Professional antigen‐presenting cells (APCs) comprise dendritic cells (DCs), macrophages (MΦs) and B cells. Collectively, they initiate an adaptive immune response to pathogens, shape the nature of this response and contribute to its regulation and termination. They also play key roles in maintenance of tolerance to self‐antigens. Only DCs are able to activate naïve T cells, and from this pivotal position at the initiation of a response, they are able to shape the differentiation of the T cells towards different functional fates and instruct trafficking of these cells to sites of infection. In contrast, MΦs and B cells re‐stimulate T cells, previously activated by DCs in an antigen‐specific manner. They function to amplify the initial DC‐activated response and to elicit the targeted production of T cell‐derived factors required for antibody production by B cells and the enhanced microbicidal activity of MΦs.
Key Concepts
Cells that express MHC class II under resting conditions are often termed ‘professional’ antigen‐presenting cells (APCs).
Professional APCs comprise dendritic cells (DCs), macrophages (MΦs) and B cells.
Many tissue MΦs are derived from embryonic precursors and locally renew; DCs, B cells and some MΦs are derived by distinct pathways, in adult bone marrow.
Only DCs can activate naïve T cells.
DC‐derived signals shape the differentiation of CD4 T cells towards different functional subsets and can influence the trafficking of the cells generated to different tissues.
DCs can also induce tolerance via deletion, anergy and generation of T cells with regulatory properties.
Small numbers of DCs carrying self‐antigens constitutively migrate to secondary lymphoid organs (SLOs), but in the absence of exposure to infection‐associated ‘danger’ signals they express low levels of co‐stimulatory molecules and fail to stimulate adaptive immunity.
In infection, DCs undergo maturation in response to danger signals; mature DCs presenting foreign antigens and expressing high levels of co‐stimulatory molecules induce effector T cell responses.
B cells present antigen to DC‐activated T cells in order to trigger the targeted release of T cell derived factors that are required by B cells for production of high‐quality antibodies (‘T cell help’).
MΦs present antigen to DC‐activated T cells in order to trigger the targeted release of cytokines that activate the MΦ for enhanced microbicidal activity, reducing collateral tissue damage caused by toxic metabolites involved in pathogen killing.