ViewpointT-cell priming by type-1and type-2 polarized dendritic cells: the concept of a third signal
Section snippets
DCs as carriers of pathogen-related information
DCs are believed to provide the lymph-node-based naive Th cells with two pathogen-related signals: the information about its antigenic structure and its pathogenicity. Immature DCs, residing in peripheral tissues, can be activated by the pathogen either directly, or indirectly, via the pathogen-induced nonspecific tissue response. Activated DCs transiently increase the intensity of their Ag uptake and terminate this process after several hours. This confers a relative selectivity of Ag uptake,
APC-related factors affect the cytokine profiles of Th cells
The control of the development of naive Th cells into Th1 or Th2 subsets by pathogen-, T-cell-, and antigen-presenting cell (APC)-derived factors, as well as by stromal factors, has been reviewed extensively1, 6, 7, 8. IL-4, originating from CD4+ T cells and possibly also other sources such as mast cells, is the best-known example of an APC-independent factor with a potent impact on the cytokine profile of Th cells6, 7.
An impressively large proportion of the known Th1/Th2-polarizing mechanisms
Different types of APC and the cytokine production of responding Th cells
In accordance with the potent polarizing activity of IL-12, Ag-presentation by APCs with different abilities to produce IL-12, for instance, B cells compared with monocytes, macrophages or DCs, results in different patterns of cytokine production in responding T cells18, 19, 20. An interesting possibility is that the type of Th-cell responses can also be differentially influenced by DCs of different lineages, such as lymphoid and myeloid DCs. Whereas lymphoid DCs are mainly considered to
Direct modulation of IL-12 production by pathogens
Until recently, myeloid DCs were often regarded as a Th1-driving APC type, as judged by their ability to produce IL-12. However, several in vitro and in vivo studies show that DCs are good inducers of both Th1 and Th2 cytokines in naive Th cells19, 27, 28, 29. An essential discriminative factor appears not to be the ability to produce IL-12 per se, but rather the level of IL-12 produced27, 30.
The amounts of IL-12 produced can be up- or downmodulated by pathogens. Many intracellular pathogens
Modulation of APC activity by healthy and diseased tissues
The anterior chamber of the eye is probably the best-studied example of an APC-modulating environment. APCs within the ciliary body of the eye have a distinct delayed-type hypersensitivity (DTH)-suppressive function40, mediated by the induction of regulatory T cells41. The suppression of DTH is parallelled by undisturbed, or even enhanced, antibody production (indicative of a shift from Th1-type to Th2-type42 or Th3-type responses), dominated by the production of transforming growth factor β
In vitro-maturing DCs: polarization by inflammatory mediators
Among the possible mechanisms of tissue-dependent modulation of the Th1- and Th2-promoting capacity of myeloid DCs, an interesting option is the modulation of their IL-12-producing capacity by inflammatory mediators at different stages of DC development (Fig. 1). An insight into this mechanism can be obtained in an in vitro model of monocyte-derived DCs (Ref. 62).
PGE2 is a common inflammatory product of stromal fibroblasts and epithelia63, and might serve as an example of one type of modulatory
Implications: lessons from someone else’s experience?
The above observations suggest a scenario in which migrating DCs provide lymph-node-based naive Th cells with three signals: ‘signal 1’, giving information about the identity of the invader; ‘signal 2’, giving information about the Ag-related pathogenic potential; and ‘signal 3’, mediating the DC-dependent component of the early polarization of primary Th-cell responses (Fig. 2). This third signal, resulting from the character of a pathogen-induced, nonspecific tissue response, reflects both
Acknowledgements
We thank T.R. Mossman, K. Shortman, M. Moser and F. Koning for their critical comments and stimulating discussion, and J.H.N. Schuitemaker for the design of the figures.
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