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

are required for the uptake of soluble antigens. Once the antigen is insi<strong>de</strong> the cell, it can be<br />

processed and the resulting pepti<strong>de</strong>s are presented on MHC-I or MHC-II molecules.<br />

(a) Antigen uptake<br />

(i) Diversity of engulfment receptors<br />

Extracellular antigens must be d<strong>et</strong>ected and engulfed by cells prior to their processing and<br />

presentation. A diverse repertoire of receptors exists to modulate the engulfment process and<br />

the pattern of expression of these receptors varies from one APC subs<strong>et</strong> to another. As<br />

examples, scavenger receptors, mannose receptor, DEC-205, Langherin, Fc receptors, and<br />

Dectin-1 can all mediate antigen uptake. The engulfment receptor choice is critical, as<br />

<strong>de</strong>pending on the receptor engaged, the outcome of the immune response may vary (Burgdorf<br />

and Kurts, 2008).<br />

(ii) The particular case of dying cells<br />

Upon the <strong>de</strong>ath of a cell from any cause, the cellular remnants must be removed quickly to<br />

preserve tissue homeostasis. Depending on the mechanism of cell <strong>de</strong>ath involved, this<br />

clearance is accompanied by tolerance and tissue repair or activation of an immune response.<br />

The dying cells advertise their presence through the release of “find-me” signals such as<br />

sphingosine-1-phosphate or the nucleoti<strong>de</strong>s ATP or UTP (Ravichandran, 2011). These<br />

molecules promote the recruitment of phagocytes and enhance their activity. Phagocytes<br />

i<strong>de</strong>ntify the dying cells via the expression of “eat-me” signals. For example,<br />

phosphatidylserine is a lipid that is present in the inner leafl<strong>et</strong> of the plasma membrane in live<br />

cells. When a cell un<strong>de</strong>rgoes apoptosis, this lipid is exposed on the outer membrane and can<br />

then act as an “eat-me” signal for phagocytes surveying the local environment. In addition,<br />

changes in charge and/or glycosylation can be d<strong>et</strong>ected on the surface of dying cells. “Eat-<br />

me” signals are most often recognized by scavenger receptors or complement receptors… In<br />

the case of phosphatidylserine expression, the TIM molecule family can act as receptors for<br />

phagocytosis (Miyanishi <strong>et</strong> al., 2007). Specifically, TIM4 is exclusively expressed on APCs<br />

and mediates the phagocytosis of apoptotic cells. However, there exists a vari<strong>et</strong>y of TIM<br />

receptors that allow for the d<strong>et</strong>ection of dying cells and result in functionally different<br />

outcomes, particularly immune activation or tolerance, <strong>de</strong>pending on the cell type and TIM<br />

molecule engaged (Freeman <strong>et</strong> al., 2010). Another recently characterized receptor for dying<br />

cells is Clec9A, which has been <strong>de</strong>monstrated to interact with necrotic cell (Sancho <strong>et</strong> al.,<br />

2009). This receptor recognizes actin which is normally contained intracellularly and that is<br />

exposed in dying cells upon necrosis (Ahrens <strong>et</strong> al., 2012; Zhang <strong>et</strong> al., 2012).<br />

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