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

2002). However it has been observed that mature DCs are not always sufficient to prime T<br />

cells (Albert <strong>et</strong> al., 2001; Fujii <strong>et</strong> al., 2004). The critical checkpoint b<strong>et</strong>ween tolerance and<br />

priming seems to be the presence of a signal 3. In vitro experiments with artificial APCs<br />

<strong>de</strong>monstrated that antigen and costimulation signals trigger T cell expansion but without<br />

effector function and memory <strong>de</strong>velopment. In this case, the T cells that persist are tolerant. In<br />

contrast, if a third signal is provi<strong>de</strong>d, T cell expansion is accompanied by compl<strong>et</strong>e effector<br />

function <strong>de</strong>velopment and memory T cell differentiation (Curtsinger <strong>et</strong> al., 1999). This has<br />

been confirmed by in vivo experiment with pepti<strong>de</strong> immunization. Injection of pepti<strong>de</strong> alone<br />

triggers tolerance, whereas it is capable of inducing T cell priming when <strong>de</strong>livered in<br />

combination with IL-12, playing the role of adjuvant and providing the third signal (Schmidt<br />

and Mescher, 1999).<br />

5) Other factors regulating T cell activation<br />

This mo<strong>de</strong>l with 3 signals required for the proper induction of a T cell response represents the<br />

established scientific dogma. In addition, several other factors and signals have been<br />

<strong>de</strong>scribed that further modulate this process.<br />

(a) Antigen persistence<br />

CD4 + and CD8 + T cells are both able to proliferate even after a short antigenic stimulation.<br />

However, these two populations seem not to require the same duration of antigenic<br />

stimulation for optimal priming.<br />

It has been <strong>de</strong>monstrated that CD4 + T cells need a long antigenic stimulation for optimal<br />

priming and differentiation. Short exposure to antigen allows for low-level proliferation of<br />

CD4 + T cells but a longer stimulation increases this proliferation. These cells stop<br />

proliferating as soon as the antigen dose <strong>de</strong>creases un<strong>de</strong>r a certain threshold. Moreover,<br />

continuous stimulation throughout the expansion phase is required for the optimal<br />

differentiation (Obst <strong>et</strong> al., 2005).<br />

By contrast, CD8 + T cells can compl<strong>et</strong>ely differentiate even after a very short interaction with<br />

APCs. In vitro, CD8 + T cells stimulated for only a short period of time can proliferate (van<br />

Stipdonk <strong>et</strong> al., 2001). In a mo<strong>de</strong>l of infection by Listeria monocytogenes, it has been<br />

<strong>de</strong>monstrated that CD8 + T cells can proliferate in spite of the removal of bacteria after the use<br />

of antibiotic (Mercado <strong>et</strong> al., 2000). Bevan and Fink proposed an “autopilot” mo<strong>de</strong>l for the<br />

<strong>de</strong>velopment of CD8 + T cells, meaning that a CD8-specific transcriptional program is<br />

engaged after the initial antigen encounter and that differentiation occurs even in the absence<br />

of sustained antigen stimulation (Bevan and Fink, 2001). However this mo<strong>de</strong>l has been<br />

Page 45 of 256

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