Summary
The omentum is a site of B1 lymphopoiesis and immune responsiveness to T-independent antigens. However, it is unknown whether it supports immune responses independently of conventional lymphoid organs. We show that the omentum collects antigens and cells from the peritoneal cavity and supports T-dependent B cell responses, including isotype switching, somatic hypermutation and limited affinity maturation, despite the lack of identifiable follicular dendritic cells. The omentum also supports CD4 and CD8 responses to peritoneal antigens and recruits effector T cells primed in other locations. Unlike conventional lymphoid organs, milky spots in the omentum develop in the absence of lymphoid tissue inducer cells, but require CXCL13. Although the lymphoid architecture of milky spots is disrupted in lymphotoxin-deficient mice, normal architecture is restored by reconstitution with lymphotoxin-sufficient hematopoietic cells. These results indicate that the milky spots of the omentum function as unique secondary lymphoid organs that promote immunity to peritoneal antigens.