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A dendritic cell population responsible for transglutaminase 2–mediated gluten antigen presentation in celiac disease
Fu-Chen Yang, … , Bana Jabri, Chaitan Khosla
Fu-Chen Yang, … , Bana Jabri, Chaitan Khosla
Published August 28, 2025
Citation Information: JCI Insight. 2025;10(19):e196102. https://doi.org/10.1172/jci.insight.196102.
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Research Article Gastroenterology

A dendritic cell population responsible for transglutaminase 2–mediated gluten antigen presentation in celiac disease

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Abstract

In celiac disease (CeD), a gluten-dependent autoimmune disorder, transglutaminase 2 (TG2), deamidates selected glutamine residues in gluten peptides, while HLA-DQ2 presents deamidated antigens to inflammatory T cells. The cellular sources of pathogenic TG2 and DQ2 are unclear. Using chemical biology tools, we show that intestinal CD103+ dendritic cells (DCs) couple cell-surface TG2 to the endocytic LRP1 receptor to simultaneously deamidate gluten antigens and concentrate them in lysosomes. In DQ2-transgenic mice, CD103+ DCs loaded with deamidated antigens migrate from intestinal lamina propria and Peyer’s patches into mesenteric lymph nodes, where they engage T cells. In turn, gluten antigen presentation upregulates intestinal TG2 activity. The tool (HB-230) used to establish a role of CD103+ DCs in gluten antigen presentation and TG2 activation in mice also revealed that the TG2/LRP1 pathway is active in human CD14+ monocytes. Within this population of circulating monocytes, a DC subset with the gut-homing β7-integrin marker is elevated in patients with CeD with active disease compared with nonceliac controls or patients on a gluten-free diet. Our findings not only inform the cellular basis for gluten toxicity in CeD, but they also highlight the immunologic role of an enigmatic protein of growing therapeutic relevance in CeD and other immune disorders.

Authors

Fu-Chen Yang, Harrison A. Besser, Hye Rin Chun, Megan Albertelli, Nielsen Q. Fernandez-Becker, Bana Jabri, Chaitan Khosla

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Figure 4

CD103+ DCs present gluten peptides in MLN in an HLA-DQ2–restricted manner.

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CD103+ DCs present gluten peptides in MLN in an HLA-DQ2–restricted manne...
DR3.DQ2 mice were orally dosed with 10 mg/kg of HB-298 (a fluorescent analog of an immunodominant 33 mer gluten peptide harboring multiple epitopes recognized by HLA-DQ2) either 2 or 24 hours prior to sacrifice. After euthanasia, mesenteric lymph nodes (MLNs) and Peyer’s patches (PP) were collected, snap-frozen, and stained with antibodies. (A and B) MLN and PP from DR3.DQ2 mice following HB-298 administration were costained with antibodies targeting CD103 (magenta) and HLA-DQ2 (SPV-L3, green). White arrows indicate HB-298 labeling of DQ2+CD103+ DCs. A focal image showed HB-298 colocalized with HLA-DQ2 (shown in yellow) (A). Quantification of labeled cells from MLN and PP confirmed that, whereas the prevalence of HB-298–labeled cells remain unchanged in the MLN at the 24-hour time point, analogously labeled cells in the PP had migrated out of this compartment by 24 hours. (C and D) CD11c+ and CD11c– cells isolated from the MLNs of DR3.DQ2 and TG2-KO mice were incubated with 2 μM of HB-230 or HB-298 for 90 minutes. (C) Thereafter, MLN cells from DR3.DQ2 mice were stained with antibodies against HLA-DQ2 (SPV-L3, green), while cells from TG2-KO mice were stained with antibodies against mouse MHCII (I-A/I-E, green). Cell-surface gluten peptide presentation (indicated by a yellow cell boundary) was noted in HB-298–treated CD11c+ cells from DR3.DQ2 mice but not in HB-230–treated cells or in TG2-KO mice. (D) HB-298–treated MLN cells from DR3.DQ2 mice were also stained with anti-CD103 (green, upper panel) or anti-DQ2 (SPV-L3, green, lower panel) antibodies in CD11c+ cells from MLNs of DR3.DQ2 mice. Here, too, strong antigen presentation by CD103+ DCs was noted. Representative images were captured using a confocal microscope at 40× magnification. Data represent mean ± SEM.

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