The shared susceptibility epitope of HLA-DR4 binds citrullinated self-antigens and the TCR.
Lim, J.J., Jones, C.M., Loh, T.J., Ting, Y.T., Zareie, P., Loh, K.L., Felix, N.J., Suri, A., McKinnon, M., Stevenaert, F., Sharma, R.K., Klareskog, L., Malmstrom, V., Baker, D.G., Purcell, A.W., Reid, H.H., La Gruta, N.L., Rossjohn, J.(2021) Sci Immunol 6
- PubMed: 33863750 
- DOI: https://doi.org/10.1126/sciimmunol.abe0896
- Primary Citation of Related Structures:  
6V0Y, 6V13, 6V15, 6V18, 6V19, 6V1A - PubMed Abstract: 
Individuals expressing HLA-DR4 bearing the shared susceptibility epitope (SE) have an increased risk of developing rheumatoid arthritis (RA). Posttranslational modification of self-proteins via citrullination leads to the formation of neoantigens that can be presented by HLA-DR4 SE allomorphs ...