title: Fully competent dendritic cells as inducers of T cell anergy in autoimmunity.
abstract: Mature immunologically competent dendritic cells are the most efficient antigen-presenting cells that powerfully activate T cells and initiate and sustain immune responses. Indeed, dendritic cells are able to efficiently capture antigens, express high levels of costimulatory molecules, and produce the combination of cytokines required to create a powerful immune response. They are also considered to be important in initiating autoimmune disease by efficiently presenting autoantigens to self-reactive T cells that, in this case, will mount a pathogenic autoimmune reaction. Triggering T cells is not a simple on-off procedure, as T cell receptor responds to minor changes in ligand with gradations of T cell activation and effector functions. These "misfit" peptides have been called Altered Peptide Ligands, and have been shown to have important biological significance. Here, we show that fully capable dendritic cells may present, upon natural antigen processing, a self-epitope with Altered Peptide Ligands features that can unexpectedly induce anergy in a human autoreactive T cell clone. These results indicate that presentation of a self-epitope by immunologically competent dendritic cells does not always mean "danger" and show a mechanism involved in the fine balance between activation and tolerance induction in humans.
authors.affiliation: Imperial College School of Medicine, Kennedy Institute of Rheumatology Division, 1 Aspenlea Road, London W6 8LH, United Kingdom. s.quaratino@ic.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Quaratino
authors.forename: L P
authors.initials: LP
authors.lastname: Duddy
authors.forename: M
authors.initials: M
authors.lastname: Londei
mesh_terms: D017951:Antigen Presentation; D015551:Autoimmunity; D002450:Cell Communication / Q000276:immunology; D002478:Cells, Cultured; D003713:Dendritic Cells / Q000276:immunology*; D018984:Epitopes, T-Lymphocyte / Q000276:immunology; D006801:Humans; D008024:Ligands; D008213:Lymphocyte Activation; D010455:Peptides / Q000276:immunology; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: D018984:Epitopes, T-Lymphocyte; D008024:Ligands; D010455:Peptides