A critical event in an immune response is the T cell recognition of pe
ptides bound to major histocompatibility complex (MHC) molecules on th
e surface of an antigen presenting cell (APC). Although the majority o
f eukaryotic proteins are glycosylated, it has not yet been shown that
T cell recognition of such proteins involves recognition of the bound
carbohydrates. Type II collagen (CII), the major protein constituent
of joint cartilage, is posttranslationally modified by hydroxylation a
nd glycosylation of lysines. In this report we show that posttranslati
onal modifications of the immunodominant peptide CII(256-270) generate
a structural determinant that is distinct from the determinant repres
ented by the corresponding synthetic peptide. Elimination of carbohydr
ates, present on CII, by two different biochemical methods revealed th
at the carbohydrates, O-linked to the hydroxylysines within the CII(25
6-270) determinant, were crucial for the reactivity towards the posttr
anslationally modified peptide. Furthermore, a T cell hybridoma specif
ic for the glycosylated determinant was stimulated by tryptic CII-pept
ides presented by fixed APCs, thus showing that the carbohydrates are
involved in the trimolecular complex T cell receptor/peptide/MHC. Fina
lly, the importance of the bound carbohydrates for the arthritogenicit
y of CII was investigated by comparing the development of arthritis af
ter immunization with carbohydrate-depleted and glycosylated CII, resp
ectively. Incidence, time of onset, and severity of the disease were s
ignificantly affected by the elimination of carbohydrates, whereas no
significant difference in anti-CII antibody titers was seen.