Historical definition of Antigen. An antigen is a foreign substance that elicits the production of antibodies that specifically binds to the antigen.

Similar documents
T-cell receptor feature. Antibody/antigen interaction. Major Histocompatibility Complex. Antigen processing. Antigen presentation

The Major Histocompatibility Complex of Genes

HLA and antigen presentation. Department of Immunology Charles University, 2nd Medical School University Hospital Motol

The MHC and Transplantation Brendan Clark. Transplant Immunology, St James s University Hospital, Leeds, UK

Completing the CIBMTR Confirmation of HLA Typing Form (Form 2005)

Significance of the MHC

HLA and antigen presentation. Department of Immunology Charles University, 2nd Medical School University Hospital Motol

The Major Histocompatibility Complex (MHC)

AG MHC HLA APC Ii EPR TAP ABC CLIP TCR

Antigen Presentation to T lymphocytes

Significance of the MHC

Basic Immunology. Lecture 5 th and 6 th Recognition by MHC. Antigen presentation and MHC restriction

B F. Location of MHC class I pockets termed B and F that bind P2 and P9 amino acid side chains of the peptide

The Major Histocompatibility Complex

Significance of the MHC

Major Histocompatibility Complex (MHC) and T Cell Receptors

Key Concept B F. How do peptides get loaded onto the proper kind of MHC molecule?

Two categories of immune response. immune response. infection. (adaptive) Later immune response. immune response

How T cells recognize antigen. How T cells recognize antigen -concepts

The Major Histocompatibility Complex (MHC)

Alleles: the alternative forms of a gene found in different individuals. Allotypes or allomorphs: the different protein forms encoded by alleles

Human Leukocyte Antigens and donor selection

the HLA complex Hanna Mustaniemi,

Nomenclature. HLA genetics in transplantation. HLA genetics in autoimmunity

IMMUNOLOGY. Elementary Knowledge of Major Histocompatibility Complex and HLA Typing

10/18/2012. A primer in HLA: The who, what, how and why. What?

Profiling HLA motifs by large scale peptide sequencing Agilent Innovators Tour David K. Crockett ARUP Laboratories February 10, 2009

The Human Major Histocompatibility Complex

HLA Mismatches. Professor Steven GE Marsh. Anthony Nolan Research Institute EBMT Anthony Nolan Research Institute

The major histocompatibility complex (MHC) is a group of genes that governs tumor and tissue transplantation between individuals of a species.

General information. Cell mediated immunity. 455 LSA, Tuesday 11 to noon. Anytime after class.

2017 EFI/DGI Meeting Teaching Session I

MHC class I MHC class II Structure of MHC antigens:

BDC Keystone Genetics Type 1 Diabetes. Immunology of diabetes book with Teaching Slides

HLA and more. Ilias I.N. Doxiadis. Geneva 03/04/2012.

LESSON 2: THE ADAPTIVE IMMUNITY

T Cell Development. Xuefang Cao, MD, PhD. November 3, 2015

Helminth worm, Schistosomiasis Trypanosomes, sleeping sickness Pneumocystis carinii. Ringworm fungus HIV Influenza

Antigen Receptor Structures October 14, Ram Savan

[Some people are Rh positive and some are Rh negative whether they have the D antigen on the surface of their cells or not].

A HLA-DRB supertype chart with potential overlapping peptide binding function

IMMUNOINFORMATICS: Bioinformatics Challenges in Immunology

T Cell Development II: Positive and Negative Selection

Antigen Recognition by T cells

Antigen processing and presentation. Monika Raulf

Transplantation. Immunology Unit College of Medicine King Saud University

TCR-p-MHC 10/28/2013. Disclosures. Rheumatoid Arthritis, Psoriatic Arthritis and Autoimmunity: good genes, elegant mechanisms, bad results

HLA and disease association

Principles of Adaptive Immunity

Histocompatibility antigens

Basel - 6 September J.-M. Tiercy National Reference Laboratory for Histocompatibility (LNRH) University Hospital Geneva

Autoimmune diseases. Autoimmune diseases. Autoantibodies. Autoimmune diseases relatively common

T Cell Differentiation

COURSE: Medical Microbiology, MBIM 650/720 - Fall TOPIC: Antigen Processing, MHC Restriction, & Role of Thymus Lecture 12

ASHI Proficiency Testing Program Summary Report. Survey 2013-HT1 / HLA Typing

25/10/2017. Clinical Relevance of the HLA System in Blood Transfusion. Outline of talk. Major Histocompatibility Complex

The Adaptive Immune Response. T-cells

EBMT2008_1_21:EBMT :06 Pagina 46 * CHAPTER 3. Immunogenetics of allogeneic HSCT * 3.1. The role of HLA in HSCT. J.M.

Class I Ag processing. TAP= transporters associated with antigen processing Transport peptides into ER

SINGLE CHOICE. 5. The gamma invariant chain binds to this molecule during its intracytoplasmic transport. A TCR B BCR C MHC II D MHC I E FcγR

IMMUNOBIOLOGY, BIOL 537 Exam # 2 Spring 1997

Vaccine Design: A Statisticans Overview

Antigen presenting cells

Transplantation and Cancer

Attribution: University of Michigan Medical School, Department of Microbiology and Immunology

all of the above the ability to impart long term memory adaptive immunity all of the above bone marrow none of the above

Phase of immune response

MATCHMAKER, MATCHMAKER, MAKE ME A MATCH, FIND ME A MISMATCHED TRANSPLANT TO CATCH

Dr. Yi-chi M. Kong August 8, 2001 Benjamini. Ch. 19, Pgs Page 1 of 10 TRANSPLANTATION

The role of HLA in Allogeneic Hematopoietic Stem Cell Transplantation and Platelet Refractoriness.

Adaptive Immune System

Minimal Requirements for Histocompatibility & Immunogenetics Laboratory

HUMAN LEUCOCYTE ANTIGEN (HLA) CLASS I AND II FREQUENCIES IN SELECTED GROUPS IN LEBANON

Antigen Presentation to T lymphocytes

DEFINITIONS OF HISTOCOMPATIBILITY TYPING TERMS

Clinical Relevance of the HLA System in Blood Transfusion. Dr Colin J Brown PhD FRCPath. October 2017

T cell Receptor. Chapter 9. Comparison of TCR αβ T cells

Calculation Tables. Olerup SSP Kits without Taq Polymeras

Immunology. T-Lymphocytes. 16. Oktober 2014, Ruhr-Universität Bochum Karin Peters,

1. Overview of Adaptive Immunity

Immunology - Lecture 2 Adaptive Immune System 1

Calculation Tables. Olerup SSP Kits without Taq Polymeras

The Immune Epitope Database Analysis Resource: MHC class I peptide binding predictions. Edita Karosiene, Ph.D.

Autoimmunity. By: Nadia Chanzu, PhD Student, UNITID Infectious Minds Presentation November 17, 2011

Adaptive Immune Response Day 2. The Adaptive Immune Response

Chapter 6. Antigen Presentation to T lymphocytes

Chapter 5: Antigen Recognition by T Lymphocytes 24/04/14. Recap of chapter 3! Antigen recognition by B cells! And by T

Antigen capture and presentation to T lymphocytes

4/23/18. T cell receptor: V/D/J segments. Antibodies and T-cell receptors have a similar structure

Structure and Function of Antigen Recognition Molecules

HLA AND KIR GENE POLYMORPHISM IN HEMATOPOIETIC STEM CELL TRANSPLANTATION

Andrea s SI Session PCB Practice Test Test 3

The Immune System. These are classified as the Innate and Adaptive Immune Responses. Innate Immunity

CELL BIOLOGY - CLUTCH CH THE IMMUNE SYSTEM.

IMMUNOGENETICS AND TRANSPLANTATION

Documentation of Changes to EFI Standards: v 5.6.1

Cellular Pathology of immunological disorders

RAISON D ETRE OF THE IMMUNE SYSTEM:

HLA complex genes in type 1 diabetes and other autoimmune diseases. Which genes are involved?

Antibodies and T Cell Receptor Genetics Generation of Antigen Receptor Diversity

Transcription:

Historical definition of Antigen An antigen is a foreign substance that elicits the production of antibodies that specifically binds to the antigen.

Historical definition of Antigen An antigen is a foreign substance that elicits the production of antibodies that specifically binds to the antigen. Any substance able to provoke an immune response in the human body

Antibody structure (1)

Antibody structure (2)

Antibody structure (3)

B-cell receptor biology

Antibody structure (4)

Antigen structure (1) Hen Egg White Lysozyme 1VED

Antigen structure (1) Hen Egg White Lysozyme 1VED

Antigen structure (2) Sequential Epitope Conformational Epitope Hen Egg White Lysozyme 1VED

Antigen structure (3) Hen Egg White Lysozyme 1VED

Antigen structure (4) Hen Egg White Lysozyme 1VED

Identification of epitope in the target protein sequence (1) sequence scanning by overlapping peptides for sequential epitopes

Antigen structure (5) Hen Egg White Lysozyme 1VED

Identification of epitope in the target protein sequence (2) scanning of coupled peptide for conformational epitopes

Can we identify B-cell epitopes by using bioinformatic approaches?

Hen Egg White Lysozyme Protein sequence analysis

Reverse Vaccinology (protective antibodies)

Reverse Vaccinology (protective antibodies) Rappuoli R. Curr Opin Microbiol 2000

QUESTION TIME (1)

MHC: the Key to how T-cells see the Universe CD4+ T-Cell HLA/peptide/TCR complex CD8+ T-Cell Proteasome Ribosomes Pathogens Exogenous particles etc APC TCR HLA-class II HLA-class I

T-cell receptor feature

Different evolution of the diversity in the proteins involved in the specific T-cell response Vertebrate only No intraspecie gene variability TCR Multiple gene fragments for variable portions present in the gene Rearrangment of the variable gene portion at somatic level Large repertoire (10 18 different combinations) in each individual for the antigen recognition Antigenic peptide (MHC) HLA Strongly conserved among different phyla Large intraspecie/population variability Gene duplication Codominance of the genes for increasing the possibility of the antigen recognition (from 6 to 14 different proteins for individual in human)

Different evolution of the diversity in the proteins involved in the specific T-cell response TCR Antigenic peptide (MHC) HLA Enough large repertoire for antigen recognition... i.e. There will be always one or more TCRs capable to recognise a HLA-peptide complex and start the immune response Determine if a protein portion might be recognised as an antigen... i.e. the binding of a peptide to a MHC

MHC/peptide complex peptide MHC molecule cell membrane

The Major Histocompatibility Complex (Human Leukocyte Antigen, in Human) The Key to How T Cells See the Universe

The discovery Agglutination of the leucocytes of twins with the aid of leuco-agglutination sera Monozygotic twins Leuco-agglutination sera Au Ch Ce Le Bo Te Ro De Ds Rb Vc Ba Pu Lx P.Va - + - + + + + - + - - + + + J.Va - + - + + + + - + - - + + + E.Ro + + - - + - + - + + - + + + H.Ro + + - - + - + - + + - + + + D.Te + + + + + - - - + - + + - - B.Te + + + + + - - - + - + + - - Dizygotic twins L.Go + + - - - - - - + + - + - + V.Ro + + - - + + + - + - - + + + Dausset and Brecy, Nature, 1958 180: 1430

The discovery (2) Leuco-agglutination sera formed after blood transfusion Monospecific leuco-agglutination antibodies formed during pregnancy Family studies showing Mendelian segregation Importance in trasplantation and tests of the human transplant failures Development of microtoxicity tests (Terasaky) Computer facility for analysing multiple 2x2 c 2 tables Development of the Mixed Lymphocyte Reaction tests Studies on cousin marriage families (identified thanks to the Roman Catholic church archives) Identification of the cross-over between the different Leukocytes groups identified Idea that it was one genetic system and not different groups (like blood groups) 10 WORKSHOPS in less than 30 years!!! No patent requests and full sharing of reagents betwen groups and setting of a repository

The discovery (3) The molecular genetic of HLA Chromosome 6 HLA complex 0 Kb 6p21.3 Class I Class III Class II 4000 Kb

Map of the Human MHC from the Human Genome Project 3,838,986 bp 224 genes on chromosome 6 The MHC sequencing consortium Nature 401, 1999 http://webace.sanger.ac.uk/cgi-bin/ace/pic/6ace?name=mhc&class=map&click=400-1

Detailed Map of HLA region

Map of the HLA Complex - Microsatellites HLA-DRB1

Class I MHC heavy (a) chain genes: HLA-A, HLA-B & HLA-C HLA Class I MHC region

HLA CLASS I

CD8 T cell MHC I Cytoplasm Nucleated cell

EACH LOCUS ENCODES EITHER AN ALPHA CHAIN GENE OR A BETA CHAIN GENE Genes: TAP and proteosome components HLA class II peptide loading HLA Class II MHC region

HLA CLASS II

CD4 T cell MHC II Intravesicular Antigen presenting cell Extracellular

Differential distribution of MHC molecules Tissue MHC class I MHC class II T cells +++ +/- B cells +++ +++ Macrophages +++ ++ Other APC +++ +++ Epithelial cells of thymus + +++ Neutrophils +++ - Hepatocytes + - Kidney + - Brain + - Erythrocytes - -

Genes: TNF, C2, C4, factor B, etc. HLA Class III MHC region

WHAT TYPES OF GENES ARE ENCODED BY THE MHC? The MHC basically contains 3 types of genes: Type of gene MHC region Function Class I MHC Class I region Peptide presentation to CD8 T cells Class II MHC Class II region Peptide presentation to CD4 T cells Class III MHC Class III region Multiple: do not involve antigen presentation examples: genes for C4, C3, factor B (Bf)

HLA characteristics - Polygenic: many genes: - HLA-A, -B, -C; HLA-DR, -DP, -DQ

HLA (genetic products)

HLA characteristics - Polygenic: many genes: - HLA-A, -B, -C; HLA-DR, -DP, -DQ - Codominance: - both paternal and maternal genes are expressed

Diversity of MHC molecules in the individual DP DQ DR a a 1 a B C A Polygeny HAPLOTYPE 1 DP DQ DR a a 1 a B C A Variant alleles polymorphism HAPLOTYPE 2 DP DQ DR a a 1 a B C A Additional set of variant alleles on second chromosome MHC molecules are CODOMINANTLY expressed Two of each of the six types of MHC molecule are expressed Genes in the MHC are tightly LINKED and usually inherited in a group The combination of alleles on a chromosome is an MHC HAPLOTYPE

HLA characteristics - Polygenic: many genes: - HLA-A, -B, -C; HLA-DR, -DP, -DQ - Codominance: - both paternal and maternal genes are expressed - Polyallelic: many gene alleles at each locus (e.g., HLA-B) - HLA-B8, HLA-B15, HLA-B27 - Polymorphic: the HLA molecules are highly polymorphic (variations in primary amino acid sequence) as a consequence of polyallelism

A. HLA-A D. HLA-DP B. HLA-B E. HLA-DQ C. HLA-C F. HLA-DRB1

Map of the genes in the HLA Database http://www.anthonynolan.org.uk/hig/data.html April 2003 update

Number of HLA antigens/alleles identified over the years http://www.anthonynolan.org.uk/hig/data.html April 2003 update

HLA antigens (serological variants) identified HLA-A HLA-B HLA-C HLA-DR HLA-DQ HLA-DP A1 B7 Cw1 DR1 DQ5(1) DPw1 A2 B8 Cw2 DR15(2) DQ6(1) DPw2 A3 B13 Cw3 DR16(2) DQ2 DPw3 A11 B14 Cw4 DR3 DQ7(3) DPw4 A23(9) B15 Cw5 DR4 DQ8(3) DPw5 A24(9) B18 Cw6 DR11(5) DQ9(3) DPw6 A25(10) B27 Cw7 DR12(5) DQ4 A26(10) B35 Cw8 DR13(6) A29(19) B37 Cw9 DR14(6) A30(19) B38(16) Cw10 DR7 A31(19) B39(16) DR8 A32(19) B40 DR9 A33(19) B41 DR10 A34(10) B42 DR52 A36 B44(12) DR53 A43 B45(12) DR51 A66 B46 A68(28) B47 A69(28) B48 A74(19) B49(21) B50(21) B51(5) B52(5) B53 B54(22) B55(22) B56(22) B57(17) B58(17) B59 B67 B73 B78

Number of HLA alleles in the HLA/IMGT database Class I A B C E F G H J K L 274 519 133 6 1 15 0 0 0 0 Class II DRA DRB DQA1 DQB1 DPA1 DPB1 DMA DMB DOA DOB 3 404 24 53 20 103 4 6 8 8 HLA-DR DRB1 DRB2 DRB3 DRB4 DRB5 DRB6 DRB7 DRB8 DRB9 TOT 329 1 38 12 17 3 2 1 1 404 Other non-hla genes MICA MICB MICC MICD MICE TAP1 TAP2 LMP2 LMP7 55 0 0 0 0 6 4 0 0 http://www.anthonynolan.org.uk/hig/data.html April 2003 update

Nomenclature for factors of HLA alleles Nomenclature HLA HLA-DRB1 HLA-DRB1*13 HLA-DRB1*1301 HLA-DRB1*1301N HLA-DRB1*130102 Indicates the HLA region and prefix for an HLA gene a particular HLA locus, i.e. DRB1 a group of alleles encoding the DR13 specificity a specific HLA allele a null allele an allele which differ by a synonymous mutation HLA-DRB1*13010102 an allele which contaning a mutation outside the coding region HLA-DRB1*13010102N a null allele contaning a mutation outside the coding region HLA-DRB1*13010103L an allele contaning a mutation outside the coding region which leads to a lower level of expression By default: HLA-DRB1*13010101

How diverse are HLA molecules in the population? IF each individual had 6 types of MHC the alleles of each MHC type were randomly distributed in the population any of the about 2000 alleles could be present with any other allele ~2 x 10 32 unique combinations In reality MHC alleles are NOT randomly distributed in the population Alleles segregate with lineage and race Group of alleles HLA-A1 HLA- A2 HLA- A3 HLA- A28 HLA- A36 Frequency (%) CAU AFR ASI 15.18 28.65 13.38 4.46 0.02 5.72 18.88 8.44 9.92 1.88 4.48 24.63 2.64 1.76 0.01

x x x x Secondary Hot-spots of recombination Primary Hot-spots of recombination

HLA ancestral haplotypes Based on: - the full HLA class I and II typing, - microsatellite analysis on class III region (in particular the area of the TNF genes), 53 ancestral haplotype in the HLA genomic region has been identified. Each one include the HLA-B and C and TNF variants They could/couldn t include the HLA-A and/or DR and DQ alleles Nomenclature are based on HLA-B serotype The most frequents are present in >1-3% population i.e. Ancestral Haplotype 8.1: HLA-A1; -Cw7, -B8, TNFA2, DRB1*0301 and DQB1*0201

HLA-DR haplotypes expressed genes pseudogenes

Inheritance of MHC haplotypes DP-1,2 DQ-3,4 DR-5,6 B-7,8 C-9,10 A-11,12 DP-9,8 DQ-7,6 DR-5,4 B-3,2 C-1,8 A-9,10 Parents DP DQ DR DP DQ DR X DP DQ DR DP DQ DR B C B C B C B C A A A A Children DP-1,9 DQ-3,7 DR-5,5 B-7,3 C-9,1 A-11,9 DP-1,8 DQ-3,6 DR-5,4 B-7,2 C-9,8 A-11,10 DP-2,8 DQ-4,6 DR-6,4 B-8,2 C-10,8 A-12,10 DP-2,9 DQ-4,7 DR-6,5 B-8,3 C-10,10 A-12,9 DP DQ DR DP DQ DR DP DQ DR DP DQ DR DP DQ DR DP DQ DR DP DQ DR DP DQ DR B C B C B C B C B C B C B C B C A A A A A A A A

Haplotype HLA identical (share both haplotypes)

Haplotype HLA haploidentical ( half -identical; share one haplotype)

Haplotype HLA nonidentical no shared haplotypes)

Which is the functional role of the polymorphisms of HLA molecules?

RIBBON DIAGRAM: PEPTIDE WITHIN THE GROOVE FOR CLASS I MHC SPACE-FILLING DIAGRAM: PEPTIDE WITHIN THE GROOVE FOR CLASS I MHC

Class I MHC

Class I MHC

Class I MHC

Interaction between HLA class I and peptide Pocket B Pocket F HLA classe I

RIBBON DIAGRAM: PEPTIDE HANGS OUT OF THE GROOVE (CLASS II MHC) SPACE-FILLING DIAGRAM: PEPTIDE HANGS OUT OF THE GROOVE (CLASS II MHC)

Interaction between HLA class II and peptide P1 P4 P6 P9 HLA classe II

Class II MHC

Class II MHC

Class II MHC

HLA polymorphisms (1) +0.7 A. HLA-DP2(E69) -0.7 +0.7 B. HLA-DP2K69-0.7 Berretta et al 2003.

HLA polymorphisms (2) HLA-DP2 P4 affinities HLA-DP2k69 P4 affinities V T S P L I D (WT) A Y W R Q N M K H G F E C V T S G C Y W R Q P N M L K I H F E D A (WT) 0.01 0.1 1 10 100 IC 50 M 0.01 0.1 1 10 100 IC 50 M Position P4 of HLA-DP2 preferentially bind polar, aromatic or positive charged residues. Posizione P4 of HLA-DP2k69 bind preferentially only aromatic residues. Berretta et al 2003.

HLA supertypes HLA alleles sharing the peptide binding motif perform the same work and are grouped in a supertype Nine HLA-class I supertypes have been identified: A1, A2, A3, A24, B7, B27, B44, B58 and B62 Nine HLA-DR supertypes have been identified: 1, 3, 4, 7, 8, 11, 13, 15, 51 Four HLA-DP supertypes have been identified: 2, 3, 4, 9

Non-self Individual peptides derived from a pathogen Simplistic model for HLA molecules encoded by a single chr.: 1 st set of 3 ellipses: potential epitopes presented to CD8 T cells 2 nd set of 4 ellipses: potential epitopes presented to CD4 T cells Being polygenic & polyallelic: many peptides can be presented to CD4 T cells and CD8 T cells

For the human population: ~all peptides can be presented to CD4 T cells and CD8 T cells Non-self Potential presentation of any pathogen that contains peptides or proteins!

QUESTION TIME (2)

Identification of T-cell microbial antigens by reverse immunogenetic

HLA molecules are peptide binding molecules Pocket B Pocket F P1 P4 P6 P9 HLA class I HLA class II

HLA-A*0201 HLA-A*1101 ANCHOR AMINOACIDS ANCHOR AMINOACIDS Adapted from Janeway et al., Immunobiology (2001)

HLA-DRB*0404 SECONDARY ANCHOR AMINOACIDS PRIMARY ANCHOR AMINOACIDS PEPTIDE CORE Adapted from Janeway et al., Immunobiology (2001)

Peptide binding motif analysis (1) (qualitative) HLA class I Class I X[LM]XXXXXXX[VL] A*0201 Class I X[LM]XXXXX[VL] A*0201 Class I X[LM]XXXXXX[VL] A*0201 Class I X[L]XXXXXXX[LV] A*0202 Class I X[L]XXXXXX[LV] A*0202 Class I X[L]XXXXX[LV] A*0202 Class I X[L]XXXXXXX[L] A*0204 Class I X[L]XXXXXX[L] A*0204 Class I X[L]XXXXX[L] A*0204 Class I X[VLIMQ]XXXXXX[L] A*0205 Class I X[VLIMQ]XXXXXXX[L] A*0205 Class I X[VLIMQ]XXXXX[L] A*0205 HLA class II Class II [IL]XX[N]X[AS]XX[IL] DRB3*0301 Class II [W]XX[VK]X[DS]XX[N] DRB1*0407 Class II [FY]XX[A]X[NT]XX[Q] DRB1*0407 Class II [A]XX[A]XXXX[T] DRB1*1302 Class II [V]XX[M]X[K]XXX DRB1*1302 Class II XXX[Y]XXXXX DRB1*1302 Class II [I]XX[I]XX[V]XX Class II [L]XX[F]XX[I]XX Class II [V]X[A]XXXXX[V] Class II [IL]XX[L]X[R]XX[Y] Class II [V]XX[V]X[K]XX[F] DRB1*1501 DRB1*1501 DRB1*1201 DRB1*1301 DRB1*1301 Class II [MV]XXX[MY]XX[MV]X DPB1*0201 Class II [FL]XXX[FL]XX[IA]X DPB1*0201

Peptide binding motif analysis (2) ( quantitative ) Amicosante M. Sarcoidosis Dif. Lung Dis. 2008

( 3 ) analysis Peptide binding motif 1 3 2 Seghrouchni F., Berretta F., Amicosante M.; Curr. Pharmacogen. 2005

Pathogen genome Pathogen proteome Pathogen immunome Portion of pathogen derived pepetides recognised by HLA molecules Subject s pathogen immunome (i.e. Pathogen epitopes recognised by the combination of the subject s ( molecules HLA