ARTICLE
MHC class II molecules expressed at the surface of antigen presenting
cells mediate the presentation of peptides derived from exogenous antigens
to CD4+ T lymphocytes. These molecules are assembled in the
endoplasmic reticulum as nonamers composed of three alphaß dimers associated
with one trimer of invariant chains. The invariant chains, chaperone molecules
necessary for the correct folding of class II molecules in the endoplasmic
reticulum, (i) prevent the alphaß dimers from associating with endogenous
peptides in the endoplasmic reticulum and the Golgi complex and (ii) retain
the class II molecules in the endoplasmic reticulum until nonamers are
formed. The nonamers, guided by the invariant chains, then leave the endoplasmic
reticulum and traverse the Golgi complex to reach the trans-Golgi network.
The formation of MHC class II-peptide complexes obviously requires the
encounter of newly synthesized MHC class II molecules with (poly)peptides
generated in the endocytic pathway. However, the route taken by class
II molecules to reach the endocytic pathway remains a matter of controversy.
According to some authors, newly synthesized class II molecules proceed
directly to early [1-3] or late [4] endosomes, or to a prelysosomal compartment
[5, 6]. In the endocytic pathway, proteases such as cathepsin S progressively
cleave the luminal domain of the invariant chains [7]. Some fragments
of the invariant chain nevertheless remain transiently associated with
alphaß dimers, as is notably the case for a 10 kD fragment (p10) containing
a region termed CLIP ("class II-associated invariant chain peptide").
Through interaction with the (poly)peptide-binding groove of alphaß
dimers, CLIP not only mediates their association with the invariant chains
but also prevents their loading of endogenous peptides. Once the CLIP
region has been eliminated, a process catalyzed by HLA-DM molecules [8],
(poly)peptides of exogenous origin can bind to the alphaß dimers. This
association of (poly)peptides with alphaß dimers may take place, in
the early endosomes for Guagliardi et al. [2], throughout the endocytic
pathway for Castellino and Germain [3], or according to Peters et al.
[5] in specific endocytic/lysosomal compartments denoted MIIC for "MHC
class II compartments". Newly formed alphaß-peptide complexes then migrate
to the cell surface where they become available for interaction with T
cell receptors.
Dendritic cells and MHC class II molecules
Dendritic cells represent a family of antigen presenting cells [9] found
in all tissues of the organism, in both non-lymphoid and lymphoid organs.
In non-lymphoid organs, so-called "immature" dendritic cells play a sentinel
role by capturing exogenous antigens, processing them and presenting the
resultant immunogenic peptides associated with MHC class II molecules
to mature T lymphocytes. Thus, these cells initiate a secondary immune
response in non-lymphoid organs. However, under certain circumstances
dendritic cells can migrate to the T cell areas of lymph nodes while they
differentiate to develop a new phenotype and modify their functions. Surface
expression of MHC class I and class II molecules increases, as does the
expression of adhesion and costimulatory molecules playing an "accessory"
role in antigen presentation. Meanwhile, their capacity to capture and
process exogenous antigens is down-regulated. In the T cell areas of lymphoid
organs, these "mature" dendritic cells may stimulate naive T lymphocytes
and initiate a primary immune response against the antigens that had been
"captured" in their tissue of origin.
What is known about the class II molecules expressed by dendritic cells?
In human Langerhans cells, these molecules are found essentially at the
cell surface and in lysosomal compartments of the endocytic pathway [10,
11]. The invariant chain molecules of dendritic cells display particularities
affecting their distribution and biochemistry. Studies of the cellular
distribution of the invariant chain have in fact revealed its unusually
high expression on the surface of dendritic cells [12-14]. These cells
produce the various invariant chain isoformsalpha, but in proportions which
differ from those observed in other antigen presenting cells [15, 16].
Thus, mouse dendritic cells and in particular Langerhans cells produce
four to five times more of the p41 isoform than B lymphocytes. This isoform
has been shown to modulate antigen presentation by inhibiting proteolytic
enzymes of the endosomal system [17]. In addition, the invariant chain
molecules of murine dendritic cells are highly sialylated, which could
influence their fate in the acidic compartments of the endocytic pathway
through the negative charge conferred on MHC class II-invariant chain
complexes [16].
How is one to explain the presence of the invariant chain at the surface
of dendritic cells? In an attempt to answer this question, we studied
the intracellular traffic of MHC class II and invariant chain molecules
in human monocyte-derived dendritic cells. A unique route of transport
for newly synthesized molecules was identified in these cells as compared
to other antigen presenting cells, a pathway which may contribute to enhancing
the efficiency of their antigen presentation and which will be discussed
in the following paragraphs. However, the intracellular traffic of the
invariant chain and MHC class II molecules displays further particularities
depending on the "type" of dendritic cell.
Traffic of MHC class
II molecules in human dendritic cells derived from monocytes
In man, the possibility of inducing the in vitro differentiation
of peripheral blood monocytes into immature dendritic cells and of triggering
their maturation as required [13, 18] has led to a better understanding
of the fate of MHC class II molecules in immature dendritic cells and
at the onset of maturation.
Traffic of MHC class II molecules in immature human
dendritic cells
The differentiation of monocytes into dendritic cells is accompanied
by important morphological, phenotypic and functional changes. Markers,
of which the expression increases at the surface of in vitro differentiated
cells, include not only HLA-DR molecules but also the invariant chain.
In fact, the invariant chains present at the cell surface are not "free"
but mainly associated with alpha and ß HLA-DR chains and, in immature
dendritic cells, a large proportion of the newly synthesized alphaß-invariant
chain complexes (>= 55 ± 13%) move directly and very rapidly in
a continuous flux to the cell surface. On arrival at the surface, these
complexes are spontaneously and rapidly internalized into coated pits
and vesicles. The complexes then progress along the endocytic pathway,
where the invariant chains are rapidly degraded while the first alphaß
HLA-DR dimers are loaded with peptides, as demonstrated by their stability
in the presence of SDS, before regaining the cell surface. Thus, 30 min
after the start of their internalization, almost 75% of the alphaß-invariant
chain complexes have been transformed into alphaß dimers, 20% of which
are already to be found re-expressed at the cell surface. This movement
towards the cell surface continues, with the result that 2 hrs following
the start of their internalization, close to 75% of the class II molecules
have regained the cell surface in the form of alphaß dimers [19].
What is the benefit to the dendritic cell of this passage by the cell
surface of the alphaß-invariant chain complexes prior to their entry
into the early endosomal system? Apparently, this sequence of events (Fig.
1) allows the dendritic cell to rapidly degrade the invariant
chains soon after their arrival in the early endosomal compartments, where
the alphaß HLA-DR dimers then load (poly)peptides [20]. In fact, the
markedly slower transport of HLA-DR molecules from the early to the late
endosomal compartments following depolymerization of the microtubules
modifies neither the extent nor the kinetics of the conversion of alphaß-invariant
chain complexes previously present at the cell surface into SDS-stable
alphaß dimers [19]. Therefore, all along the endocytic pathway, in the
early and probably in the later compartments, newly synthesized alphaß
dimers can load antigenic (poly)peptides and migrate to the cell surface
[19, 20]. The binding of polypeptides to MHC class II molecules is made
possible by the structure of the peptide binding groove borne by the alphaß
dimers. Since this groove, in contrast to that of MHC class I molecules,
has no lateral limits, a single polypeptide can bind to several MHC class
II molecules [20]. This association, starting in the early endosomal compartments
and facilitated by the presence of HLA-DM molecules throughout the endocytic
pathway [21], enables the preservation of antigenic determinants which
would be destroyed by endosomal or lysosomal proteases if they were not
protected by their position within the binding groove [20]. These enzymes
can nevertheless digest the non-protected peptide fragments lying outside
the peptide binding groove. Thus, through the particular traffic of their
MHC class II molecules, dendritic cells derived from monocytes are able
to optimize their capacity to present the diverse antigenic determinants
of exogenous antigens.
On arrival at the surface of immature dendritic cells, by a process
still poorly understood, alphaß dimers may recycle between early endosomal
compartments and the cell surface [22], which allows them to load and
present new peptides generated in the early endosomes. alphaß dimers
do not however accumulate at the surface of immature dendritic cells and
their half-life is no longer than about ten hours [22].
Fate of MHC class II molecules
in mature human dendritic cells
Inflammatory stimuli such as TNF-alpha, LPS, CD40L and IL-1ß induce
the maturation of dendritic cells derived from monocytes [18]. In immature
cells in culture, these agents trigger: (i) a diminution of their capacity
to capture antigens by macropinocytosis or through receptors which bind
the mannose residues of proteins or immune complexes ; (ii) an increase
in the surface expression of MHC class I and class II molecules and of
molecules involved in cell adhesion (CD44, CD54 and CD58) and T cell costimulation
(CD40, CD80 and CD86) ; (iii) appearance of the mature dendritic cell
marker CD83 and (iv) at the functional level, a decrease in the capacity
of these cells to process and hence to present exogenous antigens, together
with an increase in their capacity to stimulate naive allogeneic T lymphocytes.
In this way, from "immature" cells particularly efficient in the capture
and treatment of antigens, dendritic cells evolve to "mature" cells specialized
in the stimulation of naive T cells.
The increased expression of MHC class II molecules at the surface of
maturing human dendritic cells has been shown to result from a number
of factors: (i) a higher rate of synthesis of alphaß-invariant chain
complexes at early time points [22] ; (ii) release of the class II molecules
stored in the MHC class II-rich compartments [Haegel-Kronenberger et
al., results submitted for publication] ; (iii) loss of the capacity
to internalize cell surface alphaß dimers [22] and consequently (iv)
prolongation of the half-life of class II molecules [22 and Haegel-Kronenberger
et al., results submitted for publication]. An increase in invariant
chain synthesis has been reported in dendritic cells treated with LPS
or TNF-alpha, beginning as soon as one hour after stimulation and continuing
for 10 to 16 hrs with a two to three fold higher rate of synthesis of
class II molecules [22]. This could explain the rise in the expression
of the invariant chain at the surface of dendritic cells during the first
hours after triggering of cell maturation. However, results obtained in
our laboratory suggest that increased neosynthesis is not the principal
mechanism responsible for the surface induction of MHC class II molecules
following TNF-alpha stimulation of dendritic cells.
The "disappearance" of the MHC class II-rich compartments 40 hrs after
induction of dendritic cell maturation with TNF-alpha was reported for the
first time by Sallusto et al. [18]. In order to better define the
fate of the class II molecules which "disappear" in this manner, we studied
the kinetics of HLA-DR expression at the cell surface and of the modifications
affecting its intracellular distribution. The surface induction of HLA-DR
alphaß dimers and their disappearance from internal compartments proved
to be rapid and early phenomena. An increase in the level of expression
of alphaß dimers at the cell surface was in fact already detectable
only 30 min after TNF-alpha stimulation. This expression continued to increase
regularly over the first six hours of maturation, during which time the
lysosomal compartments seemed to maintain the presence of specific markers
such as lamp-1, lamp-2, CD63 and CD68. What took place was a veritable
"emptying" of the lysosomal compartments of their class II molecules.
We then attempted to analyze the mechanism(s) of this emptying, firstly
by testing the effects of drugs known to inhibit protein synthesis or
different steps of intracellular traffic. The protein synthesis inhibitor
cycloheximide did not affect the redistribution or surface induction of
class II molecules at early timepoints following addition of TNF-alpha, but
produced within 1 hr a sharp drop in the expression of the invariant chain
at the cell surface. The alphaß dimers up-regulated on the surface of
maturing cells at early stages of activation therefore represent pre-existing
dimers originating from the intracellular MHC class II-rich compartments
also containing lysosomal proteins. Brefeldin A, on the other hand, totally
inhibited the surface induction of class II molecules and their disappearance
from intracellular compartments, suggesting the involvement of a vesicular
transport mechanism dependent on an exchange factor for ARF [23] in the
emptying of MHC class II-rich compartments. Finally, depolymerization
of the microtubules with nocodazole, but not of the actin filaments with
cytochalasine D, had an inhibitory effect on this MHC class II redistribution.
Does the emptying of MHC class II-rich compartments require their fusion
with the cell membrane? To address this question, we followed the evolution
of these compartments during early maturation by electron microscopy.
In maturing cells, we observed (i) images suggesting the fusion of lysosomal
compartments with one another and (ii) formation, at the expense of the
lysosomal compartments, of tubular structures which appeared to establish
connections between several such compartments. However, we did not observe
images of fusion between lysosomal compartments and the cell membrane
[D. Hanau, unpublished results]. These findings are consistent with other
evidence that the export of MHC class II molecules from lysosomal compartments
is a selective process. Thus, LPS or TNF-alpha stimulation does not lead to
the active secretion of lysosomal enzymes by dendritic cells. Moreover,
the lack of cell surface up-regulation of lysosomal membrane proteins
such as lamp-2 during the early steps of maturation would argue against
the direct fusion of MHC class II-rich compartments with the plasma membrane
[Haegel-Kronenberger et al., results submitted for publication].
These results all point to the existence of
a "specific" mode of transport of class II molecules from intracellular
lysosomal compartments to the cell membrane, which would involve: (i)
a vesicular transport mechanism dependent on an exchange factor for ARF
; (ii) microtubules of the cytoskeleton and (iii) the formation of interconnections
within the lysosomal system of dendritic cells.
Prolongation of the half-life of HLA-DR molecules also contributes to
increase the concentration of MHC class II molecules at the surface of
mature dendritic cells. Thus, LPS treatment prolongs the half-life of
HLA-DR at the surface of dendritic cells to over 100 hrs [22]. This has
been attributed to a decrease after some hours and loss after 40 hrs of
the capacity of maturing dendritic cells to internalize and degrade surface
alphaß dimers [22].
In what measure is the neosynthesis of class II molecules modified in
mature dendritic cells? The results of Cella et al. [22] suggest
that neosynthesis ceases 24 hrs after the start of dendritic cell maturation
in the presence of LPS. Our metabolic labeling experiments indicate on
the contrary that neosynthesis persists when dendritic cell maturation
is induced with TNF-alpha, even as long as 40 hrs after addition of the stimulating
agent. Moreover, biochemical methods have enabled us to show that the
intracellular traffic of newly synthesized class II molecules is not modified
in this type of mature cell, the majority of alphaß-invariant chain
complexes progressing first to the cell surface before internalizing to
enter the endocytic pathway [H. Haegel-Kronenberger and
C. Saudrais, unpublished results]. In mouse bone-marrow-derived dendritic
cells, control of invariant chain proteolysis by the cathepsin S inhibitor
cystatin C has been shown to regulate the transport of MHC class II molecules
during maturation [24]. Incomplete invariant chain proteolysis leads to
the accumulation of class II molecules in the lysosomes of immature cells,
while in mature dendritic cells the invariant chain is totally degraded
and MHC class II molecules are efficiently transported to the cell surface.
On the other hand, it has recently been shown that even in dendritic cells
from mice bearing a genetically disrupted invariant chain, class II molecules
can accumulate in lysosomal compartments. Moreover, after treatment with
TNF-alpha these cells can export class II molecules from lysosomes to the
cell surface [25], suggesting that the regulation of MHC class II transport
here is not dependent on the invariant chain. This apparent discrepancy
as to the influence of the invariant chain on the intracellular fate of
MHC class II molecules might be related to the different MHC class II
haplotypes of the mice used in the studies. However, neither study precludes
the transport of pre-existing class II molecules stored in lysosomes to
the cell surface upon activation. Internalization of the invariant chain
is known to involve coated pits and vesicles [26]. Hence, it was of interest
to look for the persistence of the process known as "receptor-mediated
endocytosis" in mature dendritic cells. Using electron microscopy, it
was possible to demonstrate that anti-CD1balphaalpha and anti-CD1calphaalpha antibodies
continue, in mature as in immature dendritic cells, (i) to internalize
through coated pits and vesicles and (ii) to progress to multilamellar
compartments resembling in all morphological aspects, the MHC class II-rich
compartments [D. Hanau, unpublished results]. The persistence of such
multilamellar compartments in mature cells correlates with the findings
of Calafat et al. [28], who have shown in transfected embryonic
kidney cells that neosynthesis of class II alpha and ß chains is a necessary
and sufficient condition to induce the appearance of multilamellar compartments
of the MHC class II-rich type.
Thus, dendritic cells having undergone maturation in the presence of
TNF-alpha appear to conserve: (i) the neosynthesis and unique transport pathway
through the cell surface of class II molecules and (ii) multilamellar
lysosomal compartments which no longer contain MHC class II molecules
but nevertheless remain part of the endocytic pathway. However, this redistribution
of MHC class II molecules, in mature dendritic cells derived from monocytes,
from the lysosomal compartments to the cell surface, is in contrast to
what has been observed in cultures of "blood dendritic cells".
Fate of MHC class II molecules
in cultured human blood dendritic cells
Apart from monocytes capable, at least in vitro, of differentiating
into dendritic cells, circulating blood contains a population of cells
which are "already" dendritic. These cells are however present only in
very low concentrations and represent no more than 0.1 to 1% of the total
mononuclear cells of blood [12].
In freshly isolated blood dendritic cells, MHC class II molecules are
found at the cell surface and in lysosomal "MHC class II-rich" compartments.
As in the case of dendritic cells derived from monocytes, the expression
of MHC class II molecules increases at the surface of these cells when
they are maintained for 36 hrs in culture, but in contrast to cells differentiated
from monocytes this expression also increases within the "MHC class II-rich"
compartments. These compartments, which persist in culture and even become
slightly more numerous, remain part of the endocytic pathway and maintain
their content of lysosomal markers (CD63 and lamp-1) and HLA-DM molecules
and their acidic nature [29]. Only the capacity to internalize a marker
of endocytosis decreases in dendritic cells in culture, as does their
capacity to present a heat shock protein antigen. Finally, one may note
that both freshly isolated and cultured blood dendritic cells express
the invariant chain at the cell surface and in the "MHC class II-rich"
compartments. This persistence of the invariant chain at the surface of
mature blood dendritic cells differs from observations in mature Langerhans
cells.
Fate of MHC class II molecules in cultured Langerhans
cells
Langerhans cells, the dendritic cells of the epidermis, spontaneously
undergo maturation once dissociated from the surrounding keratinocytes,
with resultant rapid modification of their phenotype and functions. Thus,
the expression of MHC class II molecules at the surface of murine Langerhans
cells in suspension increases during the first hours of culture to reach
a plateau in 12 to 18 hrs [30]. However, while class II molecules persist
on the surface of mature Langerhans cells, the invariant chain expressed
on freshly isolated cells (partly at least as alphaß-invariant chain
complexes [15]) disappears with maturation [14]. Interruption of the synthesis
of alpha and ß MHC class II molecules and invariant chain 20 to 24 hrs
after the onset of maturation is thought to be responsible for this disappearance
[14-16].
A second factor would seem to contribute to the loss of the capacity
of murine Langerhans cells to present exogenous antigens: the mature cells
contain fewer early endosomes [31]. Similarly, after three days culture
in the presence of GM-CSF, human Langerhans cells contain only small numbers
of early endosomes and Birbeck granules. These two organelles have an
acid pH in freshly isolated murine Langerhans cells, whereas this acidic
character disappears after three days culture [31]. Loss of the capacity
of certain organelles of the endocytic pathway to acidify has likewise
been observed in mature human Langerhans cells by Girolomoni et al.
[32], who showed that HLA-DR molecules, which in freshly isolated cells
internalize and move to acid compartments, continue to internalize in
mature cells but no longer reach acid compartments.
** Sugita et al. [27] have shown that CD1b molecules internalize
in immature dendritic cells through coated pits and vesicles and we have
recently observed the same to be true of CD1c molecules (unpublished results).
CONCLUSION Mature
dendritic cells apparently use different strategies to regulate their capacity
to present exogenous antigens. This brief review shows that depending on
the type of dendritic cell, the mechanisms involved affect the ability of
these cells to: (i) synthesize and redistribute MHC class II molecules and/or
(ii) capture antigens and/or (iii) acidify endosomal compartments. Whatever
the mechanisms of regulation, they result in "freezing" of the mature cells
in a state favoring the presentation of antigens captured and processed
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