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Antigen Presentation Secondary article to Lymphocytes Article Contents iyang Wang,Chiba Cancer Center Research Institute Chibo.lapan Takeshi Watanabe,Medical nstituteof ireultion,Kyush University,Fukuoka,opon Antigen presentation to Tand B lymphocytes by antigen-presenting cells plays a central role in the initiation and regulation of adaptive immune responses. Activation versus Nonactivation Antigen-presenting Cells reinfection with the same pathogen.This type of imm d Antigen presentation is an essential step in the initiation of their cell surfaces that bind foreign antigens B cells can r dendriti D8zahentgeuathernouioeopm8cmlbag (MHC)-independent anner.T lym cdiators to inctivate extraceather iators to inact the antigen-derived peptide fragments bound to MHC mole niereativelyhort peptde pred AP culs on th suc ofpoaise ion th Thus,antigens recognized by Tcells are usually processed s are n APCs prior to their presentation There are severa and Bcells.andare found in the skin.bone easons wny It is ad nodes,spleen and thymus.Depending on the nature of the APCs leads to physical contact between T cells and APCs antigen and the mode of ntigen presentation, APCs which allows reciprocal activation through costimulatory Tcells acquire the ability immune responses such as allergy and autoimmunity. stage of pathogen invasion before substantial replication of microorganisms can occur inside the host cells. Requirement for Antigen Presentation ls can result in the Innate immunity replication and expansion of intracellular pathogens In addition,recognition of short peptides instead of native The parasitic and bacterial infections include physical barriers Ws I cells to det tmore diversified antigen not normally expos to pathogen invasion.recognition of bacterial cell wall e prot polysacchari that activate the alternate com ction ded mes.These nonclonal immune responses (innate immu- Presentation to T Cells nity),which are the important first line of host defence hanisms do not discr more m cells can be divided into two major populations:a subse carrying the CD CD own as he prevent reinfection by the same pathogen. (CTLs).Aetivation of CD help ells in results in humoral immune responses which are associated Adaptive immunity gens by B cells I nese anub ze an resistance to the pathogen and greater responses upon facilitate phagocytosis,or by inducing eosinophilic in- ENCYCLOPEDIA OF LIFE SCIENCES/001 Nature Publishing Group/www.els.net 1

Antigen Presentation to Lymphocytes Jiyang O Wang, Chiba Cancer Center Research Institute, Chiba, Japan Takeshi Watanabe, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan Antigen presentation to T and B lymphocytes by antigen-presenting cells plays a central role in the initiation and regulation of adaptive immune responses. Antigen-presenting Cells Antigen presentation is an essential step in the initiation of clonal immune responses against viral, parasitic and bacterial invasion. While B cells directly recognize native antigens in solution or presented by follicular dendritic cells (FDCs) in a major histocompatibility complex (MHC)-independent manner, T lymphocytes recognize antigen-derived peptide fragments bound to MHC molecules on the surface of ‘professional’ antigen-presenting cells (APCs). APCs are a heterogeneous population that includes Langerhans cells, macrophages, dendritic cells and B cells, and are found in the skin, bone marrow, lymph nodes, spleen and thymus. Depending on the nature of the antigen and the mode of antigen presentation, APCs function to activate immunologically competent T cells, and delete or anergize self-reactive T cells. Thus, dysfunction of antigen presentation may cause disregulated immune responses such as allergy and autoimmunity. Requirement for Antigen Presentation Innate immunity The primitive host defence mechanisms against viral, parasitic and bacterial infections include physical barriers to pathogen invasion, recognition of bacterial cell wall polysaccharides that activate the alternate complement pathway, and induction of type I interferons (IFN) by double-stranded ribonucleic acid (RNA) viral genomes.These nonclonal immune responses (innate immunity), which are the important first line of host defence mechanisms, however, do not discriminate between different pathogens and, more importantly, fail to induce the immunological memory that functions to effectively prevent reinfection by the same pathogen. Adaptive immunity Unlike the nonclonal immune responses (innate immunity), clonal adaptive immunity is characterized by specific resistance to the pathogen and greater responses upon reinfection with the same pathogen. This type of immune response is primarily dependent on the function of T and B lymphocytes, which express specific antigen receptors on their cell surfaces that bind foreign antigens. B cells can recognize native antigen, either in solution or presented by FDCs, and secrete specific antibodies which are effective mediators to inactivate extracellular pathogens. Rather than recognizing soluble antigens, T lymphocytes recognize relatively short antigenic peptides presented by APCs. Thus, antigens recognized by T cells are usually processed in APCs prior to their presentation. There are several reasons why it is advantageous for lymphocytes to recognize presented antigen. Recognition of antigen on APCs leads to physical contact between T cells and APCs, which allows reciprocal activation through costimulatory molecules. T cells acquire the ability to recognize antigenic peptides derived from cytosolic proteins, which permits T cells to detect intracellular pathogen infection at an early stage of pathogen invasion before substantial replication of microorganisms can occur inside the host cells. Recognition of peptide fragments by T cells can result in the killing of infected cells or increased resistance to pathogen infection of host cells, thereby preventing the replication and expansion of intracellular pathogens. In addition, recognition of short peptides instead of native antigen allows T cells to detect more diversified antigenic residues of pathogen origin that are not normally exposed on the surface of the native proteins. Presentation to T Cells T cells can be divided into two major populations: a subset carrying the CD4 antigen, known as helper T cells, and a subset carrying the CD8, antigen, termed cytotoxic T cells (CTLs). Activation of CD4 1 helper T cells in general results in humoral immune responses which are associated with the production of specific antibodies against pathogens by B cells. These antibodies effectively neutralize and eliminate foreign antigens, either by activating complement and binding to FcgR receptors on macrophages to facilitate phagocytosis, or by inducing eosinophilic inArticle Contents Secondary article . Antigen-presenting Cells . Requirement for Antigen Presentation . Presentation to T Cells . Presentation to B Cells . Anatomical Sites of Presentation . Activation versus Nonactivation ENCYCLOPEDIA OF LIFE SCIENCES / & 2001 Nature Publishing Group / www.els.net 1

flammation. Activation of CD8 1 T cells results in cellmediated immunity which is associated with the activation of CTLs that kill pathogen-infected cells. CTLs also render host cells resistant to viral infection and/or replication by secretion of cytokines such as tumour necrosis factor a (TNFa) and IFNg. Presentation of antigen by class I and class II MHC CD8 1 CTLs recognize peptide fragments bound to class I MHC molecules, whereas CD4 1 helper T cells recognize them in association with class II MHC molecules (Figure 1a,b). Activation of cytotoxic and helper T cells, therefore, depends upon whether antigenic peptides are presented by class I or class II MHC molecules. It has been generally accepted that antigens derived from pathogens that reside intracellularly (endogenously) are usually presented to CD8 1 CTLs in the context of class I MHC molecules. Presentation of endogenous antigens allows to the detection and destruction of pathogen-infected cells at an early stage of pathogen invasion before substantial replication of microorganisms can take place inside the host cells. On the other hand, extracellular antigens are usually taken up by endocytolytic pathways of APCs and presented to CD4 1 helper T cells by class II MHC molecules. The molecular mechanisms of antigen presentation by class I and class II MHC molecules are quite different. Presentation of endogenous cytosolic proteins by class I MHC molecules is mediated by a multicatalytic protease known as the proteasome. The translocation and binding of antigenic peptides to class IMHC molecules requires the transporter associated with antigen processing (TAP) (Koopmann et al., 1997). In contrast, class II MHC molecules present antigenic peptides derived from antigens internalized through the endocytic pathway. The assembly and the translocation of class II MHC molecules, and the binding of antigen to class II MHC depend on the function of the invariant chains (Pieters, 1997). Presentation of exogenous antigens by class I MHC Although in general, pathogen-encoded proteins produced inside an infected cell are presented in association with class I MHC molecules, exogenous antigens can also be presented by class I MHC molecules, especially when pathogen-encoded antigens are only expressed in nonhaematopoietic cells (Sigal et al., 1999). These nonhaematopoietic cells, due to their low level of class I MHC expression and/or lack of costimulatory molecules, are unable to prime the antigen-specific CTLs. In this case, it appears that bone marrow-derived APCs acquire antigens exogenously and present the antigenic peptides to prime CTLs. Once the CTLs are activated, they can kill the viralinfected nonhaematopoietic cells. A potential source of the viral antigen may be virus-infected dead cells. Bone marrow-derived APCs may acquire viral antigens by phagocytosis of such dead cells and import them into the exogenous MHC class I pathway (Sigal et al., 1999). Antigen presentation by CD1 molecules In addition to MHC class I and II molecules, a novel lineage of antigen-presenting molecules, CD1, has recently been identified. CD1 molecules present lipid and glycolipid antigens to certain T-cell subpopulations including natural killer (NK) T cells and gd T cells (Figure 1c). Although structurally more closely related toMHC class I molecules, CD1 molecules functionally resemble MHC class II in that they present lipid antigens derived by endocytic pathways (Sugita et al., 1998). Presentation of lipid antigens by CD1 complements the presentation of antigenic peptides by MHC molecules and allows the immune system to detect more diverse antigens of pathogen origin for host defence. Cytotoxic T cell (a) (b) (c) Helper T cell CD1-restricted T cell APC APC APC Peptide TCR CD8 MHC class I Peptide TCR CD4 MHC class II Lipid TCR CD1 Figure 1 Antigen presentation to T lymphocytes. (a) CD8 1 cytotoxic T cells recognize antigenic peptides presented by class I major histocompatibility complex (MHC) molecules. (b) CD4 1 helper T cells recognize antigenic peptides presented by class II MHC molecules. (c) Certain T-cell populations, including natural killer (NK) T cells and gd T cells, recognize lipid and glycolipid antigens presented by MHC-related molecules, CD1. Antigen Presentation to Lymphocytes 2 ENCYCLOPEDIA OF LIFE SCIENCES / & 2001 Nature Publishing Group / www.els.net

Presentation to B Cells In general, B cells can directly recognize native antigens either in solution or on cell surfaces and therefore need no specific antigen-presenting cells to be activated. Antigen presentation to B cells by FDCs and macrophages, however, augments the immune response and is critical in the selection of high-affinity antigen-specific B cells (Kosco, 1991; Liu et al., 1997). In contrast to T cells, which recognize antigen-derived peptides bound to MHC molecules, B-cell recognition of native antigen or antigen epitopes is MHC-unrestricted. Antigen presentation in germinal centres Antigen presentation by FDCs localized in the B-cell compartment of primary follicles of lymphoid tissues plays an essential role in the activation, differentiation and apoptosis of B lymphocytes (Figure 2). Upon encounter with foreign antigens, germinal centres (GCs) develop where B cells undergo rapid proliferation and differentiation through interaction with cognate helper T cells. An important feature of GC B cells is that they undergo a process called somatic hypermutation by which their immunoglobulin gene variable regions are actively mutated in order to generate high-affinity antigen-reactive B cells. This process inevitably also generates numerous B cells that no longer recognize the foreign antigen or that recognize self antigens. Antigen presentation to B cells by FDCs plays a crucial role in the positive selection of highaffinity B cells and in the elimination of nonspecific, potentially self-reactive, B cells (Liu et al., 1997). FDCs in the B-cell compartment of GC trap and present antigens as immune complexes to GC B cells. GC B cells which bind antigens presented by FDCs through their B-cell antigen receptors (BCRs) receive a survival signal, in part, by upregulating the expression of the apoptosis-suppressing Bcl-XL gene product. Antigen-reactive GC B cells also ingest the antigen through their BCRs, process it and present it to helper T cells which then secrete cytokines to induce the proliferation and differentiation of B cells. By contrast, GC B cells unable to bind antigens die by Fasdependent apoptosis. Antigen presentation to GC B cells by FDCs thus determines the fate of B cells and provides a mechanism to allow antigen-specific B cells to survive and differentiate while eliminating nonspecific B cells. MHC class II negative marginal zone macrophages may present antigens to B cells and are involved in the induction of T-independent antibody responses. Interestingly, peritoneal macrophages are shown to present processed, but not native, antigens to B cells (Rizvi et al., 1989). In this case, both MHC class II antigen Ia 1 and Ia 2 macrophages present the antigen equally well to B cells, in terms of induction of virus-specific antibody-producing cells, suggesting that presentation of processed antigen to B cells is MHC-independent. Anatomical Sites of Presentation APCs are found in the skin, lymph nodes, spleen, thymus and bone marrow. Langerhans cells in the skin express high levels of MHC class II molecules and function as APCs. They carry antigens from skin and migrate to lymphoid tissues where they interact with T helper cells. FDCs are found in the secondary follicles of the B-cell compartment of lymph nodes and spleen. These FDCs lack class II MHC molecules and present antigens in the form of immune complexes through the complement receptor and participate in the selection of antigen-specific B cells. Positive and negative selection APCs have also been found in the thymic medulla. Thymic APCs are rich in self antigen-derived peptides in association with either class I or class II MHC molecules and play an essential role in the differentiation and maturation of Survival and differentiation of B cells that recognize antigen presented by FDCs Isotype switch Memory B cell Plasma cell B cell Antigen FDC BCR MHC TCR Helper T cell Peptide Apoptosis of B cells that fail to recognize antigen Proliferation and somatic mutation Figure 2 Antigen presentation to B lymphocytes by follicular dendritic cells (FDCs) in a germinal centre. B cells undergo rapid proliferation accompanied by somatic hypermutation in their rearranged immunoglobulin genes, resulting in the generation of both antigenspecific high-affinity B cells and B cells that no longer recognize the antigen. High-affinity B cells that recognize antigens presented by FDCs survive and differentiate, with the help of T cells, into either memory or plasma (antibody-secreting) cells. By contrast, B cells that no longer recognize the antigen die through programmed cell death (apoptosis). Antigen Presentation to Lymphocytes ENCYCLOPEDIA OF LIFE SCIENCES / & 2001 Nature Publishing Group / www.els.net 3

Antigen Presentation to Lymphocytes thymic T cells evcompmiTncbattiognire The amount ly and the avidity of antigens d to matu sitive ted in to ll ar ith p avidity fail to induce negative selection of T cells in thymus and B cells in bone marrow,and may induce tolerance rather than an ce mmune response in the periphery. nic apc negative selec Tcells for selection.Those escaping negative selection are likely to be Costimulatory molecules on APCs anergized in the periphery,in part through interaction with peripheral that )by selection in thymus are described separately. d pa 997.An lymphocytes (Var APCsmuates TccllstoexprC4 gand.whic Other APCs then binds to CD40 expressed by APCs.CD40 ligation on inte n with CD2 this case B cells can capture even minute quantities of on T cells.In the absence of CD40 or other acc antigens compared to other APCs(Townsend and Good- molecules,APCs have been shown to anergize T cells as now, 1998).Bone Cs appear to be gan ing the nha significance of CD40 in initiating T-cell activation. APCs found in the lymphoid tissues there are a larg number of potential APCs in the body.These include Kupffer er microglias in br in,follicular cells B cells as APCs connectiv ssues and Altho tation by bcells is no acquire the ability to present antigen therHC molecules are induced and expressed.Presentation of self dendritic cells,Bcells b ent AP n antigens antigens by such cells may be involved in the development hn be come zed by t T of autoimmunity nder in ondition.while stimulation of Bcels by CD40 ligand,BCR crosslinking or cytokines,greatly Activation versus Nonactivation hances t entieemcgentetomeSonaredpithotheT s,antigen-spe en BCR.even The consequence ofantigen presentation to lvmphocvtes is has been shown that activated.antiger influenced by several factors, including the site of cells present antigen toTcells and trigger proliferation and presentation.the amount and av vidity of an gens,and the cytokine secretion.However,i ma d contras tory mole Its from a num di with 19061A dictates the fate of developing and B cells.T cells in the induces tolerance or anergy rather than activation of T thymus recognizing self antigen-MHC complexes with high affinity are deleted of antigen fror n antigen-specin high attinity the periphery.Tand B cells are activated if they re leads tot antigens with high affinity.The T or B cells recognizing by rapid disappearance of the T cells (Townsend and athnity are either nonresponsive or Goodno 998)】 nization of an t on ly pre le antigenicpeptide same antigen may induce anergy or peripheral tolerance but also regulate T-cell activation by supplying costimu- against the antigen.The exact molecular mechanism for latory signals.Antigen presentation thus constitutes a such differential responses remains obscure. the initiation of 4 ENCYCLOPEDIA OF LIFE SCIENCES/2001 Nature Publishing Group /www.els.net

thymic T cells. Developing thymic T cells that recognize self antigen–MHC complexes with moderate affinity are allowed to mature (a process called positive selection) while those recognizing self antigen–MHC complexes with high affinity are deleted to prevent the maturation of selfreactive T cells (a process called negative selection). It is unlikely, though, that thymic APCs can present all the self antigens to developing T cells for positive and negative selection. Those escaping negative selection are likely to be anergized in the periphery, in part through interaction with peripheral APCs that lack costimulatory molecules. Precise molecular mechanisms of positive and negative selection in thymus are described separately. Other APCs B lymphocytes found in spleen and lymph nodes are efficient APCs, especially when they recognize antigens. In this case, B cells can capture even minute quantities of antigens compared to other APCs (Townsend and Goodnow, 1998). Bone marrow-derived APCs appear to be required for the activation of cytotoxic T cells against viruses that infect nonhaematopoietic cells. Besides the APCs found in the lymphoid tissues, there are a large number of potential APCs in the body. These include Kupffer cells in the liver, microglias in brain, follicular cells in thyroid and fibroblasts in connective tissues and endothelial cells. Furthermore, other cell types may acquire the ability to present antigen if their MHC molecules are induced and expressed. Presentation of self antigens by such cells may be involved in the development of autoimmunity. Activation versus Nonactivation The consequence of antigen presentation to lymphocytes is influenced by several factors, including the site of presentation, the amount and avidity of antigens, and the presence or absence of costimulatory molecules expressed by APCs (Goodnow, 1996). Antigen presentation by APCs dictates the fate of developing T and B cells. T cells in the thymus recognizing self antigen–MHC complexes with high affinity are deleted. Likewise, immature B cells in the bone marrow that recognize self antigens with high affinity are eliminated. By contrast to thymus and bone marrow, in the periphery, T and B cells are activated if they recognize antigens with high affinity. The T or B cells recognizing antigens with low affinity are either nonresponsive or anergized. While intraperitoneal immunization of antigens induces an immune response, oral administration of the same antigen may induce anergy or peripheral tolerance against the antigen. The exact molecular mechanism for such differential responses remains obscure. The amount and the avidity of antigens presented to lymphocytes also influence immune responses. Antigens presented in too small amounts or with too low avidity fail to induce negative selection of T cells in thymus and B cells in bone marrow, and may induce tolerance rather than an immune response in the periphery. Costimulatory molecules on APCs Expression of costimulatory molecules such as CD40 by APCs is essential in the activation of lymphocytes (Van Kooten and Banchereau, 1997). Antigen presentation by APCs stimulates T cells to express CD40 ligand, which then binds to CD40 expressed by APCs. CD40 ligation on APCs induces the expression of costimulatory molecules such as CD80 (B7-1) and CD86 (B7-2), which then further stimulate T-cell activation through interaction with CD28 on T cells. In the absence of CD40 or other accessory molecules, APCs have been shown to anergize T cells. Blockage of CD40–CD40 ligand interaction in vivo, as shown in either CD40- or CD40 ligand-deficient mice, abrogates humoral immune responses, demonstrating the significance of CD40 in initiating T-cell activation. B cells as APCs Although in general, antigen presentation by B cells is not as efficient as that by professional APCs, such as activated dendritic cells, B cells become efficient APCs when antigens can be recognized by the BCR. Resting B cells have been shown to induce partial activation or anergy of T cells underin vitro culture condition, while stimulation of B cells by CD40 ligand, BCR crosslinking or cytokines, greatly enhances the antigen presentation. Compared with other APCs, antigen-specific B cells can efficiently capture even small amounts of antigens through their BCR. In fact, it has been shown in vitro that activated, antigen-specific B cells present antigen to T cells and trigger proliferation and cytokine secretion. However, in marked contrast with in vitro studies, results from a number of in vivo studies have shown that B-cell presentation of antigen to cognate T cells induces tolerance or anergy rather than activation of T cells. Direct presentation of antigen by B cells or by transfer of antigen from antigen-specific B cells to endogenous antigen-presenting cells induces abortive proliferation of T cells. It appears that antigen presentation by B cells in vivo leads to the initial proliferation of T cells, which is followed by rapid disappearance of the T cells (Townsend and Goodnow, 1998). In conclusion, APCs not only provide antigenic peptides in association with MHC molecules for T-cell recognition, but also regulate T-cell activation by supplying costimulatory signals. Antigen presentation thus constitutes a fundamental step in the initiation of an immune response. Further studies on the mechanisms of differential immune Antigen Presentation to Lymphocytes 4 ENCYCLOPEDIA OF LIFE SCIENCES / & 2001 Nature Publishing Group / www.els.net

responses triggered by different modes of antigen presentation should provide important clues in understanding and treating immunological disorders associated with dysregulated immune responses such as allergy and autoimmunity, as well as developing effective vaccines against various pathogens. References Goodnow CC (1996) Balancing immunity and tolerance: Deleting and tuning lymphocyte repertories. Proceedings of the National Academy of Sciences of the USA 93: 2264–2271. Koopmann JO, Hammerling GJ and Momburg F (1997) Generation, intracellular transport and loading of peptides associated with MHC class I molecules. Current Opinion in Immunology 9: 80–88. Kosco MH (1991) Antigen presentation to B cells. Current Opinion in Immunology 3: 336–339. Liu YJ, De Bouteiller O and Fugier-Vivier I (1997) Mechanisms of selection and differentiation in germinal centers. Current Opinion in Immunology 9: 256–262. Pieters J (1997) MHC class II restricted antigen presentation. Current Opinion in Immunology 9: 89–96. Rizvi N, Chaturvedi UC and Mathur A (1989) Obligatory role of macrophages in dengue virus antigen presentation to B lymphocytes. Immunology 67: 38–43. Sigal L, Crotty S, Andino R and Rock KL (1999) Cytotoxic T-cell immunity to virus-infected non-haematopoietic cells requires presentation of exogenous antigen. Nature 398: 77–80. Sugita M, Moody DB, Jackman RM et al. (1998) CD1-A new paradigm for antigen presentation and T cell activation. Clinical Immunology and Immunopathology 87: 8–14. Townsend SE and Goodnow CC (1998) Abortive proliferation of rare T cells induced by direct or indirect presentation by rare B cells in vivo. Journal of Experimental Medicine 187: 1611–1621. Van Kooten C and Banchereau J (1997) Functions of CD40 on B cells, dendritic cells and other cells. Current Opinion in Immunology 9: 330– 337. Further Reading Carbone FR, Kurts C, Bennett SRM, Miller JFAP and Heath WR (1998) Cross-presentation: a general mechanism for CTL immunity and tolerance. Immunology Today 19: 368–373. Germain RN (1993) Antigen processing and presentation. In: Paul WE (eds) Fundamental Immunology. New York: Raven Press. Porcelli SA, Segelke BW, Sugita M, Wilson IA and Brenner MB (1998) The CD1 family of lipid antigen-presenting molecules. Immunology Today 19: 362–368. Robertson M (1998) Antigen presentation. Current Biology 8: 829–831. Roitt IM, Brostoff J and Male DK (1989) Immunology. London: Gower Medical Publishing. Whitton JL (1998) An overview of antigen presentation and its central role in the immune response. Current Topics in Microbiology and Immunology 232: 1–13. Antigen Presentation to Lymphocytes ENCYCLOPEDIA OF LIFE SCIENCES / & 2001 Nature Publishing Group / www.els.net 5