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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.