T Cells Show an Immune Response Against Epstein-Barr Virus Nuclear Antigen 1 (EBNA-1) in Paediatric Autoimmune

Jytte Hendrikse1, Aafke M de Ligt1,2, Roos A W Wennink1

  • 1Department of Ophthalmology, University Medical Centre Utrecht, University Utrecht, Utrecht, The Netherlands.

Insights

Most pediatric uveitis patients show T cell reactivity to Epstein-Barr virus EBNA-1 antigen, irrespective of HLA-DRB1*15:01 status. A specific epitope response was noted in one HLA-DRB1*15:01 positive patient.

Area of Science:

  • Immunology
  • Ophthalmology
  • Virology

Background:

  • Paediatric uveitis is an inflammatory eye condition.
  • Epstein-Barr virus (EBV) is a common human herpesvirus.
  • The EBV EBNA-1 antigen and its epitopes are implicated in immune responses.

Purpose of the Study:

  • To investigate T cell reactivity in children with uveitis against the EBV EBNA-1 antigen and a specific epitope.
  • To correlate T cell responses with the HLA-DRB1*15:01 genetic profile.

Main Methods:

  • ELISPOT assay was used to measure IFN-γ T cell responses.
  • Patients were tested against a pool of EBV EBNA-1 antigen and a specific EBNA-1 epitope.
  • HLA-DRB1*15:01 status was determined using next-generation sequencing or TaqMan assay.

Main Results:

  • 81.8% of paediatric uveitis patients exhibited a T cell response to the complete EBV EBNA-1 antigen.
  • No significant difference in T cell response was observed between HLA-DRB1*15:01 positive and negative uveitis patients.
  • One patient with intermediate uveitis, homozygous for HLA-DRB1*15:01, showed a T cell response to the EBNA-1 AA 397-408 epitope.

Conclusions:

  • The majority of paediatric uveitis patients have a measurable T cell response to the complete EBV EBNA-1 antigen.
  • This response appears independent of the HLA-DRB1*15:01 genetic background in this cohort.
  • A specific T cell response to the EBNA-1 AA 397-408 epitope was observed in a single HLA-DRB1*15:01 positive patient.
Abstract

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