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CHaPter 6  Overview of T-Cell Recognition              101


           complexes, subcapsulary macrophages can bind and capture   Viral infection can activate and increase autophagy, thus
           antigenic material and transfer it across the subcapsulary sinus.   increasing the potential the ability of MHC class II molecules
           For antigen presentation, B cells must extract the antigen from   to sample cytosolic viral proteins for presentation of their derived
           the presenting APC surface. This extraction of cell-associated   peptides. Viral antigens, such as Epstein-Barr virus (EBV)–nuclear
           antigen may involve localized protease secretion and/or myosin   antigen 1 and the Mycobacterium tuberculosis antigen Ag85B,
           mediated pulling forces that allow invagination of antigen-  have been shown to be presented via this pathway, allowing
           containing membranes. Ig-mediated uptake of antigen enhances   immune detection. Interestingly, a number of viruses have been
           the ability of B cells to acquire low concentrations of antigen,   shown to antagonize specific components involved in autophagy
           providing a way to discriminate B cells with high affinity versus   and thus evade immune surveillance.
           low affinity for antigen, and it also directly signals to the B cells.
           Signal transduction through the BCR is typically initiated by    KeY ConCePtS
           cross-linking of Ig from multivalent antigens (Chapter 4). Rear-  Antigen Presentation by Major Histocompatibility
           rangement of endosomal compartments following signal    Complex (MHC) Class I Molecules
           transduction promotes antigen processing and efficient recogni-
           tion of the antigen-derived peptides by CD4 T cells.    •  Proteolysis  for MHC  class I–restricted presentation  is typically  the
             After uptake, the antigen–Ig complex is delivered to late   function of the proteasome, which is found in the cytosol.
           endosomal compartments where the more mild proteolytic   •  Peptides are imported through the endoplasmic reticulum (ER)
           compartments prevent terminal degradation of the antigen. MHC   membrane by the TAP (for transporter associated with antigen process-
                                                                     ing) transmembrane channel.
           class II synthesis and transport to these compartments allows   •  Peptide binding to class I within the ER is orchestrated by a large
           for peptide–class II epitope display. The capture of antigen by   multiprotein complex termed the peptide-loading complex.
           the Ig receptor is an essential feature of the ability of the B cell   •  Tapasin serves as an adaptor between TAP and MHC class I molecules,
           to obtain CD4 T-cell help. Note that to recruit CD4 help, the   and  it  edits  the  peptide  repertoire  presented  by  MHC  class  I  for
           antigen recognized by the B cell must be physically attached, by   recruitment of CD8 T cells.
           either covalent or strong noncovalent interactions, to the antigen
           that will elicit CD4 T-cell help. The cognate-nature B cell–CD4   MHC Class I–Restricted Antigen Presentation
           T cell help, which requires linkage of CD4 T-cell and B-cell     The classical pathway of MHC class I–restricted antigen presenta-
           epitopes, is key to vaccine strategies. It underlies the creation of   tion involves antigens derived from endogenously synthesized
           conjugate vaccines used to elicit antibodies that will recognize   internal materials. By displaying the peptides made inside the
           carbohydrate ligands expressed by bacteria. Carbohydrate moieties   cell, MHC class I proteins allow circulating CD8 T cells to survey
           coupled to protein carriers contain the recognition structure for   host cells for expression of aberrant, mutant self proteins that
           the B-cell response (the carbohydrate) and a source of CD4   may be selectively expressed in cancer or for viral protein–derived
           T-cell help (the protein carrier). The requisite linkage of CD4   peptides in infected cells. Infected or cancerous host cells can
           T-cell and B-cell epitopes can limit antibody responses to complex   then be eliminated by the CD8 T cells.
           viruses, whose protein components can become dissociated from
           each other during virus replication and ensuing cell death.  The Proteasome
             Autophagy, or self eating, provides a major pathway for viral   Proteins made within APC gain access to the host MHC class I
           or self proteins to access MHC class II molecules in APCs. 17,33    following cytosolic proteolysis by the  proteasome. 16,34,35  The
           It is a catabolic process by which cytosolic, organelle-associated   proteasome participates in protein catabolism within all cells.
           and nuclear materials are delivered to endosomal and lysosomal   This multimeric protein complex has a 20S catalytic core com-
           compartments. Autophagy provides key metabolites that allow   posed of four stacked heptameric rings, which, together, determine
           cell survival under conditions of stress. It also allows access of   access and the protease specificity of degradation. Proteases
           self- and pathogen-derived intracellular cellular proteins into   include a chymotrypsin specificity that cleaves after hydrophobic
           the class II–containing compartments. Indeed, 20–30% of peptides   residues, a trypsin-like activity that cleaves after basic residues
           presented by class II molecules are derived from cytosolic or   and a caspase-like activity that cleaves after acidic amino acid
           nuclear proteins. Autophagy has also been shown to be active   residues. A 19S regulator forms a lid on the proteasome and
           in thymic APCs, thus broadening the array of self peptides that   promotes recognition and binding of polyubiquitinated proteins,
           can mediate deletion of potentially autoreactive cells during   as well as unfolding and translocation of protein substrates.
           development.                                             The composition of the proteasome and its biochemical activity
             Three routes by which autophagy in APCs can lead to import   can vary, depending on cell type and conditions. The ubiquitously
           of cellular proteins into the endosomal pathway of presentation   expressed proteasome is termed the constitutive form. In response
           include microautophagy, macroautophagy, and chaperone-  to IFN-γ in some cell types, there is an exchange of the constitutive
           mediated autophagy. All of these ultimately lead to degradation   β subunits for homologous βi (for induced) subunits to create
           of host proteins in the lysosome. Macroautophagy, which is the   the immunoproteasome, which is expressed by many cells. The
           best understood, involves formation of large, double-membrane   specificity of the β 1  proteasomal subunit can lead to diminished
           vesicles containing cytosolic components or cytosolic organelles   cleavage of peptides with acidic residues and enrichment for
           into autophagosomes. The autophagosomes fuse with endosomes   peptides with hydrophobic P9 pocket residues. These changes
           and lysosomes, delivering their content for degradation and   fit the preferences of most class I molecules and suggest coevolu-
           cellular reuse. These cytoplasmic proteins can be used as a source   tion of MHC class I and the proteasome. The proteasome and
           of peptides presented by class II molecules. Immunofluorescence   immunoproteasome appear to primarily differ in their preferences
           studies have documented delivery of autophagosomes to the   for proteolytic cleavage rather than absolute specificity. Recent
           lysosomal compartments that contains both conventional class   studies, however, have suggested that some tumor cell recognition
           II and DM proteins.                                    epitopes are selectively destroyed by the immunoproteasome. A
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