PT - JOURNAL ARTICLE AU - Varrin-Doyer, Michel AU - Shetty, Aparna AU - Spencer, Collin M. AU - Schulze-Topphoff, Ulf AU - Weber, Martin S. AU - Bernard, Claude C.A. AU - Forsthuber, Thomas AU - Cree, Bruce A.C. AU - Slavin, Anthony J. AU - Zamvil, Scott S. TI - MOG transmembrane and cytoplasmic domains contain highly stimulatory T-cell epitopes in MS AID - 10.1212/NXI.0000000000000020 DP - 2014 Aug 01 TA - Neurology - Neuroimmunology Neuroinflammation PG - e20 VI - 1 IP - 2 4099 - http://nn.neurology.org/content/1/2/e20.short 4100 - http://nn.neurology.org/content/1/2/e20.full SO - Neurol Neuroimmunol Neuroinflamm2014 Aug 01; 1 AB - Objective: Recently, we reported that the 218 amino acid murine full-length myelin oligodendrocyte glycoprotein (MOG) contains novel T-cell epitopes p119-132, p181-195, and p186-200, located within its transmembrane and cytoplasmic domains, and that p119-132 is its immunodominant encephalitogenic T-cell epitope in mice. Here, we investigated whether the corresponding human MOG sequences contain T-cell epitopes in patients with multiple sclerosis (MS) and healthy controls (HC).Methods: Peripheral blood T cells from patients with MS and HC were examined for proliferation to MOG p119-130, p181-195, p186-200, and p35-55 by fluorescence-activated cell sorting analysis using carboxylfluorescein diacetate succinimidyl ester dilution assay. Intracellular production of proinflammatory cytokines was analyzed by flow cytometry.Results: MOG p119-130, p181-195, and p186-200 elicited significantly greater T-cell responses than p35-55 in patients with MS. T cells from patients with MS proliferated significantly more strongly to MOG p119-130 and p186-200 than did T cells from HC. Further, MOG p119-130–specific T cells exhibited Th17 polarization, suggesting this T-cell epitope may be relevant to MS pathogenesis.Conclusions: Transmembrane and cytoplasmic MOG domains contain potent T-cell epitopes in MS. Recognition of these determinants is important when evaluating T-cell responses to MOG in MS and may have implications for development of myelin antigen-based therapeutics.aa=amino acid(s); AQP4=aquaporin-4; CFSE=carboxylfluorescein diacetate succinimidyl ester; EAE=experimental autoimmune encephalitis; HC=healthy controls; Ig=immunoglobulin; MBP=myelin basic protein; MHC=major histocompatibility complex; MOG=myelin oligodendrocyte glycoprotein; MS=multiple sclerosis; NMO=neuromyelitis optica; PLP=proteolipid protein; PBMC=peripheral blood mononuclear cells; UCSF=University of California at San Francisco