| |
|
|
|
|
|
|
|||
|
IMMUNOBIOLOGY
From the Department of Oncology, Johns Hopkins
University School of Medicine, Baltimore, MD, and the Clinical
Investigations Program, H. Lee Moffitt Cancer Center and Research
Institute, University of South Florida, Tampa, FL.
Tumor antigen-specific T-cell tolerance may limit the efficacy of
therapeutic cancer vaccines. Direct presentation of antigens by tumor
cells incapable of providing adequate costimulation to tumor-specific T
cells has been suggested as the basis for this unresponsiveness. Using
parent-into-F1 bone marrow (BM) chimeras, this study unambiguously
demonstrates that the induction of this tolerant state requires T-cell
recognition of tumor antigen presented by BM-derived antigen-presenting
cells (APCs), not tumor cells themselves. In the absence of host APC
presentation, tumor-specific T cells remained functional, even in the
setting of antigen expressed by B-cell lymphomas residing in secondary
lymphoid tissues. The intrinsic APC capacity of tumor cells has
therefore little influence over T-cell priming versus tolerance, a
decision that is regulated at the level of host APCs.
(Blood. 2001;98:1070-1077) The 2-signal model of T-cell
activation1,2 is frequently evoked in the field of tumor
immunology to account for the failure of the immune system to
successfully reject antigenic cancer cells in vivo. Cancer cells, it is
argued, typically being the transformed counterparts of
"nonprofessional" antigen-presenting cells (APCs), provide signal
1, but not signal 2, on their encounter with tumor-specific T cells,
leading to the induction of T-cell tolerance.3
Numerous studies, however, have shown that cells from at least one type
of malignancy, that is, B-cell lymphoma, can efficiently activate T
cells in vitro, including CD4+ T cells specific for
epitopes derived from their own unique immunoglobulin idiotype.4,5 These tumor cells, being derived from APCs, constitutively express major histocompatibility complex (MHC) class I
and II molecules as well as low but inducible levels of intercellular
adhesion molecule 1, leukocyte function-associated antigen 3, and the
costimulatory molecules B7-1 and B7-2 and therefore seem to be well
equipped to provide the necessary signals required for T-cell
activation. Indeed, cross-linking of CD40 on lymphoma cells has been
shown to up-regulate their expression of adhesion and costimulatory
molecules, resulting in a markedly enhanced T-cell response to B-cell
tumors in vitro.6 It is therefore paradoxical that
malignant B cells, residing in the very compartment where T-cell
responses are initiated, fail to be eliminated in immunocompetent
hosts. In fact, it has been suggested that the consequence of antigen
presentation by lymphoma cells in vivo may be T-cell tolerance rather
than activation, due to the provision of partial but inadequate
costimulatory signals by the lymphoma cells.7
We have previously shown that a murine B-cell lymphoma (A20)
transfected to express the model antigen influenza hemagglutinin (HA),
is capable of activating HA-specific CD4+ T cells from
T-cell receptor (TCR) transgenic mice in vitro.8 However,
when these same transgenic T cells are transferred into mice bearing
lymphoma expressing the model antigen (A20HA), the observed outcome is
the induction of HA-specific CD4+ T-cell
anergy.9 These results suggest either that (1) B-cell tumors are not efficient APCs in vivo, and their direct encounter with
T cells is responsible for the induction of T-cell tolerance or (2)
tumor antigens are captured and presented by host APCs to T cells in a
context that favors the development of T-cell tolerance. In support of
the first hypothesis, nonmalignant B cells have been shown to not only
fail to activate naive T cells in vivo,10 but to induce
tolerance as well, even when the B cells had been activated with
lipopolysaccharide (LPS).11 An alternate
explanation Therefore, to assess the relative contribution of antigen presentation
by B-lymphoma cells versus host's APCs, we compared T-cell recognition
of a model tumor antigen in 2 sets of BM chimeras. In the first set
(H-2d The results of this analysis provide a clear demonstration of the
requirement for antigen processing and presentation by host APCs in the
development of lymphoma-specific CD4+ T-cell tolerance.
Specifically, clonotypic T cells isolated from tumor-bearing mice are
tolerant only in the H-2d Mice
Construction of BM chimeric mice
Three months after BM transplant, one mouse from each group was killed to assess donor chimerism. Splenocytes were stained for I-Ed and I-Ab using the monoclonal antibody (MoAb) 14.4.4 and MoAb Y3P, respectively, followed by fluorescein isothiocyanate (FITC)-goat anti-mouse IgG2a secondary antibody. Splenocytes were analyzed for MHC-II expression by flow cytometry. Tumor cells The A20 cells were obtained from American Type Culture Collection (Rockville, MD). A20HA was generated by electroporation-mediated plasmid transfection, and transfected cells were selected and grown as previously reported.8Adoptive transfer of antigen-specific T cells For the adoptive transfers of anti-HA-specific CD4+ T cells, we mated the BALB/c TCR transgenics to C57BL/6 mice to generate H-2dxb F1 TCR transgenic offspring. It is necessary to use F1 TCR transgenic donors to ensure that any nontransgenic T cells that are transferred into the chimeras are not alloreactive to the recipient resulting in graft-versus-host reaction. Transferred T cells were detectable in the lymphoid organs of the chimeric recipients up to 6 months after transfer (data not shown).The transgenic donor population was obtained from the thymus of H-2dxb F1 TCR transgenic animals to avoid any contaminating MHC class II-bearing APCs. CD8+ T cells and double-negative thymocytes were depleted using the antibodies 3.155 and J.11.d.2, respectively. The percentage of T cells doubly positive for CD4 and the clonotypic TCR was determined by flow cytometry as described below. Cells were washed 3 times in sterile HBSS and 1 × 106 CD4+ anti-HA TCR+ T cells were injected into the tail vein of immune reconstituted chimeric mice. Reisolation of clonotypic T cells after in vivo transfer Clonotypic CD4+ T cells injected into tumor-free chimeric mice or mice challenged with A20HA tumors were reisolated from the spleen or lymph nodes of these animals 22 days after T-cell transfer. In all experiments, unless otherwise noted, 3 mice per group were analyzed individually. On the day of analysis, mice were euthanized and spleen cells were obtained by passage over nylon mesh and centrifugation on a Ficoll gradient (Amersham Pharmacia Biotech, Piscataway, NJ). Lymphoma cells were depleted by passage over nylon wool followed by complement lysis with the MoAb J11.d.2 specific for heat-stable antigen (HSA) expressed by A20 cells. Inguinal and axillary lymph nodes were also harvested from tumor-free and tumor-bearing chimeric mice. Lymph node cells from 3 animals per group were pooled and cell suspensions were made by passage over nylon mesh. Contaminating lymphoma cells were eliminated by complement killing using the MoAb J11.d.2.Flow cytometric analysis The T cells were stained with FITC-conjugated goat anti-mouse CD4 (Caltag) and biotinylated rat anti-clonotypic TCR antibody MoAb 6.5 followed by phycoerythrin (PE)-conjugated streptavidin (Caltag, Burlingame, CA). Gated events (50 000) were collected on a FACScan (Becton Dickinson) and analyzed using CellQuest software (Becton Dickinson). Values represent the mean ± SE of the percentage of cells expressing the clonotypic TCR. Background staining of splenocytes from naive F1 mice is usually less than 0.10%. Expression of CD45Rb or CD62L on clonotype-positive T cells was determined by 3-color flow cytometric analysis, staining with cychrome-labeled anti-mouse CD4 (Pharmingen, San Diego, CA), biotinylated anti-TCR clonotype MoAb 6.5 followed by PE-labeled streptavidin and FITC-conjugated anti-mouse CD45RB or CD62L (Pharmingen). Live gating on CD4+ T cells was used to collect a total of 100 000 events.Splenic dendritic cells (DCs) and B-lymphoma cells were stained for MHC class II expression (I-Ed) with a biotinylated MoAb 14.4.4 followed by PE-conjugated streptavidin (Caltag). Ten thousand gated events were collected on a FACScan and analyzed using Flow-Jo software. The expression of B7 costimulatory molecules by these APCs was determined by staining with either a FITC-conjugated anti-CD80 (Pharmingen) or a biotinylated anti-B7.2 antibody GL-1 followed by PE-conjugated streptavidin. Antigen-specific proliferation Purified T cells (4 × 104/well) from the different experimental groups were mixed with fresh F1 splenocytes (8 × 104/well) to which different concentrations of the MHC class II-restricted HA peptide (amino acids 110-120; SFERFEIFPKE; single-letter amino acid codes) were or were not added. The cells were pulsed with 3H-thymidine (1 mCi/well, Amersham) after 3 days in culture. Cells were harvested 18 hours later with a Packard Micromate cell harvester. 3H-thymidine incorporation into DNA was measured as counts per minute (cpm) on a Packard Matrix 96 direct beta counter. Data are calculated as cpm in the peptide-pulsed group minus cpm from cells cultured in medium alone divided by the number of clonotype-positive cells in the well as determined by FACS. Values are displayed as the mean ± SE cpm/100 clonotype-positive T cells per well.Cytokine release T cells purified and plated as above were cultured with media alone or HA peptide (100 µg/mL) plus fresh F1 splenocytes. Forty-eight hours later, supernatants were collected and stored at 70°C until assayed for interleukin-2 (IL-2) by enzyme-linked
immunosorbent assay (ELISA; R&D Systems, Minneapolis, MN). Data
represent mean ± SE of triplicate cultures from 3 mice in
each group and are expressed as the amount of IL-2 produced per 100 clonotype-positive T cells.
To assess the ability of B-lymphoma cells to present antigen to naive anti-HA transgenic T cells in vitro, irradiated (10 000 rads) A20WT, A20HA, as well as splenic DCs (1 × 105 cells/well) were mixed with 5 × 104 highly purified T cells from 6.5 TCR transgenic splenocytes. Different concentrations of HA peptide were added to the cultures containing splenic DCs or A20WT. No HA-peptide was added to the A20HA-T-cell cultures. After 48 hours, supernatants were collected and assayed for IL-2 by ELISA. Isolation of splenic DCs Splenic DCs were enriched according to the method of Steinman and colleagues.16 Briefly, to release DCs, spleens were injected with collagenase D, torn apart, and spleen fragments were subjected to further collagenase digestion. Low-density cells including DCs, were selected by centrifugation over a 30% dense bovine serum albumin (BSA) gradient (Sigma, St Louis, MO), cultured on plastic dishes for 1 to 2 hours after which the nonadherent cells (mostly lymphocytes) were washed away. The adherent cells were cultured overnight and DCs that detach from the plates during the incubation period were collected.
A20 B-lymphoma cells function as potent APCs in vitro To examine the relative contribution of direct presentation of tumor antigen by lymphoma cells versus presentation by host APCs, we first compared the intrinsic capacity of A20 cells to activate naive antigen-specific T cells in vitro to that of DCs. A20 cells express abundant levels of MHC class II antigens, similar to splenic DCs (Figure 1A). In addition, this tumor constitutively expresses low to intermediate levels of B7-1 and B7-2, although as expected, the level of expression is significantly less than that present on DCs. Despite these phenotypic differences, A20 cells functioned equivalently to DCs in stimulating naive HA-specific CD4+ T cells in vitro, as measured by IL-2 release across a full range of peptide concentrations (Figure 1B, open squares versus closed circles). Furthermore, in the absence of any exogenous APCs, A20HA cells (which express HA as a transmembrane protein) are highly efficient at presenting MHC class II epitopes directly to CD4+ HA-specific T cells (closed triangle). These in vitro findings demonstrate that this B-cell lymphoma has a significant intrinsic capacity to process and present endogenous antigen to antigen-specific CD4+ T cells, resulting in their activation.
In vivo kinetics of tumor growth in parent-into-F1 BM chimeras Preliminary studies of tumor growth in conventional parent-into-F1 BM chimeras revealed delayed kinetics of A20HA tumor progression in H-2b H-2dxb F1 relative to
H-2d H-2dxb F1 chimeras (data not shown).
Consequently, a direct comparison of tumor-specific T-cell function in
the 2 chimeras would be confounded by the greater tumor antigen load
into H-2d H-2dxb F1 recipients with this
experimental design. We therefore created parent-into-F1 chimeras using
BM from BALB/c or C57BL/6 SCID donors. The use of SCID BM resulted in
hematopoietic reconstitution (including myeloid-derived APC
populations) without the development of mature T- or B-cell
compartments. Three months after BM transplantation, the chimeras
received anti-HA CD4+ T cells from TCR transgenic mice
(H-2dxb) and were challenged 1 day later with A20HA tumor
cells. The transfer of HA-specific T cells did not prevent the systemic
progression of A20HA cells because no differences in tumor growth rates
were observed in H-2dSCID H-2dxb F1 as
compared to H-2bSCID H-2dxb F1 chimeras
(Figure 2). Tumor growth was not
associated with loss of HA expression, because explanted tumor was
recognized by fresh anti-HA TCR transgenic T cells equivalently to
A20HA tumor that was maintained in vitro (data not shown).
Phenotypic characterization of reconstituted BM chimeras A major concern in the generation of H-2d H-2dxb and
H-2b H-2dxb chimeras is the possibility
that residual H-2dxbF1 APCs may be present after
reconstitution of the recipient animal. This is especially relevant for
the reconstituted H-2b H-2dxb F1 chimeras,
where the presence of residual host APCs may be a confounding factor.
Therefore, mice from each of the 2 groups of BM chimeras were killed
after immune reconstitution and the percentage of MHC class
II-positive cells of donor haplotype was determined. As seen in Figure
3, staining of splenocytes from H-2d H-2dxb chimeras (middle panel) revealed
the presence of only I-Ed+ cells and absence of
I-Ab+ splenocytes. Similarly, splenocytes from
H-2b H-2dxb chimeras were only positive for
I-Ab with no detectable contaminating I-Ed+
cells (lower panel). Furthermore, anti-HA (F1) transgenic
CD4+ T cells transferred into
H-2b H-2dxb chimeras failed to respond to
immunization with a recombinant vaccinia virus encoding HA, providing
functional confirmation of the absence of APCs expressing the
restricting element (I-Ed) required for presenting the
nominal peptide antigen to the clonotypic T cells (data not
shown).
Loss of the naive phenotype and clonal expansion of
antigen-specific T cells is seen only in
H-2d H-2dxb chimeras) and (2) when
antigen can be presented only by malignant B cells
(H-2bSCID H-2dxb chimeras). As shown
in Figure 4, 3 weeks after tumor
challenge, there was a significant clonal expansion of HA-specific,
clonotype-positive T cells in H-2d H-2dxb
tumor-bearing mice relative to their tumor-free counterparts (2.38%
versus 0.42%, respectively). In sharp contrast, no change in the
percentage of clonotypic CD4+ T cells was observed in
H-2b H-2dxb tumor-bearing chimeras (where
only the tumor cells can present the antigen) relative to tumor-free
H-2b H-2dxb chimeras (0.51% versus 0.47%,
respectively). It should be emphasized that at this time point, a
similar tumor burden was present in both sets of chimeras, consistent
with the equivalent growth kinetics displayed in Figure 2.
FACS analysis of activation/memory markers on clonotype-positive
CD4+ T cells revealed that T cells from the spleen of
H-2d
A representative FACS profile displaying a decreased CD45Rb expression
on T cells from lymph nodes of H-2d Therefore, BM-derived APCs are absolutely required for the induction of clonal expansion and loss of the naive phenotype observed in tumor antigen-specific CD4+ T cells during lymphoma progression. Induction of antigen-specific CD4+ T-cell tolerance is mediated by cross-presentation of tumor-antigens by host APCs The phenotypic changes in clonotype-positive T cells from H-2d H-2dxb tumor-bearing chimeras described
above can be observed subsequent to both T-cell priming as well as
tolerance induction.17 Therefore, in the next set of
experiments we evaluated the function of clonotype-positive T cells
from the different experimental groups in response to incubation with
the cognate HA-antigenic peptide in vitro. Figure 6 shows the phenotypic as well as
functional characteristics of clonotype-positive T cells from
H-2d H-2dxb chimeras (left panel) and
H-2b H-2dxb chimeras (right panel). Despite
the significant expansion of HA-specific CD4+ T cells in
H-2d H-2dxb tumor-bearing chimeras (Figure
6A, left panel) and decreased expression of CD62L (Figure 6B, left
panel), T cells from this group had a blunted HA-specific proliferative
response (Figure 6C, left panel) and were unable to produce IL-2 in
response to in vitro incubation with HA-peptide (Figure 6D, left
panel). Therefore, as previously observed in a syngeneic BALB/c
system,9 antigen-specific CD4+ T cells from
H-2d H-2dxb tumor-bearing chimeras have been
rendered fully unresponsive during A20 lymphoma progression.
In sharp contrast, CD4+ HA-specific T cells remained
responsive in H-2b Therefore, because T-cell tolerance is only seen in the
H-2d
These findings unambiguously demonstrate that the induction of tumor antigen-specific T-cell tolerance by B-cell lymphomas in vivo requires BM-derived APCs capable of taking up antigens shed from the tumor and presenting processed antigenic peptides to antigen-specific CD4+ T cells ("cross-presentation") rather than direct presentation by lymphoma cells themselves. A number of studies in recent years have postulated that tolerance to tumor antigens results from a direct encounter of T cells with tumor cells that are ill-equipped to provide the necessary "signals" for T-cell activation. Because most tumors of nonhematopoietic origin fail to express costimulatory molecules, the current model of tumor-induced T-cell tolerance ("signal 1 without signal 2") predicts that tumor-specific T cells are rendered anergic on encountering antigen on tumor cells that cannot provide costimulation.18 There are, however, several problems with this model in terms of
explaining the induction of tolerance to tumor antigens. First, if all
that is required for tolerance induction is the inability of tumor
cells to deliver costimulatory signals to T cells, then the induction
of such a state of unresponsiveness should not be seen in tumors
derived from APCs, which are reasonably well equipped to deliver
"signal 1" and "signal 2" to antigen-specific T cells. As an
example, A20 B-cell lymphoma, being a tumor derived from cells with
antigen-presenting capabilities, has been used extensively for in vitro
studies of antigen processing and presentation. Indeed, we have shown
that in vitro culture of A20HA with highly purified HA-specific, MHC
class II-restricted TCR transgenic T cells resulted in activation and
IL-2 production by antigen-specific T cells (Figure 1 and reference 8).
Yet, despite these in vitro properties, growth of this tumor in vivo
resulted in the induction of antigen-specific CD4+ T-cell
tolerance rather than T-cell priming.9 This state of unresponsiveness was not the result of B-cell lymphomas losing their
ability to express costimulatory molecules in vivo Although in some forms of human lymphoma, abundant T-cell populations can be seen histologically surrounding the malignant B-cell population, proof of cognate T-cell/B-cell tumor interaction as well as assessment of the functional status of these antigen-specific T cells are lacking. It is plausible that the differential expression of lymphoid homing receptors and chemokines by lymphoma cells would influence both the microenvironment occupied by the tumor and the surrounding T-cell infiltrate. In any case, although some forms of lymphoma may favor direct T-cell/tumor interactions, our study indicates that such interactions are not required for the development of tumor-specific T-cell tolerance that is mediated by BM-derived APCs. The demonstration of the critical role of APCs in the induction of tolerance to tumor antigens is consistent with previous studies of T-cell tolerance to peripheral self-antigens.12-14,19 APCs have been shown to capture tissue-specific self-antigens, migrate to the lymphoid organs, and present antigens to either naive CD8+ T cells12 or CD4+ T cells13 in a way that resulted in tolerance induction rather than priming of T cells. In these studies, the induction of T-cell unresponsiveness to self-antigens represented an "active process" characterized by the loss of the naive phenotype as well as proliferation and clonal expansion of antigen-specific T cells. Interestingly, similar phenotypic and functional changes in antigen-specific CD4+ T cells are described in the present report (Figures 3A, 4A, and 5) suggesting that the induction of tolerance to tumor antigens is mediated by a similar mechanism. Furthermore, these similarities raise the likelihood that the same mechanisms that normally prevent inappropriate attack against self-antigens may also impose significant barriers for the development of effective immune responses against antigens expressed by tumors. Strikingly, our model demonstrates that this can occur even for a fully xenogeneic protein expressed exclusively by the tumor cells (clinically, a "best case" scenario). This barrier may be even greater in the case of nonmutated tissue-restricted self-antigens that are overexpressed by tumors and have been targeted for active immunotherapy in the clinic.20 Our recent observations that similar tolerogenic events can be seen in
mice harboring a metastatic renal cell carcinoma expressing a model
tumor antigen (RencaHA) (E.M.S. and colleagues, manuscript in
preparation, July 2001) also support a role for BM-derived APCs in
tolerance induction to tumor antigens expressed by solid malignancies.
Despite the fact that this tumor does not express either MHC class II
molecules or costimulatory molecules, HA-specific T cells from the
spleen and lymph nodes of RencaHA-bearing mice lose their naive
phenotype (indicative of having encountered the antigen in vivo) and
were found to be fully unresponsive. Furthermore, similar to the
findings in other solid tumor systems,21 the loss of the
naive phenotype of T cells during RencaHA progression was seen in the
absence of tumor metastasis to the lymphoid organs, suggesting that
cells Given the above reasoning, we propose a model in which host APCs capture tumor antigens at the tumor site and then migrate to the lymphoid organs for presentation of the antigen to tumor-specific T cells. TCR engagement with tumor antigen/MHC class II molecules presented by APCs results in loss of the naive phenotype as well as a modest clonal expansion of antigen-specific T cells (Figures 3A and 4A). Although this APC-T-cell encounter induces a "partial activation" state, by itself this appears to be insufficient to trigger the effector function necessary for achieving tumor rejection. Instead, in the face of persisting antigen, this state of "partial activation" is followed by the development of unresponsiveness (Figure 5, left panel), suggesting perhaps that in the absence of additional signals capable of sustaining and/or amplifying this initial response,23 the normal default of T-cell responses to tumor antigens is tolerance induction rather than priming. The requirement for BM-derived APCs in both the induction of tolerance to tumor antigens, as shown in the present report, as well as in priming effective antitumor responses,24 places APCs at the crossroads of these highly divergent outcomes. It is plausible that the differentiation or activation state of the APC population may be the central determinant of T-cell priming versus tolerance. Indeed, it has been suggested that depending on their maturational state, DCs are able to either tolerize (immature DCs) or induce T-cell activation (mature DCs).25,26 Furthermore, we have recently demonstrated that in vivo activation of APCs through CD40 triggering could not only provide the signal(s) needed to induce T-cell activation rather than tolerance to tumor antigens, but also led to an enhanced response to vaccination in tumor-bearing animals.27 Using a similar strategy, Diehl and coworkers have shown that in vivo triggering of CD40 can also overcome peptide-induced peripheral cytotoxic T-lymphocyte tolerance and markedly enhanced the efficacy of peptide-based antitumor vaccine.28 Therefore, modulating the activation/maturational state of APCs may represent a useful strategy to overcome APC-mediated tolerance to tumor antigens. It is also possible that discrete subpopulations of BM-derived APCs
could be responsible for tolerance induction, and several potential
candidates have been proposed. Huang and colleagues have recently
identified a DC subset (CD4 These studies have elucidated, therefore, the dominant role that BM-derived APCs (and not lymphoma cells themselves) play in the induction and maintenance of tolerance to B-cell lymphoma-associated tumor antigens. Furthermore, they have identified a potential target that, if appropriately manipulated, may lead to approaches to overcome tumor-specific tolerance, a critical barrier that needs to be faced in the design of an effective immunotherapy against B-cell malignancies.
The authors wish to thank Sara Cooke for expert technical assistance and Drew Pardoll and Ephraim Fuchs for helpful discussions and careful review of the manuscript.
Submitted December 21, 2000; accepted March 30, 2001.
Supported by Public Health Service grants CA78658 R01 (H.I.L.) and CA078656 K08 (E.M.S). H.I.L. is a Scholar of the Leukemia and Lymphoma Society of America.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Hyam I. Levitsky, Johns Hopkins University School of Medicine, 452 Bunting Blaustein Cancer Research Bldg, 1650 Orleans St, Baltimore, MD 21231; e-mail: hy{at}jhmi.edu.
1.
Bretscher P, Cohn M.
A theory of self-nonself discrimination.
Science.
1970;169:1042-1049 2. Lafferty KJ, Cunningham AJ. A new analysis of allogeneic interactions. Aust J Exp Biol Med Sci. 1975;53:27-42[Medline] [Order article via Infotrieve].
3.
Gimmi CD, Freeman GJ, Gribben JG, Gray G, Nadler LM.
Human T-cell clonal anergy is induced by antigen presentation in the absence of B7 costimulation.
Proc Natl Acad Sci U S A.
1993;90:6586-6590
4.
Glimcher LH, Kim KJ, Green I, Paul WE.
Ia antigen-bearing B cell tumor lines can present protein antigen and alloantigen in a major histocompatibility complex-restricted fashion to antigen-reactive T cells.
J Exp Med.
1982;155:445-459
5.
Weiss S, Bogen B.
B-lymphoma cells process and present their endogenous immunoglobulin to major histocompatibility complex-restricted T cells.
Proc Natl Acad Sci U S A.
1989;86:282-286
6.
Schultze JL, Cardoso AA, Freeman GJ, et al.
Follicular lymphomas can be induced to present alloantigen efficiently: a conceptual model to improve their tumor immunogenicity [published erratum appears in Proc Natl Acad Sci U S A. 1995 Nov 7;92(23):10818].
Proc Natl Acad Sci U S A.
1995;92:8200-8204
7.
Cardoso AA, Schultze JL, Boussiotis VA, et al.
Pre-B acute lymphoblastic leukemia cells may induce T-cell anergy to alloantigen.
Blood.
1996;88:41-48 8. Levitsky HI, Montgomery J, Ahmadzadeh M, et al. Immunization with granulocyte-macrophage colony-stimulating factor-transduced, but not B7-1-transduced, lymphoma cells primes idiotype-specific T cells and generates potent systemic antitumor immunity. J Immunol. 1996;156:3858-3865[Abstract].
9.
Staveley-O'Carroll K, Sotomayor E, Montgomery J, et al.
Induction of antigen-specific T cell anergy: an early event in the course of tumor progression.
Proc Natl Acad Sci U S A.
1998;95:1178-1183
10.
Ronchese F, Hausmann B.
B lymphocytes in vivo fail to prime naive T cells but can stimulate antigen-experienced T lymphocytes.
J Exp Med.
1993;177:679-690
11.
Fuchs EJ, Matzinger P.
B cells turn off virgin but not memory T cells.
Science.
1992;258:1156-1159
12.
Kurts C, Kosaka H, Carbone FR, Miller JF, Heath WR.
Class I-restricted cross-presentation of exogenous self-antigens leads to deletion of autoreactive CD8(+) T cells.
J Exp Med.
1997;186:239-245
13.
Adler AJ, Marsh DW, Yochum GS, et al.
CD4(+) T cell tolerance to parenchymal self-antigens requires presentation by bone marrow-derived antigen-presenting cells [in process citation].
J Exp Med.
1998;187:1555-1564
14.
Steinman RM, Turley S, Mellman I, Inaba K.
The induction of tolerance by dendritic cells that have captured apoptotic cells.
J Exp Med.
2000;191:411-416
15.
Kirberg J, Baron A, Jakob S, Rolink A, Karjalainen K, von Boehmer H.
Thymic selection of CD8+ single positive cells with a class II major histocompatibility complex-restricted receptor.
J Exp Med.
1994;180:25-34 16. Swiggard WJ, Steinman RM, Inaba K, Romani N, Schuler G. Enrichment of dendritic cells by plastic adherence and EA rosseting. In: Colligan JE, ed. Current Protocols in Immunology. New York: Wiley; 1991.
17.
Sotomayor EM, Borrello I, Tubb E, Allison JP, Levitsky HI.
In vivo blockade of CTLA-4 enhances the priming of responsive T cells but fails to prevent the induction of tumor antigen-specific tolerance.
Proc Natl Acad Sci U S A.
1999;96:11476-11481 18. Ostrand-Rosenberg S. Tumor immunotherapy: the tumor cell as an antigen-presenting cell. Curr Opin Immunol. 1994;6:722-727[CrossRef][Medline] [Order article via Infotrieve].
19.
Huang FP, Platt N, Wykes M, et al.
A discrete subpopulation of dendritic cells transports apoptotic intestinal epithelial cells to T cell areas of mesenteric lymph nodes [see comments].
J Exp Med.
2000;191:435-444 |