A. Bertoletti et al., NATURAL VARIANTS OF CYTOTOXIC EPITOPES ARE T-CELL RECEPTOR ANTAGONISTS FOR ANTIVIRAL CYTOTOXIC T-CELLS, Nature, 369(6479), 1994, pp. 407-410
IT has been suggested that mutations within immunodominant cytotoxic T
-lymphocyte (CTL) epitopes may be exploited by viruses to evade protec
tive immune responses critical for clearance(1-4). Viral escape could
originate from passive mechanisms, such as mutations within crucial CT
L epitopes, either affecting major histocompatibility complex binding
or T-cell antigen receptor (TCR) recognition. Additionally, it has rec
ently been shown that substitutions of TCR contact sites can yield ana
logue peptides that can still interact with the T-cell receptor but be
unable to deliver a full stimulatory signal, thus inducing anergy(5)
or acting as an antagonist for the TCR(6-8). We report here that hepat
itis B virus isolates derived from two chronically infected patients d
isplay variant epitopes that act as natural TCR antagonists with the c
apacity to inhibit the CTL response to the wild-type epitope. During n
atural infection, TCR antagonist mutations of CTL epitopes could contr
ibute to the development of viral persistence, especially if the antiv
iral CTL response is monospecific or the epitope is strongly immunodom
inant.