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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 />

II. Mechanisms responsible for the opposite effects of poly i:c on cross-priming------------ 118<br />

A. Mice available to study the effects of type I IFN on cross-priming--------------------------- 118<br />

B. Inhibition of cross-priming upon early type I IFN production--------------------------------- 119<br />

1) Type I IFN inhibit cross-priming through direct action on cross-presentation --------------------- 119<br />

2) Type I IFN act on cDCs but cell-intrinsic production is not required ------------------------------- 121<br />

3) Early poly I:C affects DC numbers and phenotype----------------------------------------------------- 122<br />

4) Early poly I:C treatment affects antigen uptake -------------------------------------------------------- 125<br />

5) Does early poly I:C treatment act directly on antigen-specific T cells? ----------------------------- 126<br />

C. Enhancement of cross-priming after late type I IFN production ------------------------------ 127<br />

1) Enhancement of cross-priming upon late poly I:C <strong>de</strong>livery is type I IFN-<strong>de</strong>pen<strong>de</strong>nt ------------- 127<br />

2) Late type I IFN enhance cross-priming at the level of antigen uptake and/or presentation ------- 128<br />

3) Does late type I IFN act directly on antigen-specific CD8 + T cells?--------------------------------- 129<br />

III. How to choose the optimal timing for adjuvant <strong>de</strong>livery? ----------------------------------- 130<br />

Chapter 4: General discussion--------------------------------------------------------------------- 135<br />

I. T<strong>et</strong>ramer-based enrichment: A powerful tool---------------------------------------------------- 137<br />

A. Advantages and limitations------------------------------------------------------------------------- 137<br />

1) Sensitivity of the technique -------------------------------------------------------------------------------- 137<br />

2) Applications for human immunology -------------------------------------------------------------------- 138<br />

3) Limitations --------------------------------------------------------------------------------------------------- 139<br />

B. Future directions ------------------------------------------------------------------------------------- 140<br />

1) Other antigenic mo<strong>de</strong>ls------------------------------------------------------------------------------------- 140<br />

2) Improve the physiologic relevance of our mo<strong>de</strong>l ------------------------------------------------------- 140<br />

3) Other recently <strong>de</strong>veloped techniques --------------------------------------------------------------------- 141<br />

II. Impact of the route of immunization on CD8 + T cell cross-priming ------------------------ 143<br />

A. The route of immunization impacts the efficiency of CD8 + T cell cross-priming but not the<br />

diversity of antigen-specific T cells--------------------------------------------------------------------- 143<br />

1) Kin<strong>et</strong>ic of the response ------------------------------------------------------------------------------------- 143<br />

2) Quality of the response ------------------------------------------------------------------------------------- 143<br />

3) Diversity of antigen-specific T cells---------------------------------------------------------------------- 144<br />

B. Why does local immunization result in more robust T cell cross-priming? ----------------- 144<br />

1) Nature of injected splenocytes ---------------------------------------------------------------------------- 144<br />

2) In which circumstances does splenocyte engulfment occur? ----------------------------------------- 146<br />

3) A role for antigen persistence? ---------------------------------------------------------------------------- 149<br />

4) A role for CD4 help? --------------------------------------------------------------------------------------- 151<br />

5) Different T cell activation <strong>de</strong>pending on the timing of activation? ---------------------------------- 152<br />

C. Clinical applications --------------------------------------------------------------------------------- 152<br />

III. Combination of antigen with adjuvant ---------------------------------------------------------- 154<br />

A. The timing of adjuvant <strong>de</strong>livery should be coordinated with antigen processing and<br />

presentation------------------------------------------------------------------------------------------------- 154<br />

1) Effects of poly I:C and type I IFN in our mo<strong>de</strong>l -------------------------------------------------------- 154<br />

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