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Voie d'immunisation et séquence d'administration de l ... - TEL

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tel-00827710, version 1 - 29 May 2013<br />

why further, d<strong>et</strong>ailed un<strong>de</strong>rstanding of the factors regulating T cell responses as well as the<br />

precise action mechanisms of vaccines and other agents is essential. In parallel, efficient<br />

experimental strategies to accurately evaluate the antigen-specific CD8 + T cell response must<br />

be <strong>de</strong>veloped in or<strong>de</strong>r to compare different m<strong>et</strong>hods of treatment administration, and to<br />

d<strong>et</strong>ermine the efficiency of novel approaches.<br />

In this introduction, I will first present the mechanism of <strong>de</strong>ndritic cell-mediated antigen<br />

presentation and the <strong>de</strong>velopment of antigen-specific T cell responses. Next, I will review<br />

how this process can be modulated by the use of different forms of antigen or adjuvants to<br />

boost the resulting T cell response. To conclu<strong>de</strong>, I will <strong>de</strong>scribe the existing techniques to<br />

study these questions in experimental mouse mo<strong>de</strong>ls, d<strong>et</strong>ailing their advantages and<br />

limitations in a context where it is important to remain as close as possible to physiologic<br />

conditions, such that the results can be applied to questions of human immunity.<br />

I. ANTIGEN PRESENTATION BY DENDRITIC CELLS<br />

A. Mechanisms of antigen presentation<br />

Upon the initiation of an immune response, antigen is i<strong>de</strong>ntified and taken up by antigen-<br />

presenting cells (APCs) that proceed to process and present it to specific T cells, resulting in<br />

antigen-specific T cell-mediated immunity. The classical view of antigen presentation is<br />

divi<strong>de</strong>d into two mechanisms: (i) antigens acquired from the extracellular environment<br />

(exogenous antigens) are processed and presented on MHC-II molecules and induce the<br />

activation of CD4 + T cells; (ii) antigens originating from the endogenous proteins (either self<br />

protein or viral proteins expressed upon infection) are presented on MHC-I molecules,<br />

leading to the activation of CD8 + cytotoxic T cells. However, a third mechanism has also<br />

been <strong>de</strong>scribed: the cross-presentation pathway, in which extracellular antigens are presented<br />

on MHC-I molecules, allowing for the <strong>de</strong>velopment of a specific CD8 + T cell response. This<br />

pathway is now known to be critical for the <strong>de</strong>velopment of a cytotoxic T cell response<br />

against viruses that do not directly infect APCs or against tumors <strong>de</strong>rived from non-APCs. In<br />

vitro many cells are able to cross-present antigen (DCs, macrophages, B cells); however DCs<br />

are the main antigen cross-presenting cell in vivo (Heath <strong>et</strong> al., 2004; Kurts <strong>et</strong> al., 2001). A<br />

d<strong>et</strong>ailed overview of these mechanisms will be discussed below.<br />

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