1. Chapter 5 Major Histocompatibility Complex
PartⅠ Several important concepts
PartⅡ Composition of HLA complex
PartⅢ Molecular structure and distribution of HLA
PartⅣ Interaction of MHC molecules and antigen peptide
PartⅤ Biological functions of MHC
PartⅥ Application of HLA in medicine

2. PartⅠ Several important concepts
Transplantation antigen(Histocompatibility antigen): Antigens which cause immune response to the graft and determine the survival of the graft.They are alloantigen which is specific for each individual.

3. MHS(Major histocompatibility antigen system )：
A group of complex histocompatibility antigens which cause rapid and strong immunoreaction to the graft.
mHS(Minor histocompatibility antigen system)：
A group of complex histocompatibility antigens which cause slow and weak immunoreaction to the graft.

4. MHC (Major histocompatibility complex)：
A large cluster of linked genes located in some chromosome of human or other mammals encode for MHS and relate to allograft rejection, immune response, immune regulation and cell-cell recognition.

5. HLA (Human leucocyte antigen)：
The MHS of human which is associated with allograft rejection, immune response, immune regulation and cell-cell recognition.
HLA complex：
The MHC of human,a cluster of the genes which encode for HLA and relate to allograft rejection
immune response, immune regulation and cell-cell recognition.

6. H-2 complex: The MHC of mouse (chromsome 17)

7. PartⅡ Composition of HLA complex
HLA complex is located on chromosome 6 and divided into three regions
Class II
Class III
Class I
DP DQ DR C4B C4A Bf C2 HSP TNF B C E A F G
RING DP DM LMP2 LMP DQ DR
B2 A2 B1 A A B TAP1 TAP B2 A2 B3 B1 A B* A
第六对 染色体

8. Ⅰ. ClassⅠgene region Ⅱ. Class Ⅱ gene region Ⅲ. Class Ⅲ gene region
Classical HLA classⅠgenes HLA-A,B,C
Non-classical HLA classⅠgenes-----HLA-E,F,G
MHC classⅠ chain related genes
Ⅱ. Class Ⅱ gene region
Classical HLA classⅡ genes---HLA-DP,DQ,DR
Genes associated with antigen processing
Ⅲ. Class Ⅲ gene region
Complement genes-----C4,C2,Bf
Inflammation-associated genes----TNF,HSP70

9. Ⅰ. Class Ⅰ gene region Classical HLA class Ⅰ genes ------HLA-A,B,C
Participate in endogenous antigen presenting and immune regulation.

10. 2. Non-classical HLA classⅠ genes
----HLA-E,F,G
Participate in immune regulation
Associated with maternal-fetal immune tolerance.
3. MHC classⅠchain-related genes(MIC)
MICA,MICB,MICC,MICD,MICE
Associated with cytotoxicity effect of NK cell.

11. Ⅱ. Class Ⅱ gene region
1. Classical class Ⅱ genes----HLA-DP,DQ,DR Participate in exogenous antigen presenting and immune regulation.

12. 2. Genes associated with antigen processing
The genes associated with endogenous
antigen-processing and presenting
TAP（Transporter associated with antigen processing,抗原加工相关转运体）
LMP（Large multifunctional proteasome,巨大多功能蛋白酶体）or （ low molecular weight polypeptide 低分子量多肽）

13. (2) The genes associated with exogenous
antigen-processing and presenting
HLA-DM----Processing and presenting of exogenous Ag
HLA-DO----Inhibit the function of HLA-DM

14. Ⅲ. Class Ⅲ gene region
1. Encoded genes of complement C4B,C4A,Bf,C2

15. 2. TNF genes family
3. Heat-shock protein(HSP) genes family

16. PartⅢ Molecular structure and distribution of HLA molecules

17. Ⅰ. Molecular Structure of HLA molecules
1. Class Ⅰ HLA molecules
(1)Class Ⅰ HLA molecules contain two separate polypeptide chains
HLA-encoded alpha (or heavy) chain
Non-HLA-encoded beta chain (beta2 microglobulin,β2m)---15 chromosome
(2) Only alpha chain is trans-membrane
HLA

18. (3) Class Ⅰ HLA molecules have four regions
Peptide binding region----α1, α2
IgSF region----α3, β2m
Trans-membrane region
Cytoplasmic region

20. (4) Function of each domain
1 and 2 domains: Interact to form a peptide-binding region which is a groove(cleft) having a "floor"of 8 beta-pleated strands and two "walls" with alpha-helices.
( Containing a peptide of aa in the groove)

22. 3 domain: Binding to CD8 on Tc cells
2 microglobulin domain: To maintain proper conformation of class Ⅰ HLA molecules.
Trans-membrane region: Anchoring class Ⅰ HLA molecules
Intra-membrane region: Transmitting the signal

24. 2. Class Ⅱ HLA molecules
(1) Class Ⅱ HLA molecules consist of a non-covalent complex of two chains:  and .
(2) Both  and  chain span the membrane.
(3) Both  and  chain are HLA-encoded
HLA

25. (4) Class Ⅱ HLA molecules have four regions
Peptide binding region----α1, β1
IgSF region----α2, β2
Trans-membrane region
Cytoplasmic region

27. (5) Function of each domain
α1 and 1: Interact to form the peptide-binding region which is a groove having a "floor" of 8 beta-pleated strands and two "walls" with alpha-helices.
(Containing a peptide of 10-30aa in the groove)

29.  2 and  2 domain : Form the immunoglobulin-like region.
 2 domain can bind to CD4 on Th cells
Trans-membrane region: Anchoring class Ⅱ HLA molecules
Intra-membrane region: Transmitting the signal

30. β α

31. Ⅱ. Distribution of HLA molecules
1.Class Ⅰ HLA molecule: Expressed on nucleate cells 2.Class Ⅱ HLA molecule Expressed on professional antigen-presenting cell(macrophage, dentritic cell and B cell), activated T cell, thymus epithelial cell et al. 3.sHLA

32. PartⅣ Interaction between MHC molecule and antigenic peptide
Class I MHC molecule -antigenic peptide complex
Class II MHC molecule-antigenic peptide complex

33. Ⅰ. Molecular basis of interaction between MHC molecule and antigenic peptide

34. Interaction between MHC and antigen
Anchor sites: Two or more sites on antigenic peptide bind to “groove” or “pocket” of MHC molecules.
Anchor residues: The amino acid residues on anchor sites of antigenic peptide.

35. Antigenic peptides which can combine with
Interaction between MHC and antigen
Certain MHC molecule binds the corresponding anchor residue of antigenic peptides.
Antigenic peptides which can combine with
the same kind of MHC molecule have same or similar anchor sites and anchor residues
(consensus motif).

38. Ⅱ. Characteristics of interaction
Relative specificity
(1) Specificity:
Certain MHC molecule recognizes corresponding consensus motif
(2) Flexibility:
Amino acids “x” and anchor residues are variable
Different MHC molecules can recognize similar consensus motif

39. MHC restriction:
T cell only recognize antigenic peptide combining with MHC molecules.
That is to say, interaction of T cell and antigen-presenting cell(APC) or target cell need restriction by MHC molecules.

40. Interaction of Th(CD4+T) cell and antigen-presenting cell (APC) is restricted by class Ⅱ molecules.
Interaction of Tc(CD8+T) cell and antigen-presenting cell (APC) or target cell is restricted by class Ⅰ molecules.

41. CD8+T cell(Tc) CD4+T cell(Th) T cell Receptor Peptide MHC Class II
Antigen Presenting
Cell
CD4
CD8

43. PartⅤ Biological functions of MHC
1.Induce the differentiation and maturation of T cell to form functional T cell repertoire 2.Present antigen to initiate immune response

44. 1.Induce the differentiation of T cell to form T cell repertoire

45. 2. Present antigen to initiate immune response
Endogenous antigen: antigens synthesized within cells
Exogenous antigen: antigens comes outside the cell
Endogenous Ag is presented to CD8+ T cell by MHC class Ⅰ molecule
Exogenous Ag is presented to CD4+ T cell by MHC class Ⅱ molecule

46. CD8+T cell

47. CD4+T cell

48. PartⅥ Application of HLA in medicine
HLA and transplantation

49. MLR
Mixed lymphocyte reaction to determine identity of class II HLA antigens between a potential donor and recipient.
Lymphocytes from the donor are irradiated or treated with mitomycin C. If the class II antigens on the two cell populations are different, the recipient cells will divide rapidly and take up large quantities of radioactive nucleotides into the newly synthesized nuclear DNA. The amount of radioactive nucleotide uptake is roughly proportionate to the MHC class II differences between the donor and recipient lymphocytes.

50. Some diseases are associated with HLA genotypes

51. HLA and forensic medicine:
Paternity testing
Criminal investigation