1 locus is strongly associated with rheumatoid arthritis (RA) susceptibility, whereupon citrullinated self-peptides bind to HLA-DR molecules bearing the shared epitope (SE) amino acid motif. However, the differing propensity for citrullinated/non-citrullinated self-peptides to bind given HLA-DR allomorphs remains unclear. Here, we used a fluorescence polarization assay to determine a hierarchy of binding affinities of 34 self-peptides implicated in RA against three HLA-DRB1 allomorphs (HLA-DRB1*04:01/*04:04/*04:05) each possessing the SE motif. For all three HLA-DRB1 allomorphs, we observed a strong correlation between binding affinity and citrullination at P4 of the bound peptide ligand. A differing hierarchy of peptide-binding affinities across the three HLA-DRB1 allomorphs was attributable to the β-chain polymorphisms that resided outside the SE motif and were consistent with sequences of naturally presented peptide ligands. Structural determination of eight HLA-DR4-self-epitope complexes revealed strict conformational convergence of the P4-Cit and surrounding HLA β-chain residues. Polymorphic residues that form part of the P1 and P9 pockets of the HLA-DR molecules provided a structural basis for the preferential binding of the citrullinated self-peptides to the HLA-DR4 allomorphs. Collectively, we provide a molecular basis for the interplay between citrullination of self-antigens and HLA polymorphisms that shape peptide-HLA-DR4 binding affinities in RA.
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