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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 />

itself to initiate the response. DCs must sense the PAMPs directly. This initially seems in<br />

contradiction with previous work showing that cytokines such as IL-12 or type I IFN could be<br />

sufficient (Curtsinger and Mescher, 2010). It is possible that a PAMP contamination of the<br />

cytokines used in the previous studies could explain this difference. The requirement for<br />

direct PAMP d<strong>et</strong>ection allows the DC to evaluate the nature of the agent causing the<br />

inflammation in or<strong>de</strong>r to modulate an appropriate response. It is also possible that other kinds<br />

of signals such as some DAMPs have the same ability to activate DCs to initiate an immune<br />

response. DCs that have matured by bystan<strong>de</strong>r signals but are not fully activated may have a<br />

regulatory role in the immune response (Joffre <strong>et</strong> al., 2009). While inflammation by itself<br />

does not appear sufficient to initiate the response, it is important to note that inflammatory<br />

cytokines produced by bystan<strong>de</strong>r cells are required in some cases to promote efficient<br />

priming. For instance, Longhi and colleagues <strong>de</strong>monstrated that type I IFN production from<br />

stromal and hematopoi<strong>et</strong>ic origin are required for the priming of CD4 + T cells (Longhi <strong>et</strong> al.,<br />

2009).<br />

(ii) Requirement for d<strong>et</strong>ection of antigen and TLR ligand<br />

in the same phagosome<br />

Blan<strong>de</strong>r and Medzhitov went further and proposed a mo<strong>de</strong>l to distinguish self from non-self at<br />

the subcellular level of phagosome through TLR engagement (Blan<strong>de</strong>r and Medzhitov, 2006).<br />

In<strong>de</strong>ed phagocytosis is critical for two different, but related mechanisms: (i) the removal of<br />

apoptotic cells to maintain tissue homeostasis, a process that must be done without inducing<br />

any inflammatory response; and (ii) the engulfment of pathogens, a function in host <strong>de</strong>fense<br />

that will be associated with stimulating an immune response. Blan<strong>de</strong>r <strong>et</strong> al. have <strong>de</strong>monstrated<br />

that in macrophages, TLR ligands must be associated with antigen and internalized in the<br />

same phagosome to trigger antigen processing and presentation on MHC-II molecule<br />

(Blan<strong>de</strong>r and Medzhitov, 2004). By contrast, apoptotic cells are also phagocytosed but are not<br />

associated with TLR ligand engagement and thus, a tolerogenic response and <strong>de</strong>gradation of<br />

this cargo is induced. They suggested that TLR signaling induces a different phagosomal<br />

maturation pathway with an enhanced kin<strong>et</strong>ic and the generation of MHC-II molecules ready<br />

to present antigen. These results remain controversial, as another group has <strong>de</strong>monstrated that<br />

phagosome maturation occurs in<strong>de</strong>pen<strong>de</strong>ntly of TLR signaling (Yates and Russell, 2005).<br />

4) What happens when a signal is missing? Tolerance vs priming<br />

It was initially proposed that signal 1 alone induces tolerance while the addition of signal 2<br />

provi<strong>de</strong>s for DC maturation and, therefore allows T cell priming (Steinman and Nussenzweig,<br />

44

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