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P a r t i c i p a n t s :<br />

Marino Paroli, professor; Daniele Accapezzato, researcher;<br />

Vittorio Francavilla, Pisana Moroni, Antonella Propato,<br />

post-doc fellows; Melissa Videtta, Tiziana Donato, Debora<br />

Franceschini, Francesca Meloni, Laura Altieri, PhD students.<br />

Report of activity<br />

The capacity of professional antigen-presenting<br />

cells (pAPCs) to present either exogenous antigens<br />

derived from other cells (usually necrotic or apoptotic<br />

cells), or soluble antigens on class I molecules<br />

to CD8 + T cells is defined as cross-presentation.<br />

This process is primarily carried out by dendritic<br />

cells (DCs) in vivo, and seems to be crucial for inducing<br />

both CD8 + T cell immunity (cross-priming)<br />

against allografts, tumors, or those pathogens that do<br />

not infect or impair pAPCs, and tolerance (cross-tolerance)<br />

against self-antigens. An additional support<br />

for the idea that DCs carry out opposing functions<br />

according to their maturational stage and the<br />

microenvironment in which they work is provided by<br />

studies investigating the complex interplay amongst<br />

cross-presentation, apoptotic cells, DCs and stimulatory<br />

signals. The current view suggests that, under<br />

steady state conditions, apoptotic cells are consistently<br />

captured by immature DCs that in turn induce<br />

tolerance (or cross-tolerance) of apoptotic cellderived<br />

antigen-specific T cells. Otherwise, DCs<br />

mature and cross-prime these T cells in the presence<br />

of sustained infectious/inflammatory mediators,<br />

necrotic cell products, or CD4 + Th cells inducing<br />

DC maturation via the CD40/CD40L interaction. In<br />

this project, we have studied more in depth the consequences<br />

of cross-presentation of apoptotic cells<br />

unveiling self-antigens during the course of inflammatory<br />

processes. In addition, we investigated the<br />

possibility to exploit this phenomenon in order to<br />

identify new self- or tumor-associated antigens that<br />

could be included for the design of innovative strate-<br />

Principal investigator: Vincenzo Barnaba<br />

Professor of Internal Medicine<br />

Dipartimento di Medicina Interna<br />

Tel: (+39) 06 4453994; Fax: (+39) 06 49383333<br />

vincenzo.barnaba@uniroma1.it<br />

95<br />

Cellular and molecular immunology - AREA 5<br />

Innovative strategies eliciting CD8 T cell responses by exploiting<br />

proteomic analysis and improving cross-presentation<br />

gies for the manipulation of immune responses in the<br />

related diseases.<br />

Principal results and perspectives<br />

As demonstrated by our previous data (Nature Med.<br />

2001, 7:807-13), apoptotic CD40L + T cells directly<br />

induce DC maturation and cross-priming of CD8 + T<br />

cells specific to apoptotic cell-associated self-antigens,<br />

irrespective of additional exogenous signals. In contrast,<br />

if apoptotic T cells are CD40L - (such as those<br />

derived from resting T cells), the help of a third party<br />

activated T cell or surrogate CD40L molecule is<br />

needed for priming. Thus, the balance between<br />

CD40L + (apoptotic) and CD40L - T cells during<br />

cross-presentation appears to dictate tolerance or<br />

induction of CD8 T cell responses against T cellassociated<br />

epitopes, and to maintain or to stop the<br />

related responses in the course of an inflammatory<br />

process. It is tempting to hypothesize that these<br />

responses have a critical role in the amplification of<br />

chronic inflammation via the continuous bystander<br />

effects of inflammatory cytokines produced by T cells<br />

specific for the apoptotic T cell-associated antigens.<br />

In this context, more recently we studied the intricate<br />

interplay amongst apoptotic cells, cross-presentation<br />

and the phenomenon of chronic immune activation<br />

(CIA). CIA is hallmark of several chronic<br />

immune-mediated (viral or autoimmune) diseases. It<br />

is characterized by: (a) hyper-reactivity of T and B<br />

cells resulting in (b) a continuous turnover of apoptotic<br />

cells derived from the former, and (c) hyper-production<br />

of cytokines and chemokines. It is only in<br />

minimal part due to self-antigen or virus-specific T<br />

cells, as only a small proportion of activated T cells<br />

are specific for the viruses or the self antigens related<br />

to the relevant diseases. The origin of CIA is not<br />

clear and has been attributed to various causes,<br />

including bystander T cell activation, homeostatic<br />

proliferation, T cell responses to a variety of selfantigens<br />

or gut microorganisms, progressive loss of<br />

regulatory T cells.

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