Keywords: Apoptotic cells r CD4 + T-cell responses r Dendritic cellsAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionOne of the key features of the immune system is to react to foreign pathogens and not respond to the self-antigens derived from dying cells that can be presented to the immune system in far greater amounts. Thymic selection removes the vast majority of developing thymocytes that express a T-cell receptor with high specificity for self-peptide: MHC complexes, a process referred to as central tolerance. Nevertheless, some self-reactive T cells are released into the periphery [1,2]. The mechanisms that control such potentially [25][26][27][28]. Moreover, in animal models, the use of apoptotic cells to prevent autoimmunity has also been reported [29,30]. DCs also possess the unique ability to induce proliferation of autologous T cells in the absence of exogenous antigen, a process termed "autologous mixed leukocyte reaction" [31]. T cells activated in this process display normal immune response [32] in terms of specificity and memory, and a capacity for immunosuppression [33][34][35][36]. There is evidence that, in this process, DCs present peptides derived from self-proteins [37], mostly derived from residual apoptotic cells [38,39]. However, the effect of the capture of apoptotic cells by DCs on their ability to stimulate and support the proliferation of naive autologous CD4 + T cells, and therefore to generate self-reactive responses, has never been studied in detail. Surprisingly, we found that DCs loaded with apoptotic cells induced a robust proliferation of autologous naive CD4 + T cells. These proliferating autologous CD4 + T cells exhibited suppressive phenotype and function, unless a TLR ligand mimicking concomitant infection was added to the apoptotic cell-DC culture, yielding Th17 differentiation.
Results
Robust autologous responses induced by apoptotic cell-loaded DCsIn order to examine the effect of apoptotic cell uptake by DCs on their ability to induce potential autologous CD4 + T-cell responses, we have set up an experimental procedure in which DCs were loaded with autologous apoptotic CD4 + T-cell blasts for 16 hours, purified, and cultured with autologous naive CD4 stimulated-CD4 + T cells were also able to induce proliferation of autologous naive CD4 + T cells, whereas DCs loaded with necrotic CD4 + T-cell blasts were not (Supporting Information Fig. 1). To understand whether this was due to a very few cells that have proliferated to high levels or whether this reflected an increase in the frequency of proliferative precursors, we used two different methods. The first was based on intracellular staining with the antibody specific for Ki67, which is strictly expressed only during cell proliferation ( Fig. 1B), but is absent from resting cells, making it a marker to determine the fraction of cells that will proliferate. This staining was performed on day 2, just before the beginning of the proliferation, and ...