Loss of tolerance for autoantigens is a common feature in autoimmune diseases. Bystander T-cell activation is the activation of T cells to produce functional changes through TCR-independent stimulation. Although bystander activation may be related to tolerance loss to multiple autoantigens, the activation mechanism of T cells directed to an autoantigen with limited amount is not clear. We investigated an activation mode of T cells (designated as "associator T cells") directed to a suboptimal dose of cognate antigen X in the presence of fully activated T cells (designated as "responder T cells") directed toan optimal dose of antigen Y. In in vitro coculture, the activation of associator T cells was dependent on the presentation of antigen X, and soluble factors from activated responder T cells were not sufficient. Therefore, we conclude this activation mode is different from bystander activation and named it "extended antigen priming (EAP)". T cells with EAP showed a different phenotype compared to conventionally primed cells, suggesting the unique nature of EAP. Intriguingly, EAP was dependent on the CD40-CD40L signaling pathway. Thus, the EAP model is a T-cell activation mode for suboptimal dose of antigen and presumably related to the immune response to autoantigens in autoimmune status.Keywords: Antigen specificity · Autoimmunity · Autoreactive T cells · Bystander activation · Epitope spreading Additional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionThe immune system is a network to protect the host from attacks by pathogens. In contrast, immune activation to self-antigens is suppressed by self-tolerance. However, in autoimmunity, selftolerance is broken in certain sets of autoantigens at both T-cell and B-cell levels. In the patients' sera of systemic lupus erythematosus, one of the prototypical systemic autoimmune diseases, Correspondence: Dr. Keishi Fujio e-mail: kfujio-tky@umin.ac.jp more than 100 types of autoantibodies were described [1]. Several types of autoantibodies such as anti-nuclear, anti-ds DNA, anti-phospholipid, anti-Ro, anti-La, anti-ribonucleoprotein, and anti-Sm are detected not only at the time of diagnosis but also before diagnosis of SLE for more than 5 years [2]. In patients with rheumatoid arthritis (RA), a systemic inflammatory disorder that principally affects synovial joints, autoantibodies recognizing the Fc part of IgG, immunoglobulin heavy chain binding protein, citrullinated proteins, and glucose 6 phosphoisomerase are detected [3]. In addition to autoantibodies, T cells activated with antigens presented on MHC play an important role in the development of C 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu 1644 Mihoko Shibuya et al. Eur. J. Immunol. 2015. 45: 1643-1653 inflammation. T cells infiltrate the synovial tissue of RA patients [4] and particular HLA-DR alleles show association with susceptibility to RA [5][6][7][8]. Developmental abnormality of T cells such as neonatal thymectomy a...