High affinity binding of hydrophobic and autoantigenic regions of proinsulin to the 70 kDa chaperone DnaK
- Volker Burkart†1Email author,
- Rahel K Siegenthaler†2,
- Elias Blasius1,
- Koen Vandenbroeck3,
- Iraide Alloza3,
- Waltraud Fingberg1,
- Nanette C Schloot1,
- Philipp Christen2 and
- Hubert Kolb1, 4
© Burkart et al; licensee BioMed Central Ltd. 2010
Received: 10 May 2010
Accepted: 8 November 2010
Published: 8 November 2010
Chaperones facilitate proper folding of peptides and bind to misfolded proteins as occurring during periods of cell stress. Complexes of peptides with chaperones induce peptide-directed immunity. Here we analyzed the interaction of (pre)proinsulin with the best characterized chaperone of the hsp70 family, bacterial DnaK.
Of a set of overlapping 13-mer peptides of human preproinsulin high affinity binding to DnaK was found for the signal peptide and one further region in each proinsulin domain (A- and B-chain, C-peptide). Among the latter, peptides covering most of the B-chain region B11-23 exhibited strongest binding, which was in the range of known high-affinity DnaK ligands, dissociation equilibrium constant (K'd) of 2.2 ± 0.4 μM. The B-chain region B11-23 is located at the interface between two insulin molecules and not accessible in insulin oligomers. Indeed, native insulin oligomers showed very low DnaK affinity (K'd 67.8 ± 20.8 μM) whereas a proinsulin molecule modified to prevent oligomerization showed good binding affinity (K'd 11.3 ± 7.8 μM).
Intact insulin only weakly interacts with the hsp70 chaperone DnaK whereas monomeric proinsulin and peptides from 3 distinct proinsulin regions show substantial chaperone binding. Strongest binding was seen for the B-chain peptide B 11-23. Interestingly, peptide B11-23 represents a dominant autoantigen in type 1 diabetes.
Prokaryotic and eukaryotic cells employ chaperones for guiding polypeptides during synthesis towards proper folding, for preventing misfolded proteins from aggregating, for re-establishing proper conformation or channeling misfolded polypeptides towards intracellular degradation. Under conditions of cell stress, such as heat stress or a high rate of protein synthesis, there is a higher amount of polypeptides misfolded, and in parallel there is a rapid increase of chaperone availability [1–4]. As one of the dominant members of the chaperone family, heat shock protein (hsp) 70 shows strong and preferential upregulation in various cell populations exposed to stress conditions . Following the general principle of (poly)peptide chaperoning, hsp70 interacts with proteins by transiently binding to amino acid regions with distinct physicochemical properties. Detailed sequence analyses of hsp-chaperoned polypeptides identified stretches of at least seven amino acids with a core region of up to five hydrophobic amino acids as prominent binding motif for members of the hsp70 family [6, 7]. Besides their function of (poly-)peptide guidance, chaperones induced by stress serve as danger antigens to the innate immune system [8–11], and those peptide regions of target proteins interacting with the peptide binding region of chaperones may be transferred onto MHC molecules. This mechanism has been termed re-presentation (of endogenous peptides to T helper cells) and may facilitate the induction of anti-tumor reactivity or the rise of autoimmunity [12–15].
Insulin is a primary product of protein synthesis of pancreatic β-islet cells. The peptide hormone is generated from the precursor forms preproinsulin and proinsulin. The mature, biologically active monomer of insulin is composed of an A- and B-chain; its structure is stabilized by intra- and inter-chain disulfide bonds.
Interestingly, insulin represents a dominant antigen during the development of the immunological processes leading to pancreatic β-cell destruction and (insulin-dependent) type 1 diabetes. Although the hormone is a primary target of autoantibodies that emerge early in the prediabetic phase  the stimulation of cell-mediated immune processes including the activation of insulin-reactive T-lymphocytes seems to be of major importance for the progression of β-cell-directed immune reactivity . In fact, insulin-specific T-cells can be isolated from human subjects both in the prediabetic phase and the onset of type 1 diabetes and are present in the diabetes-prone non-obese diabetic (NOD) mouse, an animal model of the human disease [18, 19].
In view of the chronic endoplasmatic reticulum stress conditions with enhanced chaperone activity observed for insulin producing pancreatic β-cells during islet inflammation in (pre) type 1 diabetes as well as during metabolic stress in states of insulin resistance and obesity [20, 21], we hypothesized that (prepro-) insulin interacts with chaperones. In our experimental approach we therefore determined the ability of preproinsulin-derived 13-mer peptides, monomeric proinsulin or native insulin to bind to a chaperone. In the current study we used bacterial hsp70 as the best characterized member of the large and evolutionary well-conserved hsp70 chaperone family .
Identification of DnaK binding peptide regions in preproinsulin
Quantitative analysis of proinsulin peptide binding to DnaK
Interestingly, the peptide 18 (B11-23) corresponds to the insulin peptide B9-23, which had been identified as an immunodominant epitope of autoimmune T-cell reactivity in type 1 diabetes. Therefore, we analyzed the interaction of DnaK with peptide B11-23 also in a fluid phase assay. We determined the capacity of a peptide to compete with the fluorescent high-affinity DnaK ligand a-NR (dissociation equilibrium constant K'd = 0.41 ± 0.02 μM) for binding to DnaK . Increasing concentrations of non-labeled peptide B11-23 resulted in a decrease of the fluorescence signal reflecting effective displacement of a-NR from DnaK by the peptide (Figure 3B), corresponding to an apparent dissociation equilibrium constant (K'd) of 2.2 ± 0.4 μM of the competing peptide B11-23. By contrast, peptide B18-30, which is an adjacent peptide from the proinsulin B-chain region but without significant DnaK-affinity, was much less effective in displacing a-NR (Figure 3B).
Binding of DnaK to peptides versus intact insulin or monomeric proinsulin
Apparent dissociation equilibrium constants (K'd) of DnaK for insulin, proinsulin and peptides
Human insulin (A- and B-chain)
67.8 ± 20.8
Peptide B18-30 (insulin B-chain aa18-30)
51.9 ± 12.8
Control peptide (sigma32 aa192-204)
0.5 ± 0.1
Peptide B11-23 (insulin B-chain aa11-23)
2.2 ± 0.4
Human proinsulin variant
11.3 ± 7.8
Finally, we investigated the possible binding of DnaK to a proinsulin variant with decreased propensity to oligomer formation due to an inversion of the K-P sequence in the positions B28 and B29. This proinsulin variant interacted with DnaK at concentrations much lower than observed for insulin (K'd 11.3 ± 7.8 μM) (Figure 3C, Table 1).
Our experiments demonstrate that the 70 kDa heat shock protein DnaK is able to bind to 13-mer peptide segments of the preproinsulin molecule and that the binding is limited to four distinct preproinsulin regions, amino acids S7-23 of the signal peptide, B9-25 of the B-chain, C15-31 of the C-peptide and A6-21 of the A-chain. These peptide regions exhibit the leucine-rich motif found essential for binding of DnaK , usually a hydrophobic core of four to five residues enriched in L, but also in I, V, F and Y, and two flanking regions enriched in basic residues. Of the proinsulin molecule, strongest binding occurred to peptide 18 (B11-23), and this is probably mediated by a distinct hydrophobic motif formed by the three amino acid residues L-Y-L in the central positions B15, B16 and B17. This conclusion is supported by the finding that the B-chain-derived peptide B18-30, which comprises the six C-terminal residues of B11-23 but lacks the central L-Y-L sequence or a corresponding hydrophobic motif exhibited no significant DnaK affinity.
Native insulin exhibited only low affinity to DnaK. This observation indicates that steric hindrance prevents effective interaction with the chaperone, possibly due to the conformation of the polypeptide heterodimer or the aggregation of insulin molecules into dimers, trimers or hexamers, rendering the regions B11-23 and A6-21 less accessible. As deduced from the crystal structure of the insulin molecule http://swissmodel.expasy.org/repository, the B11-23 epitopes are buried at the interface between two mature insulin heterodimers, thus preventing access to the peptide binding site of DnaK. Similarly, the A-chain region A6-21 comprises a number of amino acid residues localized at the interfaces of the insulin oligomers. In particular, the surface-exposed E-residue in position A17 contributes to the stabilization of the dimer-dimer interfaces by its interaction with the F-residue in position 1 of the B-chain. Moreover, the C-residue in position A7 which is located at the surface of the insulin molecule, forms a stabilizing interchain disulfide bond with the C-residue in position 7 of the B-chain [24, 25].
To further elucidate a potential impact of steric conditions on DnaK-insulin interactions we investigated the DnaK binding of a proinsulin variant with an inversion of the K-P sequence in positions B28 and B29 causing a decreased tendency to oligomerization. This variant indeed exhibited a much higher DnaK affinity than mature insulin. However, the Kd obtained for the mature insulin molecule may only represent an estimate for the (low) chaperone affinity of the hormone, as the fluid phase system applied in our approach is optimised for studies on the interaction of chaperones with peptides rather than larger proteins. Nevertheless, previous studies which applied experimental systems designed to investigate the binding of DnaK to polypeptides demonstrate weak, but significant interactions between DnaK and full-length, native proteins . In those studies, DnaK binding was found to depend on the accessible hydrophobic area of a protein and was characterized by dissociation constants of 1 - 50 μM, a range comparable to the Kd of 67.8 ± 20.8 μM found for insulin in our current study. Taken together, these observation suggest that not only the (pro)insulin peptides but also mature proinsulin monomers can interact with DnaK and that there is little interaction between DnaK and native oligomeric forms of insulin.
In our current approach we selected insulin as the predominant β-cell specific (auto-) antigen. DnaK was selected as a representative member of the dominant and phylogenetically high conserved hsp70 family with the best characterized chaperone activity [27, 28]. Although the members of the hsp70 family were found to exhibit some differences in peptide binding specificities  extensive comparative analyses revealed a common binding specificity for peptide stretches of at least seven amino acid residues with a hydrophobic core [7, 28] thus largely resembling the hydrophobicity distribution pattern of the insulin-derived peptide B11-23. Therefore, our analyses on the interaction of potentially autoantigenic insulin peptides with the chaperone DnaK was performed in a suitable model system which only partially reflects the situation in vivo, in human patients. Further detailed studies of the interaction of insulin and proinsulin with human hsp70 isoforms will be needed to fully understand the rules of (pro-)insulin-chaperone interaction.
Besides the chaperoning function, one other property of hsp70 family chaperones is the ability to induce T-cell immune responses to complexed peptides [14, 15, 29–31], and a role of this pathway has been postulated for the induction of autoimmune disease [12, 32, 33]. It therefore is noteworthy that the three DnaK-binding regions of proinsulin, amino acids B9-25 of the B-chain, C15-31 of the C-peptide and A6-21 of the A-chain superimpose with the three major target regions for T-cell autoimmune reactivity in the NOD mouse model or in humans with β-cell autoimmunity [18, 34–36]. In the mouse model, the B-chain region around B16 was identified as critical for disease development, i.e., mutating the native E in position B13 to Q abolished T-cell reactivity to the peptide B9-23 . Moreover, replacement of Y to A in position B16 abrogated the response of B9-23 - reactive T-cell clones as well as the development of diabetes in vivo . I.e., the peptide B11-23 is closely associated with diabetes pathogenesis, and its diabetogenic potential depends on an intact core sequence, comprising the region which is important for the binding of this peptide to DnaK.
As the insulin molecules with the mutated B-chains completely retain their metabolic activity [34, 37] it has to be assumed that a single amino acid-exchange does not impair the formation of the correct tertiary structure, a complex process that most likely involves proper binding and assistance by chaperones. The findings from the mutated insulin molecules therefore further support the view, that the peptide binding motifs of chaperones are not determined by strictly defined amino acid sequences but by more roughly defined peptide properties, e.g. by the hydrophobicity distribution pattern within a stretch of amino acids . In contrast, T-cell receptor-mediated peptide recognition is known to be a highly selective and largely amino acid sequence specific process. Based on these considerations it may be speculated that chaperones are able to bind defined sets of insulin peptides characterized by hydrophobic motifs. Chaperone-peptide complexes may be recognized by antigen presenting cells which perform the ultimate decision on the pathogenicity of a peptide by applying stringent, highly sequence-sensitive selection criteria during processing and re-presentation of the peptide in the context of MHC structures and co-stimulatory signals.
Further studies are warranted to analyze whether enhanced binding of proinsulin monomers or misfolded (pro)insulin to hsp70 family chaperones during periods of β-cell stress contributes to the pathogenesis of autoimmune diabetes.
Our observations indicate that the hsp70 chaperone DnaK is able to bind to three discrete regions of the proinsulin molecule which are characterized by a central hydrophobic amino acid motif flanked by regions enriched for basic amino acids. Binding occurs to 13-mer peptides and to a proinsulin molecule modified to prevent oligomerization, but not to native insulin. The three DnaK-binding regions of proinsulin, aminoacids B9-25 of the B-chain, C15-31 of the C-peptide and A6-21 of the A-chain superimpose with the three major target regions for T-cell autoimmune reactivity in autoimmune diabetes.
Purified recombinant DnaK was obtained from Stressgen, Victoria, BC, Canada. The 13-mer insulin peptides used to determine dissociation equilibrium constants were synthesized by the Peptide Synthesis Facility, Leiden University, Medical Center, Leiden, The Netherlands and the peptide NRLLLTG (NR, purity >95%) was synthesized by Chiron, Clayton, Victoria, Australia. Human insulin was provided by Novo Nordisk, Bagsvaerd, Denmark and proinsulin was provided by Lilly GmbH, Bad Homburg, Germany.
Binding of DnaK to cellulose-bound preproinsulin peptides
A set of 13-mer peptides with an eleven amino acid overlap, covering the entire sequence of human preproinsulin (110 residues) and three control peptides with known high DnaK affinity (C1: WTYNAELLVLLEN (W436 - N448 from hemagglutinin); C2: GNTLVIVTADHAH (G382 - H394 from alkaline phosphatase); C3: SHAMAPVLYLQDK (S192 - K204 from sigma 32)) were synthesized in distinct spots on a cellulose membrane with an alanine-spacer at their COOH-terminus (Jerini Bio Tools GmbH, Berlin, Germany). For DnaK binding the peptide-carrying membrane was incubated for 60 min at 25°C with 100 nM recombinant DnaK in 31 mM Tris-HCl, pH 7.6, 170 mM NaCl, 6.4 mM KCl, 0.05% (v/v) Tween 20 and 5% (w/v) sucrose.
Detection of DnaK retained by immobilized peptides
For the detection of peptide-bound DnaK the membrane was washed three times at 4°C with Tris-buffered saline (31 mM Tris-HCl, pH 7.6, 170 mM NaCl, 6.4 mM KCl) to remove unbound DnaK. Subsequently, peptide-bound DnaK was transferred onto polyvinylidene difluoride (PVDF) membranes by fractionated electroblotting in a semidry blotting unit at a constant power of 0.8 mA/cm2. The anode buffer contained Tris base and 20% (v/v) methanol and the cathode buffer (25 mM Tris base, 40 mM 6-aminohexanoic acid, 20% (v/v) methanol) was supplemented with 0.01 or 0.1% SDS. For the detection of transferred DnaK the PVDF membranes were incubated with a mouse monoclonal anti-DnaK antibody (Stressgen) for 90 min at room temperature followed by an incubation with a peroxidase-conjugated goat anti-mouse IgG antibody (Jackson Immuno Research Europe Ltd., Soham, UK) for 1 h at room temperature and the application of a chemiluminescence detection kit (ECL detection kit, Amersham Biosciences) . The intensities of the resulting signals of the individual spots were quantified by densitometric evaluation using a Lumi-Imager workstation (Roche Applied Science, Mannheim, Germany) and expressed as Luminescence Units (LU) or used to determine the progress of DnaK release during sequential electroelution.
Determination of dissociation equilibrium constants
P denoting the concentration of DnaK, L the concentration of the competing substrate (human insulin, proinsulin or selected 13-mer insulin peptides), and Kd the dissociation equilibrium constant of the DnaK•a-NR complex in the presence of ADP and inorganic phosphate.
The German Diabetes Centre is a centre for Diabetes research of the "Wissenschaftsgemeinschaft Gottfried Wilhelm Leibniz" (WGL) and associated with the Heinrich Heine University, Düsseldorf. It is funded partly by the Federal Republic of Germany and the German Federal Land North Rhine-Westphalia. Further support came from the Stiftung für medizinische Forschung und Entwicklung to P. C.
- Hartl FU, Hayer-Hartl M: Molecular chaperones in the cytosol: from nascent chain to folded protein. Science. 2002, 295: 1852-1858. 10.1126/science.1068408.PubMedView Article
- Siegenthaler RK, Grimshaw JP, Christen P: Immediate response of the DnaK molecular chaperone system to heat shock. FEBS Lett. 2004, 562: 105-110. 10.1016/S0014-5793(04)00190-5.PubMedView Article
- Lee S, Tsai FT: Molecular chaperones in protein quality control. J Biochem Mol Biol. 2005, 38: 259-265.PubMedView Article
- Malhotra JD, Kaufman RJ: The endoplasmic reticulum and the unfolded protein response. Semin Cell Dev Biol. 2007, 18: 716-731. 10.1016/j.semcdb.2007.09.003.PubMedPubMed CentralView Article
- Burkart V, Liu H, Bellmann K, Wissing D, Jäättelä M, Cavallo MG, Pozzilli P, Briviba K, Kolb H: Natural resistance of human beta cells towards nitric oxide is mediated by heat-shock protein 70. J Biol Chem. 2000, 275: 19521-19528. 10.1074/jbc.M002265200.PubMedView Article
- Rüdiger S, Germeroth L, Schneider-Mergener J, Bukau B: Substrate specificity of the DnaK chaperone determined by screening cellulose-bound peptide libraries. EMBO J. 1997, 16: 1501-1507. 10.1093/emboj/16.7.1501.PubMedPubMed CentralView Article
- Fourie AM, Sambrook JF, Gething M-JH: Common and divergent peptide binding specificities of hsp70 molecular chaperones. J Biol Chem. 1994, 269: 30470-30478.PubMed
- Chen W, Syldath U, Bellmann K, Burkart V, Kolb H: Human 60-kDa heat-shock protein: a danger signal to the innate immune system. J Immunol. 1999, 162: 3212-3219.PubMed
- Ohashi K, Burkart V, Flohé S, Kolb H: Cutting edge: heat shock protein 60 is a putative endogenous ligand of the toll-like receptor-4 complex. J Immunol. 2000, 164: 558-561.PubMedView Article
- Wang Y, Whittall T, McGowan E, Younson J, Kelly C, Bergmeier LA, Singh M, Lehner T: Identification of stimulating and inhibitory epitopes within the heat shock protein 70 molecule that modulate cytokine production and maturation of dendritic cells. J Immunol. 2005, 174: 3306-3316.PubMedView Article
- Elsner L, Flügge PF, Lozano J, Muppala V, Eiz-Vesper B, Demiroglu SY, Malzahn D, Herrmann T, Brunner E, Bickeboller H: The endogenous danger signals HSP70 and MICA cooperate in the activation of cytotoxic effector functions of NK cells. J Cell Mol Med. 2009,
- Roth S, Willcox N, Rzepka R, Mayer MP, Melchers I: Major differences in antigen-processing correlate with a single Arg71 Lys substitution in HLA-DR molecules predisposing to rheumatoid arthritis and with their selective interactions with 70-kDa heat shock protein chaperones. J Immunol. 2002, 169: 3015-3020.PubMedView Article
- Binder RJ, Srivastava PK: Essential role of CD91 in re-presentation of gp96-chaperoned peptides. Proc Natl Acad Sci USA. 2004, 101: 6128-6133. 10.1073/pnas.0308180101.PubMedPubMed CentralView Article
- Wang R, Kovalchin JT, Muhlenkamp P, Chandawarkar RY: Exogenous heat shock protein 70 binds macrophage lipid raft microdomain and stimulates phagocytosis, processing, and MHC-II presentation of antigens. Blood. 2006, 107: 1636-1642. 10.1182/blood-2005-06-2559.PubMedView Article
- Pandya MJ, Bendz H, Manzenrieder F, Noessner E, Kessler H, Buchner J, Issels RD: Interaction of human heat shock protein 70 with tumor-associated peptides. Biol Chem. 2009, 390: 305-312. 10.1515/BC.2009.038.PubMedView Article
- Jasinski JM, Eisenbarth GS: Insulin as a primary autoantigen for type 1A diabetes. Clin Dev Immunol. 2005, 12: 181-186. 10.1080/17402520500078204.PubMedPubMed CentralView Article
- Rathmann S, Rajasalu T, Rosinger S, Schlosser M, Eiermann T, Boehm BO, Durinovic-Bello I: Preproinsulin-specific CD8+ T cells secrete IFNgamma in human type 1 diabetes. Ann N Y Acad Sci. 2004, 1037: 22-25. 10.1196/annals.1337.004.PubMedView Article
- Schloot NC, Willemen S, Duinkerken G, de Vries RR, Roep BO: Cloned T cells from a recent onset IDDM patient reactive with insulin B-chain. J Autoimmun. 1998, 11: 169-175. 10.1006/jaut.1997.0183.PubMedView Article
- Wegmann DR, Norbury-Glaser M, Daniel D: Insulin-specific T cells as a predominant component of islet infiltrates in pre-diabetic NOD mice. Eur J Immunol. 1994, 7: 833-844.
- Matveyenko AV, Gurlo T, Daval M, Butler AE, Butler PC: Successful versus failed adaptation to high-fat diet-induced insulin resistance: the role of IAPP-induced beta-cell endoplasmic reticulum stress. Diabetes. 2009, 58: 906-916. 10.2337/db08-1464.PubMedPubMed CentralView Article
- Eizirik DL, Cnop M: ER stress in pancreatic beta cells: the thin red line between adaptation and failure. Sci Signal. 2010, 3: e7-View Article
- Genevaux P, Georgopoulos C, Kelley WL: The Hsp70 chaperone machines of Escherichia coli: a paradigm for the repartition of chaperone functions. Mol Microbiol. 2007, 66: 840-857. 10.1111/j.1365-2958.2007.05961.x.PubMedView Article
- Rüdiger S, Buchberger A, Bukau B: Interaction of Hsp70 chaperones with substrates. Nat Struct Biol. 1997, 4: 342-349. 10.1038/nsb0597-342.PubMedView Article
- Baker EN, Blundell TL, Cutfield JF, Cutfield SM, Dodson EJ, Dodson GG, Hodgkin DM, Hubbard RE, Isaacs NW, Reynolds CD: The structure of 2Zn pig insulin crystals at 1.5 A resolution. Philos Trans R Soc Lond B Biol Sci. 1988, 319: 369-456. 10.1098/rstb.1988.0058.PubMedView Article
- Kadima W, Roy M, Lee RW, Kaarsholm NC, Dunn MF: Studies of the association and conformational properties of metal-free insulin in alkaline sodium chloride solutions by one- and two-dimensional 1H NMR. J Biol Chem. 1992, 267: 8963-8970.PubMed
- de Crouy-Chanel A, Kohiyama M, Richarme G: Interaction of DnaK with native proteins and membrane proteins correlates with their accessible hydrophobicity. Gene. 1999, 230: 163-170. 10.1016/S0378-1119(99)00083-9.PubMedView Article
- Mayer MP, Brehmer D, Gässler CS, Bukau B: Hsp70 chaperone machines. Adv Protein Chem. 2001, 59: 1-44. full_text.PubMedView Article
- Gragerov A, Gottesman ME: Different peptide binding specificities of the hsp70 family members. J Mol Biol. 1994, 241: 133-135. 10.1006/jmbi.1994.1482.PubMedView Article
- Park JE, Facciponte J, Chen X, MacDonald I, Repasky EA, Manjili MH, Wang XY, Subjeck JR: Chaperoning function of stress protein grp170, a member of the hsp70 superfamily, is responsible for its immunoadjuvant activity. Cancer Res. 2006, 66: 1161-1168. 10.1158/0008-5472.CAN-05-2609.PubMedView Article
- Tobian AA, Canaday DH, Harding CV: Bacterial heat shock proteins enhance class II MHC antigen processing and presentation of chaperoned peptides to CD4+ T cells. J Immunol. 2004, 173: 5130-5137.PubMedView Article
- Zietara N, Lyszkiewicz M, Gekara N, Puchalka J, Dos SV, Hunt CR, Pandita TK, Lienenklaus S, Weiss S: Absence of IFN-beta impairs antigen presentation capacity of splenic dendritic cells via down-regulation of heat shock protein 70. J Immunol. 2009, 183: 1099-1109.PubMedPubMed Central
- Kinoshita G, Purcell AW, Keech CL, Farris AD, McCluskey J, Gordon TP: Molecular chaperones are targets of autoimmunity in Ro(SS-A) immune mice. Clin Exp Immunol. 1999, 115: 268-274. 10.1046/j.1365-2249.1999.00794.x.PubMedPubMed CentralView Article
- Purcell AW, Todd A, Kinoshita G, Lynch TA, Keech CL, Gething MJ, Gordon TP: Association of stress proteins with autoantigens: a possible mechanism for triggering autoimmunity?. Clin Exp Immunol. 2003, 132: 193-200. 10.1046/j.1365-2249.2003.02153.x.PubMedPubMed CentralView Article
- Abiru N, Wegmann D, Kawasaki E, Gottlieb P, Simone E, Eisenbarth GS: Dual overlapping peptides recognized by insulin peptide B:9-23 T cell receptor AV13S3 T cell clones of the NOD mouse. J Autoimmun. 2000, 14: 231-237. 10.1006/jaut.2000.0369.PubMedView Article
- Halbout P, Briand JP, Becourt C, Muller S, Boitard C: T cell response to preproinsulin I and II in the nonobese diabetic mouse. J Immunol. 2002, 169: 2436-2443.PubMedView Article
- Durinovic-Bello I, Boehm BO, Ziegler AG: Predominantly recognized proinsulin T helper cell epitopes in individuals with and without islet cell autoimmunity. J Autoimmun. 2002, 18: 55-66. 10.1006/jaut.2001.0566.PubMedView Article
- Nakayama M, Abiru N, Moriyama H, Babaya N, Liu E, Miao D, Yu L, Wegmann DR, Hutton JC, Elliott JF: Prime role for an insulin epitope in the development of type 1 diabetes in NOD mice. Nature. 2005, 435: 220-223. 10.1038/nature03523.PubMedPubMed CentralView Article
- Vandenbroeck K, Alloza I, Brehmer D, Billiau A, Proost P, McFerran N, Rüdiger S, Walker B: The conserved helix C region in the superfamily of interferon-gamma/interleukin-10-related cytokines corresponds to a high-affinity binding site for the HSP70 chaperone DnaK. J Biol Chem. 2002, 277: 25668-25676. 10.1074/jbc.M202984200.PubMedView Article
- Feifel B, Sandmeier E, Schonfeld HJ, Christen P: Potassium ions and the molecular-chaperone activity of DnaK. Eur J Biochem. 1996, 237: 318-321. 10.1111/j.1432-1033.1996.0318n.x.PubMedView Article
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