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Salmonella polarises peptide-MHC-II presentation towards an unconventional Type B CD4+ T-cell response. PDF

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Preview Salmonella polarises peptide-MHC-II presentation towards an unconventional Type B CD4+ T-cell response.

Eur.J.Immunol.2013.43:897–906 DOI:10.1002/eji.201242983 Antigenprocessing 897 Salmonella polarises peptide-MHC-II presentation + towards an unconventional Type B CD4 T-cell response Nicola P. Jackson1, Yu Hui Kang1, Nicolas Lapaque1, Hans Janssen2, John Trowsdale∗1 and Adrian P. Kelly∗1 1DepartmentofPathology,UniversityofCambridge,Cambridge,UnitedKingdom 2DivisionofCellBiology,TheNetherlandsCancerInstitute,Amsterdam,TheNetherlands Distinct peptide-MHC-II complexes, recognised by Type A and B CD4+ T-cell subsets, are generated when antigen is loaded in different intracellular compartments. Conven- tional Type A T cells recognize their peptide epitope regardless of the route of pro- cessing, whereas unconventional Type B T cells only recognise exogenously supplied peptide. Type B T cells are implicated in autoimmune conditions and may break toler- ance by escaping negative selection. Here we show that Salmonella differentially influ- encespresentationofantigentoTypeAandBTcells.Infectionofbonemarrow-derived dendritic cells (BMDCs) with Salmonella enterica serovar Typhimurium (S. Typhimurium) reduced presentation of antigen to Type A T cells but enhanced presentation of exoge- nous peptide to Type B T cells. Exposure to S. Typhimurium was sufficient to enhance TypeBT-cellactivation.SalmonellaTyphimuriuminfectionreducedsurfaceexpressionof MHC-II, by an invariant chain-independent trafficking mechanism, resulting in accu- mulation of MHC-II in multi-vesicular bodies. Reduced MHC-II surface expression in S. Typhimurium-infected BMDCs correlated with reduced antigen presentation to Type A T cells. Salmonella infection is implicated in reactive arthritis. Therefore, polarisation ofantigenpresentationtowardsaTypeBresponsebySalmonellamaybeapredisposing factorinautoimmuneconditionssuchasreactivearthritis. Keywords: Autoimmunity (cid:2)BacterialInfections (cid:2)CD4Tcells (cid:2)Tolerance (cid:2) Additional supporting information may be found in the online version of this article at the publisher’sweb-site Introduction invasion of non-phagocytic enterocytes or via M cells overlying Peyer’s Patches [2]. Alternatively, Salmonella is directly taken Salmonellaentericaisanintracellularpathogenthatsurvivesand up by DCs that intercalate between intestinal epithelial cells replicates in phagocytic cells within specialised compartments [3]. Salmonella can disseminate extracellularly or be engulfed known as Salmonella-containing vacuoles (SCV) [1]. Following by macrophages in the submucosa [2]. Salmonella pathogenic- oral ingestion, Salmonella crosses the intestinal epithelium by ity islands (SPI) are critically important for virulence. They Correspondence:Dr. AdrianP.Kelly ∗Theseauthorscontributedequallytothiswork. e-mail:[email protected] (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu 898 NicolaP.Jacksonetal. Eur.J.Immunol.2013.43:897–906 encode type III secretion systems (T3SS) that inject bacterial Results effector proteins into host cells. T3SS-1 is encoded within SPI1 and is required for invasion of host cells, whereas T3SS-2 is MHC-IIaccumulatesinMVBsinSalmonella-infected encoded by SPI2 and contributes to immune evasion and main- cells tenance of the SCV by intracellular Salmonella [4]. Salmonella enterica serovars such as Typhimurium (S. Typhimurium) and MHC-II is specifically removed from the surface of Salmonella- Enteritidiscauserapid-onsetgastroenteritisinarangeofspecies, infectedcellsandaccumulatesinintracellularvesiclesthatresem- whereas serovars such as Typhi and Paratyphi cause systemic ble HLA-DM+ LAMP-1+ EEA− peptide-loading compartments typhoid fever in humans. Salmonella Typhi can establish life- [15,22]. To better define the nature of these compartments, long infection of the gall bladder in 1–4% of patients. These MHC-IIlocalisationwasassessedinSalmonella-infectedMelJuSo typhoidcarriersexhibitnormalantibodyresponsestoSalmonella cells,astheendocyticpathwayiswellcharacterisedinthishuman Typhi antigens but have an impaired cell-mediated immune epithelial-likemelanomacellline[23].CellsurfaceHLA-DRwas response[5]. labelledwiththemonoclonalantibodyL243andafterinternalisa- MHC-II molecules play an essential role in the cell-mediated tionwasvisualisedbycryo-immunoelectronmicroscopy. immune response by presenting antigenic peptides to CD4+ HLA-DR was predominantly detected at the cell surface at T cells. Immature MHC-II molecules are assembled in the ER 12 h post-infection in both uninfected (data not shown) and andarecomposedofαandβchainsincomplexwithpreformed Salmonella-infected cells (Fig. 1A). Between 12 and 20 h post- trimersofinvariantchain(Ii)[6].Iioccupiesthepeptide-binding infection,HLA-DRwasendocytosedanddistributedwithinearly grooveofMHC-IItopreventprematurepeptidebindingandchap- endosomes, MVBs and at the cell surface in uninfected cells eronestheMHC-IIcomplexfromtheERtotheendocyticpathway. (Fig.1CandF).InSalmonella-infectedcells,therewasatwofold Entry into the endocytic pathway is predominantly by clathrin- greater accumulation of HLA-DR in MVBs compared with unin- mediated endocytosis from the plasma membrane [7], but can fectedcells(Fig.1B,DandE).TheinternalisedMHC-IIwasnot also be direct from the trans-golgi network [8]. Once inside the significantly associated with the SCV but localised to MVBs that endosomalcompartments,Iiisdegradedbylysosomalproteases most likely represent conventional MHC-II containing compart- untilonlyCLIPisleftboundintheMHC-IIpeptide-bindinggroove. ments found in the Salmonella-infected cells. There were fewer HLA-DMexchangesCLIPforantigenicpeptidesinlateendosomal MVBsinuninfectedcellssuggestingthatSalmonellamayenlarge compartmentsandmaturepeptide-MHC-II(pMHC-II)complexes thiscompartmentthroughaccumulationofintracellularHLA-DR arethenexportedtothecellsurface[9].InDCs,ubiquitinationof (datanotshown).SinceSalmonellainfectionresultsinpolyubiqui- aconservedlysineresidueintheβchaincytoplasmictailregulates tinationofMHC-II,andubiquitinationregulatessortingofMHC-II surfaceexpressionandtargetingofpMHC-IIintolateendosomal at MVBs [10,15], these results may suggest that Salmonella- multi-vesicularbodies(MVBs)[10]. inducedubiquitinationofMHC-IIenhancesaccumulationinMVBs FormationofpMHC-IIconformersfromnativeproteinoccurs topreventrecyclingofmatureMHC-IItothecellsurface. primarilyinHLA-DM+lateendosomesandgeneratesstablecom- plexesthatarerecognisedbyconventionalTypeACD4+ Tcells. In contrast, loading of exogenous peptide can occur throughout MHC-IIdown-regulationbySalmonellarequires the endosomal pathway or at the cell surface and can generate clathrinbutnotinvariantchain-directedtrafficking pMHC-IIconformersthatarerecognisedbyconventionalTypeA and unconventional Type B CD4+ T cells [11]. Type B T cells TodeterminewhetherIi-directedtraffickingofMHC-IIisrequired only recognise exogenous peptide and not the identical peptide by Salmonella to regulate MHC-II surface expression, we gener- when processed from protein. As a consequence, Type B T cells atedHeLacelltransfectantsstablyexpressingHLA-DR,butlacking escapenegativeselectionandareimplicatedinautoimmunecon- endogenous Ii. There was no significant difference in the extent ditions.IntheNODmousemodel,TypeBinsulin-reactiveTcells ofHLA-DRdown-regulationbySalmonellainHeLacellsexpress- are pathogenic and trigger diabetes in adoptive transfer experi- ing CIITA (Ii-positive) and HeLa cells transduced with HLA-DR ments[12].TypeBTcellsconstitute30–50%oftheT-cellreper- (Ii-negative) (Fig. 2A). As expected, HLA-DR dimers that lacked toire [13], and phenotypically may resemble either Th1 or Th2 the DRβ cytoplasmic tail (DRα-(cid:2) ,β-(cid:2) and DRα,β-(cid:2) ) or 219 223 223 CD4+Tcells[12]. withalysinetoargininemutationintheβchainubiquitinationsite Salmonella is reported to interfere with MHC-II antigen pro- (DRα,β-K R),werenotdown-regulatedbySalmonella(Fig.2A). 225 cessingandpresentationtoCD4+ Tcells[14–17].Therelevance Endocytosis of pMHC-II is clathrin, AP-2 and dynamin inde- of these mechanisms in vivo is not clear as CD4+ T-cell prim- pendent [24]. To examine whether HLA-DR down-regulation inghasalsobeenobservedinmousemodelsofSalmonellainfec- by Salmonella requires AP-2 and clathrin, Ii-negative HeLa cells tion[18–21].WehavepreviouslyshownthatSalmonellainfection stablyexpressingHLA-DRweretransfectedwithAP-2andclathrin ofhumanDCsresultsinpolyubiquitination andreducedsurface siRNA oligonucleotides and surface expression of HLA-DR was expressionofMHC-II[15,22].Inthisstudy,weinvestigatehow assessed by flow cytometry. In the absence of Ii, siRNA knock- SalmonellainfluencesMHC-IItraffickingandpresentationofanti- downofclathrin,butnotAP-2,reducedHLA-DRdown-regulation gentoTypeAandBCD4+Tcells. by Salmonella (Fig. 2B, right panel). These data show that (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu Eur.J.Immunol.2013.43:897–906 Antigenprocessing 899 Figure1. MHC-IIaccumulatesinMVBsinSalmonella-infectedcells.MelJuSowereinfectedfor20minwithinvasiveGFP-S.Typhimurium(MOI50). CellsurfaceMHC-IIwaslabelled(L243)at12hpost-infectionandthencellswerefixed(A)orfurtherincubateduntil20hpost-infectionbefore fixation(B,C,EandF).Cellsectionswereprocessedforcryo-immunoelectronmicroscopyandHLA-DRlocalisationwasvisualisedwithProtein A-gold(10nm).(D)Graphrepresentsaverageamountofgold(HLA-DR)/MVBineachcellanalysed.Averageamountofgold/MVBwascalculated foratleast15cellsperconditionandcomparisonofdistributionswasassessedbyunpairedtwo-tailedt-test.Boxedareasfrom(B)and(C)are magnifiedtwofoldin(E)and(F),respectively.HistogramsshowsurfaceHLA-DRmeasuredbyflowcytometryininfectedanduninfectedMelJuSo attimepointsindicated.RefertoSupportingInformationFig.1Aforgatingstrategy.Dataarerepresentativeoftwoindependentexperiments. down-regulation of pMHC-II surface expression by Salmonella BMDCactivationandmaturation[25](datanotshown).Infection requires clathrin but was independent of Ii-directed trafficking ofBMDCswithWTSalmonellareducedsurfaceexpressionofI-Ak andAP-2. andI-Ek.I-AkandI-Ekdown-regulationwasnotdetectedfollowing infectionwith(cid:2)ssaVSalmonella(Fig.3A),asobservedpreviously forHLA-DR[15].ThisindicatedthattheSPI2effectorsystemwas Salmonelladown-regulatesmurineMHC-IIsurface expressionandantigenpresentationtoCD4+ Tcells also required to regulate MHC-II surface expression in murine cells.ComparableI-AandI-Edown-regulationwasalsoseenfor To examine the effect of Salmonella on T-cell presentation, we thebanddhaplotypes(datanotshown).MHC-IIdown-regulation first exposed murine BMDCs to GFP-expressing Salmonella and wasnotdetectedineitherhumanmonocyte-derivedmacrophages, examinedsurfaceI-AandI-Eexpression.ExposuretoSalmonella or a murine macrophage cell line, RAW264.7-CIITA (Support- increasedoverallI-AkandI-Eksurfaceexpression,consistentwith ing Information Fig. 2). The reason for this is unknown but (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu 900 NicolaP.Jacksonetal. Eur.J.Immunol.2013.43:897–906 Figure2. MHC-IIdown-regulationbySalmonellarequiresclathrinbut notinvariantchain-directedtrafficking.(A)HeLacellsstablyexpress- ingHLA-DRWT(DRα,β)andcytoplasmictailmutantsweregenerated. HLA-DR surface expression was assessed by flow cytometry at 20 h post-infection with invasive GFP-S. Typhimurium and compared with HeLa-CIITA(Iipositive)cells.RefertoSupportingInformationFig.1A andBforgatingstrategyandrepresentativeflowcytometrydata.Graph shows percent of normal HLA-DR surface expression in uninfected (GFP-negative)cellscombinedfromatleastfourindependentexper- Figure3. SalmonelladownregulatesI-AandI-Esurfaceexpressionand iments. (B) HeLa cells stably expressing HLA-DR WT (DRα,β)(Ii neg- presentation of antigen to CD4+ T cells. (A) BMDCs were infected ative) were transfected with AP-2, clathrin or control siRNAs. Cells with opsonised GFP-S. Typhimurium (MOI 10) then I-Ak (OX6) and wereinfectedwithinvasiveGFP-S.Typhimuriumafter5daysofAP-2 I-Ek (14.4.4s)surfaceexpressionwascomparedininfected(GFPpos- orclathrindepletionandsurfaceHLA-DRwasassessedasdescribedin itive) and uninfected (GFP negative) CD11c/CD11b+ BMDCs by flow (A).WesternblotshowsAP-2andclathrindepletionfromrepresenta- cytometry. Refer to Supporting Information Fig. 1A for gating strat- tivecelllysatesafter5daysofsiRNAtreatment.Theloadingcontrolis egy.Histograms(upperpanels)showI-Eksurfaceexpressionininfected β-actin.GraphshowspercentofnormalsurfaceHLA-DRexpressionin anduninfectedBMDCsfromarepresentativeofatleastfourindepen- uninfected(GFPnegative)cellscombinedfromfourindependentexper- dentexperiments.Graphs(lowerpanels)showpercentofnormal(GFP iments.Comparisonofdistributionswasperformedbyunpaired(A)or negative)I-AkorI-Eksurfaceexpressioncombinedfromfourindepen- paired(B)two-tailedt-tests. dentpreparationsofBMDCsinfectedwithWTorSPI2-deficient((cid:2)ssaV) S.Typhimurium.(B)BMDCs(intriplicate)wereuninfectedorinfected with opsonised WT, HKWT or (cid:2)ssaV S. Typhimurium (MOI 10). From mayreflectfunctionaldifferencesbetweenDCsandmacrophages 20hpost-infection,cellswereincubatedwithHELproteinandType [26]. ACD4+ Thybridomacells(3A9)ataratioof5Tcells:1BMDC.After To assess antigen presentation in the context of Salmonella 24h,culturesupernatantswereharvestedandT-cellactivationwas infection we analysed I-Ak-dependent presentation of the model quantifiedbyIL-2ELISA.Graphshowspercentofnormalmean(unin- fected)I-Ak-dependentHELpresentationtoTypeATcellscombined antigen hen egg lysozyme (HEL) by BMDCs to a CD4+ T-cell fromatleastfourindependentexperiments.Antigenpresentationin hybridoma expressing aHEL-specific TCR(3A9). T-cellhybrido- uninfectedBMDCsisshownasadashedline.Comparisonofdistribu- tionswasperformedbypairedtwo-tailedt-tests. mas do not require co-stimulation and therefore pMHC-II levels shoulddirectlycorrelatewiththeextentofantigenpresentation. (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu Eur.J.Immunol.2013.43:897–906 Antigenprocessing 901 BMDCswereusedbecausetheycanbegeneratedinlargequan- gestedthatdirectinfectionmaynotberequiredandthatasoluble titiesandtheyresemblethemyeloidCD11b+ DCspresentinthe factor produced by infected BMDCs could be influencing neigh- sub-epithelialdomeofmurinePeyer’spatcheswhereSalmonella bouringcells.Toscreenforpotentialsolublefactorsproducedby internaliseearlyafteroralinfectioninvivo[3,27]. Salmonella-infected BMDCs, culture supernatant was harvested Incubation of BMDCs with exogenous HEL protein resulted from infected BMDCs at 20 h post-infection and incubated with in dose-dependent HEL-specific T-cell activation, as measured freshBMDCs,TypeBThybridomacellsandHEL peptide. 46–61 by IL-2 production (data not shown). After infection of BMDCs Incubation of fresh BMDCs with culture supernatant from with Salmonella a reduction in T-cell activation was observed Salmonella-infected BMDCs was sufficient to enhance presenta- (Fig.3B),inlinewithpreviousobservationsusingexogenousanti- tionofexogenouspeptidetoTypeBT cells(Fig.5A).Clearance gen[14,28].ThereductioninT-cellactivationwasSPI2depen- ofthesupernatantusinga0.45μmfilterpriortoincubationwith dent,althoughtheeffectwassubtle.AMOIoftenbacteriatoone freshBMDCs(Fig.5A)orseparationofinfectedBMDCsfromfresh BMDCwasusedasthisdoesnotinducesignificantNOproduction BMDCsandTcellsusing0.45μmtranswells(SupportingInforma- bytheBMDCs(confirmedbyGriessassay;datanotshown)[14]. tionFig.4)abrogatedtheeffect.Thissuggestedthatwhilstacom- Infection with an equal number of heat-killed (HK) Salmonella ponent of culture supernatant from Salmonella-infected BMDCs hadnoinfluenceonT-cellactivationconfirmingthatviablebac- can influence uninfected BMDCs in trans, the factor responsible teria are required to inhibit antigen presentation in the absence wasnotsmallerthan0.45μm. ofNO.Thesedatashowthatdown-regulationofMHC-IIsurface Salmonella are rod-shaped bacteria, 0.5–1.5 μm in diameter expressionbySalmonellacorrelateswithreducedpresentationof and 2–5 μm in length. Clearance of culture supernatant using antigentoCD4+Tcells. a 0.45 μm filter would therefore remove any intact Salmonella present. To determine whether direct exposure of BMDCs to Salmonella was sufficient to enhance presentation of exogenous Salmonellaenhancespresentationofexogenous peptide to Type B T cells, BMDCs were infected with GFP- peptidetoTypeBCD4+ Tcells expressing Salmonella and then sorted at 20 h post-infection to separateinfectedfromexposedbutuninfectedpopulations. Pre- TodeterminewhetherSalmonellaalsoinfluencedpresentationof sentation of HEL peptide to Type B T hybridoma cells was antigen to Type B CD4+ T cells, we compared I-Ak-dependent 46–61 compared for BMDCs that were unexposed, exposed but unin- presentation ofexogenous HELprotein and HEL peptide by 46–61 fected,orexposedandinfectedwithSalmonella,respectively. BMDCstoaTypeAT-cellhybridoma(3A9)andaTypeBT-cell Exposure of BMDCs to Salmonella was sufficient to enhance hybridoma(11A10)withidenticalpeptidespecificity. presentation of exogenous peptide to Type B T cells (Fig. 5B). Inlinewithpreviouspublications,incubationofBMDCswith There was no significant difference in the extent of Type B exogenous HEL protein or HEL peptide resulted in dose- 46–61 T-cellactivationbetweensortedBMDCsthatwereexposedto,or dependent HEL-specific Type A T-cell activation, whereas only infected with Salmonella. There was a consistent trend towards incubationwithexogenousHEL peptideresultedinequivalent 46–61 reducedpresentationintheinfectedBMDCs,althoughtheeffect activationofTypeBTcells(Fig.4A,opencircles)[11].Infectionof wassubtle(Fig.5B).Notably,presentationofpeptidetoTypeB BMDCswithWTSalmonellainhibitedpresentationofbothexoge- TcellswasenhancedbyHKSalmonellaiftheMOIwasincreased nousHELproteinandHEL peptidetoTypeATcells.Intrigu- 46–61 (Fig. 5C). This suggested that whilst viable bacteria contribute ingly,WTSalmonellainfectioncausedadramaticincreaseinthe more significantly to the enhanced presentation of exogenous presentationofexogenousHEL peptidetoTypeBTcells,but 46–61 HEL peptide to Type B T cells observed, viability is not 46–61 hadlittleeffectonpresentationofHELprotein(Fig.4A).Unlike essential. inhibition of Type A T-cell activation by Salmonella, enhanced presentation ofHEL peptidetoTypeBTcellswasnotSPI2 46–61 (ssaV)dependent(Fig.4B).Furthermore,infectionwithanequal Discussion numberofHKSalmonellahadnoeffectonTypeAT-cellactiva- tionbutsubtlyincreasedTypeBT-cellactivation(Fig.4B).These We show that Salmonella infection influences MHC-II antigen datashowthatSalmonellainfluencedantigenpresentationinsev- presentation to CD4+ T cells by two distinct mechanisms. Intra- eraldistinctways.MostdramaticallySalmonellainfectionresulted cellularreplicationofSalmonellaresultedinreducedexpressionof inelevatedpresentationofexogenouspeptidetoTypeBTcells. pMHC-IIcomplexesatthecellsurfaceandalteredpresentationof Thiswasassociatedwithareductioninpresentationofpeptideor antigen to CD4+ T cells. Most importantly, exposure of BMDCs proteinantigentoTypeATcells. to Salmonella resulted in enhanced presentation of exogenous peptidetoTypeBCD4+ Tcells,whichhavebeenlinkedtoauto- ExposuretoSalmonellaissufficienttoenhance immunediseaseprogression[12]. presentationofexogenouspeptidetoTypeBTcells We first examined the influence of intracellular Salmonella on MHC-II trafficking and localisation. Using Ii-negative HeLa At the MOI used in the above experiments (MOI = 10), only cells, we showed that down-regulation of MHC-II by Salmonella 10–20% of the BMDCs were infected with Salmonella. This sug- wasindependentofIi-directedtraffickingandAP-2,butrequired (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu 902 NicolaP.Jacksonetal. Eur.J.Immunol.2013.43:897–906 Figure4. SalmonellainfectionenhancespresentationofexogenouspeptidetoTypeBTcells.BMDCs(intriplicate)wereinfectedwithopsonised WT(AandB),SPI2-deficient((cid:2)ssaV)(B)orHKWT(B)GFP-S.Typhimurium(MOI10).From20hpost-infection,cellswereincubatedwithHELprotein orHEL46–61peptideand3A9(TypeA)or11A10(TypeB)Thybridomacellsataratioof5Tcells:1BMDC.After24h,culturesupernatantswere harvestedandT-cellactivationwasquantifiedbyIL-2ELISA.(A)GraphsshowmeanIL-2concentrationfromarepresentativeofatleastfour independentexperiments.ErrorbarsrepresentSD.(B)Graphsshowpercentofnormal(uninfected)I-Ak-dependentHEL46–61presentationtoType AorBTcellscombinedfromatleastthreeindependentexperiments.AntigenpresentationinuninfectedBMDCsisshownasadashedline. Comparisonofdistributionswasperformedbypairedtwo-tailedt-tests. clathrin. As AP-2 is the principal adaptor protein required for immunity [5], rapid priming of CD4+ T cells in mouse mod- formation of clathrin-coated pits at the plasma membrane [29], els of Salmonella infection was reported to elicit effective Th1 itisunlikelythatMHC-IIdown-regulationbySalmonellarequires responses [21]. Regardless, priming of Type B T-cell responses the formation of clathrin-coated pits. Distinct clathrin coats are does not imply any perturbation in the Th1/Th2 balance and also present at the cytoplasmic face of MVBs and are proposed couldoccurinthepresenceorabsenceofeffectiveanti-Salmonella to concentrate cargo for subsequent incorporation into luminal responses. Taken together, these data suggest that Salmonella vesicles [29]. In addition, sorting of pMHC-II into luminal vesi- infectionpolarisesantigenpresentationbystabilisingorenhanc- cles at MVBs is regulated by ubiquitination [30]. Therefore, the ing formation of the pMHC-II conformer recognised by Type B requirementforclathrinbySalmonellamayberelatedtoclathrin- T cells, leading to increased Type B T-cell activation. In heavily dependentsortingofubiquitinatedcargoatMVBs. infected BMDCs, this polarisation may be further promoted We next confirmed that Salmonella down-regulated surface by reduced presentation of pMHC-II conformers recognised by expression of I-A and I-E in BMDCs, similar to what has been TypeATcells. observedinhumancells[15,22].Thisvalidatedtheuseofmurine Mere exposure to HK Salmonella or supernatant from T-cellreagentstoassessantigenpresentationfollowingSalmonella Salmonella-infected BMDCs was sufficient to enhance presenta- infectionofBMDCs.SalmonellainfectionofmurineDCshasbeen tion of exogenous peptide to Type B T cells. This phenotype is reportedtoinhibitpresentationofantigentoCD4+Tcells[14,28]. unlikelytobecausedbysolubleTLRligandssuchasLPSandflag- HerewecomparedtheinfluenceofSalmonellaonpresentationof ellin,astheseareshedbySalmonellainsignificantamounts[33] antigen to Type A and B CD4+ T-cell subsets. In contrast to the andtheeffectwaslostwhentheculturesupernatantwasfiltered suppressiveeffectofSalmonellainfectiononpresentationofboth orwheninfectedBMDCswerespatiallyseparatedfromuninfected exogenousproteinandpeptideantigentoTypeATcells,presen- BMDCsandTcells.Itisunlikelytobeduetosecretionofasolu- tation of peptide to Type B T cells was significantly enhanced. blecytokineasthiswouldalsoremaininthefilteredsupernatants. Salmonella infection did not significantly alter presentation of DirectcontactbetweenSalmonellaandBMDCsisrequired.Weare exogenousproteinantigentoTypeBTcells.Thiscontrastswith currentlyattemptingtoidentifythebacterialcomponentsrespon- therecentdataofStrongandUnanueshowingthatTLRligands sibleforthiseffect. havenoeffectonthepresentationofpeptideviatheTypeBcon- The potential for Type B T-cell activation to lead to auto- formerinsplenicDCs[31].Thismayreflectdifferencesinantigen immune disease is established [12]. Infection of the gastroin- handlingbetweenDCsubsetsasreportedbyLovitchetal.forpre- testinaltractwithSalmonella,aswellasYersinia,Campylobacter sentationofnativeantigentoTypeBTcellsusingLPS-stimulated andShigella[34],isfrequentlyassociatedwithreactivearthritis BMDCs[32]. in humans [35] and mice [36]. Salmonella infection in humans The relevance of reduced Type A presentation in relation to caused incidence rates of between 6 and 30% (with variable immunity to Salmonella infection in vivo is not clear. Whilst severity),reflectingthepropensityofdifferentSalmonellaspecies chronic typhoid carriers exhibit impaired humoral and cellular to induce arthritis. The enhanced activation of Type B T cells (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu Eur.J.Immunol.2013.43:897–906 Antigenprocessing 903 Figure 5. Exposure to Salmonella is suffi- cient to enhance presentation of exoge- nous peptide to Type B T cells. BMDCs (intriplicate)wereinfectedwithopsonised WT, SPI2-deficient ((cid:2)ssaV) or HKWT GFP- S. Typhimurium (MOI 10, unless specified (C)).Forantigenpresentation,BMDCswere incubatedwithHEL46–61peptideand11A10 (Type B) T hybridoma cells at a ratio of 5Tcells:1BMDC.After24h,culturesuper- natantswereharvestedandT-cellactiva- tionwasquantifiedbyIL-2ELISA.(A)At20h post-infection, culture supernatant was harvestedandincubatedwithfreshBMDCs, HEL46–61peptideand11A10(TypeB)Tcells. Whereindicated,culturesupernatantwas filtered(0.45μm)priortoincubationwith fresh BMDCs. (B) At 20 h post-infection, GFP-S. Typhimurium-infected BMDCs were sorted from the exposed but uninfected population. Refer to Supporting Informa- tion Fig. 1A for representative gating strategy. Presentation of 0.5 μM HEL46–61 peptideto11A10(TypeB)Tcellswascom- pared for BMDCs that were unexposed, exposed but uninfected, or infected with S. Typhimurium. Comparison of distribu- tions was performed by unpaired two- tailed t-tests. (A–C) Data shown are the mean+SDandarerepresentativeofone out of at least four independent experi- ments. observed with Salmonella infection is not limited to pathogen- Materials and methods specificTcellsastheantigensusedintheseexperimentswerenot derived from Salmonella. Therefore, it is possible that infected Antibodies DCs in vivo may incidentally present self-peptide-associated TypeBconformers,leadingtoactivationofpotentiallyautoreac- AntibodieswerefromThermoScientific:rabbitanti-mouseIgG-Fc tiveTypeBTcells.Processessuchasinflammationmayincrease RPE; Dako: rabbit anti-mouse Igs/HRP; BD Transduction Labo- thesupplyofexogenouspeptideandtherebyfacilitatethegener- ratories:mouseanti-humanAP-50(611350),mouseanti-human ationofTypeBpMHC-IIconformers.Infact,severalimmunecell clathrinheavychain(610499);Sigma:mouseanti-humanβ-actin types,includingneutrophils[37]andDCs[38,39],areknownto (AC-74); eBioscience: anti-mouse CD11c PE-Cy5 (N418), anti- generateexogenousantigenicpeptides.InType1diabetes,related mouseI-Ed/kPE(14.4.4s);GeneTex:anti-mouseI-AkR-PE(OX-6). mechanismsarethoughttogeneratepeptidesfromtheinsulinB Theanti-HLA-DRantibodywasfromcloneL243andisspecificfor chain, which when presented on MHC-II are specifically recog- peptide-loadedHLA-DR. nisedbydiabetogenicTypeBTcells,leadingtodisease[12]. This study is the first to show that exposure of BMDCs to Salmonella enhances the presentation of exogenously supplied Plasmidconstructs peptides to Type B T cells. It suggests a mechanism by which Salmonellainfectioncouldleadtoabreakdowninimmunological pCMV8.91, pMD-G and pHRSin-cPPT-SGW lentiviral constructs tolerance. Further studies will be required to identify the factor were provided by Paul Lehner (Cambridge, UK). The HLA-DR3 responsibleforthisalterationinpeptidepresentationandtoeval- sequences [15] were cloned into the BamHI and NotI sites of uatetheroleofTypeBTcellsininfectionandautoimmunity. pHRSin-cPPT-SGWaftereGFPwasexcised. (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu 904 NicolaP.Jacksonetal. Eur.J.Immunol.2013.43:897–906 Cellculture,lentiviraltransductionandsiRNA described previously [15]. MelJuSo, RAW264.7-CIITAand HeLa transfection cellswereinfectedbySPI1-invasionasdescribedpreviously[15]. BMDCs and monocyte-derived macrophage were infected with HEK293-T, MelJuSo, RAW264.7-CIITA, HeLa and HeLa-CIITA stationaryphaseSalmonella(pre-opsonisedin20%normalmouse cells were maintained in DMEM, 10% FCS. 3A9 and 11A10 serum (PAA Laboratories) or autologous human serum, respec- T-cellhybridomasweremaintainedinDMEM,5%FCS.Monocyte- tively,for30min)for60minataMOIof10:1.Wherespecified, derivedmacrophagesandserumwerepreparedfromPBMCsiso- SalmonellawereHKat65◦Cfor45minpriortoopsonisation.For lated from Buffy Coats (British National Transfusion Service) flow cytometry, cells were harvested by scraping and incubated using Lymphoprep (Axis-Shield). Serum was filtered and heat- withappropriateantibodies,inFACSbuffer(PBS,5%FCS)at4◦C. inactivated.Monocytesweredifferentiatedintomacrophagesfor BMDCswereincubatedwithMouseFcBlock(BDBiosciences)for 7daysinRPMI-1640(Sigma),3%autologousserum,50ng/mL 5minat4◦Cpriortoantibodyaddition.Afterwashing,cellswere M-CSF (Peprotech). For lentivirus production, HEK293-T cells fixed in 1% paraformaldehyde and analysed using an FACScan were transfected with pCMV8.91, pMD-G and pHRSin-cPPT- FlowCytometerandSummitsoftware(BDBiosciences).MHC-II SGW using polyethylenimine (Sigma Aldrich, UK) [40]. After surfaceexpressionwascalculatedasmeanfluorescenceofinfected 48 h, lentivirus-containing supernatants were filtered (0.2 μm) cells (GFP positive)/mean fluorescence of uninfected cells (GFP and applied to HeLa cells. Transduced cells were sorted using negative)×100. a MoFlo flow cytometer (Cytomation). For siRNA transfection, HeLa were seeded in 6-well plates and transfected with siRNA oligonucleotides using Oligofectamine (Invitrogen). Cells were Westernblot reseeded at 48 h post-transfection before a second transfection with the same oligonucleotide. siRNA oligonucleotides for AP-2 Cells were harvested using Cell Dissociation Buffer (Sigma) and andclathrinheavychainwerefromQiagen[15]. lysedfor30minat4◦CinPBS,1%NonidetP-40substitute,50mM Tris (pH 7.5), 5 mM EDTA, 150 mM NaCl, protease inhibitor BMDCpreparationandantigenpresentation mixture(RocheDiagnostics),and5mMIodoacetamide.Samples were boiled in SDS-PAGE loading buffer before protein separa- Miceweremaintainedaccordingtoinstitutionalguidelinesatthe tionbySDS-PAGEandtransfertoImmobilon-PPVDFmembrane UniversityofCambridge.BMwasharvestedfromfemurs/tibiasof (Millipore). Membranes were probed with antibodies and anal- 8–12weekfemaleC3H/HeNCrlmice(CharlesRiver)andpassed ysed by rapid immuno-detection using ECL. Membranes were througha70μmstrainerinIMDM.BMcellswereseededin9cm blockedwith5%non-fatmilkpowder/0.05%Tween-20forsub- plates at 1 × 106 cells/mL in IMDM, 10% FCS, 2 mM Ultra- sequentdetections. glutamine (Lonza), 10 ng/mL IL-4 (Peprotech), 20 ng/mL GM- CSF(Peprotech)andpenicillin/streptomycin(PAALaboratories) for ∼30 min to adhere macrophage-precursors. Non-adherent BM cells were reseeded in 6-well plates for the differentiation Cryo-immunoelectronmicroscopy intoBMDCs,withmedia/cytokinereplacementondays3and5. Day 7 BMDCs were harvested by gentle scraping on ice. Differ- MelJuSocellswereinfectedwithGFP-Salmonellain9cmplates. entiatedBMDCswereroutinely50–60%CD11c/CD11b+,CD80hi, At 12 h post-infection, cells were washed and surface HLA-DR CD86lo andMHC-IIlo,asassessedbyflowcytometry.Forantigen was labelled (L243 antibody) at 4◦C. After 20 min, cells were presentation,BMDCswereseededat3×104cells/wellin96-well- washed and returned to 37◦C. After 0 and 7 h endocytosis, flat-bottomedplatesmorethan6hpriortoSalmonellainfection. cellswerefixedin0.2%glutaraldehyde/2%paraformaldehydefor For sorts, DCs were seeded at 5 × 106 cells/9 cm plate prior to 2hatRT.Fixedcellswereharvested,embeddedingelatin,and infection.At20hpost-infection,cellswerewashedwithPBS,then cryo-sectionedusingaLeicaFCS[41].Ultrathinsections(50nm) antigen (HEL protein (Sigma) or HEL peptide (Cambridge werecutat–120◦CusingaCryo-immunoknife(Diatome,Switzer- 46–51 Bioscience))andTcellswereadded.T-cellhybridomaswerepre- land) and cells were labelled with 10 nm Protein A gold parti- washedwithDMEM,5%FCSandwereaddedata5:1Tcell:DC cles(CellBiology,MedicalSchool,UtrechtUniversity)inPBS/1% ratio(refertoSupportingInformationFig.3fortitration).Culture BSA. Images were collected using a Philips/FEI CM10 electron supernatants were harvested after 24 h, frozen at −80 ◦C and microscope. then IL-2 quantified by ELISA using mouse IL-2 Ready-SET-Go! kits(eBioscience). Statisticalanalysis Salmonellastrains,infectionandflowcytometry Statistical analysis was performed using Graphpad Prism where Salmonella Typhimurium 12023 (ATCC) WT and (cid:2)ssaV strains p=0.01–0.05(*),p=0.001–0.01(**)andp<0.001(***)was that constitutively express GFP from pFVP25.1 were grown as consideredsignificant. (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu Eur.J.Immunol.2013.43:897–906 Antigenprocessing 905 generatedwithintheisletsofLangerhansinautoimmunediabetes.Nat. Immunol.2010.11:350–354. 13 Peterson,D.A.,DiPaolo,R.J.,Kanagawa,O.andUnanue,E.R.,Quan- titativeanalysisoftheT-cellrepertoirethatescapesnegativeselection. Acknowledgments: ThisworkwassupportedbytheRoyalSoci- Immunity1999.11:453–462. etyofNewZealandRutherfordFoundationwithadditionalsup- 14 Cheminay,C.,Mohlenbrink,A.andHensel,M.,IntracellularSalmonella port from the Wellcome Trust and the National Institute for inhibit antigen presentation by dendritic cells. J. Immunol. 2005. 174: HealthResearch(NIHR)CambridgeBiomedicalResearchCentre. 2892–2899. WethankDr.EmilUnanue(Washington,USA)forprovidingthe 15 Lapaque,N.,Hutchinson,J.L.,Jones,D.C.,Meresse,S.,Holden,D.W., 3A9and11A10T-cellhybridomas,PaulLehner(Cambridge,UK) Trowsdale,J.andKelly,A.P.,Salmonellaregulatespolyubiquitination forthepCMV8.91,pMD-GandpHRSin-cPPT-SGWlentiviralcon- andsurfaceexpressionofMHCclassIIantigens.Proc.Natl.Acad.Sci.USA structs,KarindePunderandNicolevanderWelforassistancewith 2009.106:14052–14057. cryo-immunoelectron microscopy, Nigel Miller for FACS sorting, 16 vanderVelden,A.W.,Copass,M.K.andStarnbach,M.N.,Salmonella andSarahGibbs,StephenNewlandandPaolaZacconeforassis- inhibitT-cellproliferationbyadirect,contact-dependentimmunosup- pressiveeffect.Proc.Natl.Acad.Sci.USA2005.102:17769–17774. tancewithBMDCpreparation. 17 Bueno,S.M.,Riquelme,S.,Riedel,C.A.andKalergis,A.M.,Mechanisms usedbyvirulentSalmonellatoimpairdendriticcellfunctionandevade ConflictofInterest: Theauthorsdeclarenofinancialorcommer- adaptiveimmunity.Immunology2012.137:28–36. cialconflictsofinterest. 18 McSorley, S. J., Asch, S., Costalonga, M., Reinhardt, R. L. and Jenk- ins, M. K.,TrackingSalmonella-specificCD4Tcellsinvivorevealsa localmucosalresponsetoadisseminatedinfection.Immunity2002.16: 365–377. References 19 Salazar-Gonzalez,R.M.,Niess,J.H.,Zammit,D.J.,Ravindran,R.,Srini- vasan,A.,Maxwell,J.R.,Stoklasek,T.etal.,CCR6-mediateddendritic 1 Brumell,J.H.andGrinstein,S.,Salmonellaredirectsphagosomalmatu- cellactivationofpathogen-specificTcellsinPeyer’spatches.Immunity ration.Curr.Opin.Microbiol.2004.7:78–84. 2006.24:623–632. 2 Broz,P.,Ohlson,M.B.andMonack,D.M.,Innateimmuneresponseto 20 Yrlid,U.,Svensson,M.,Hakansson,A.,Chambers,B.J.,Ljunggren,H.G. Salmonellatyphimurium,amodelentericpathogen.Gut.Microbes.2012.3: andWick,M.J.,InvivoactivationofdendriticcellsandTcellsduring 62–70. SalmonellaentericaserovarTyphimuriuminfection.Infect.Immun.2001.69: 5726–5735. 3 Rescigno,M.,Urbano,M.,Valzasina,B.,Francolini,M.,Rotta,G.,Bonasio, R.,Granucci,F.etal.,Dendriticcellsexpresstightjunctionproteinsand 21 Flores-Langarica,A.,Marshall,J.L.,Bobat,S.,Mohr,E.,Hitchcock,J., penetrategutepithelialmonolayerstosamplebacteria.Nat.Immunol. Ross,E.A.,Coughlan,R.E.etal.,T-zonelocalizedmonocyte-derived 2001.2:361–367. dendriticcellspromoteTh1primingtoSalmonella.Eur.J.Immunol.2011. 41:2654–2665. 4 Kuhle,V.andHensel,M.,CellularmicrobiologyofintracellularSalmonella enterica:functionsofthetypeIIIsecretionsystemencodedbySalmonella 22 Mitchell,E.K.,Mastroeni,P.,Kelly,A.P.andTrowsdale,J.,Inhibitionof pathogenicityisland2.Cell.Mol.LifeSci.2004.61:2812–2826. cellsurfaceMHCclassIIexpressionbySalmonella.Eur.J.Immunol.2004. 34:2559–2567. 5 Dham,S.K.andThompson,R.A.,Humoralandcell-mediatedimmune responsesinchronictyphoidcarriers.Clin.Exp.Immunol.1982.50:34–40. 23 Wubbolts,R.andNeefjes,J.,Intracellulartransportandpeptideload- ingofMHCclassIImolecules:regulationbychaperonesandmotors. 6 Lamb, C. A. and Cresswell, P., Assembly and transport properties Immunol.Rev.1999.172:189–208. of invariant chain trimers and HLA-DR-invariant chain complexes. J.Immunol.1992.148:3478–3482. 24 Walseng, E., Bakke, O. and Roche, P. A., Major histocompatibility complex class II-peptide complexes internalize using a clathrin- and 7 McCormick, P. J., Martina, J. A. and Bonifacino, J. S., Involvement of dynamin-independent endocytosis pathway. J. Biol. Chem. 2008. 283: clathrinandAP-2inthetraffickingofMHCclassIImoleculestoantigen- 14717–14727. processingcompartments.Proc.Natl.Acad.Sci.USA2005.102:7910–7915. 25 Inaba,K.,Turley,S.,Iyoda,T.,Yamaide,F.,Shimoyama,S.,ReiseSousa, 8 Bakke,O.andDobberstein,B.,MHCclassII-associatedinvariantchain C.,Germain,R.N.etal.,Theformationofimmunogenicmajorhistocom- containsasortingsignalfor endosomalcompartments.Cell1990.63: patibilitycomplexclassII-peptideligandsinlysosomalcompartmentsof 707–716. dendriticcellsisregulatedbyinflammatorystimuli.J.Exp.Med.2000.191: 9 Cresswell, P., Assembly, transport, and function of MHC class II 927–936. molecules.Annu.Rev.Immunol.1994.12:259–293. 26 Mellman,I.,Turley,S.J.andSteinman,R.M.,Antigenprocessingfor 10 vanNiel,G.,Wubbolts,R.,TenBroeke,T.,Buschow,S.I.,Ossendorp, amateursandprofessionals.TrendsCell.Biol.1998.8:231–237. F.A.,Melief,C.J.,Raposo,G.etal.,Dendriticcellsregulateexposureof 27 Iwasaki,A.andKelsall,B.L.,LocalizationofdistinctPeyer’spatchden- MHCclassIIattheirplasmamembranebyoligoubiquitination.Immunity. dritic cell subsets and their recruitment by chemokines macrophage 2006.25:885–894. inflammatoryprotein(MIP)-3alpha,MIP-3beta,andsecondarylymphoid 11 Lovitch,S.B.andUnanue,E.R.,Conformationalisomersofapeptide- organchemokine.J.Exp.Med.2000.191:1381–1394. class II major histocompatibility complex. Immunol. Rev. 2005. 207: 28 Tobar, J. A.,Carreno, L. J.,Bueno, S. M.,Gonzalez, P. A.,Mora, J. E., 293–313. Quezada,S.A.andKalergis,A.M.,VirulentSalmonellaentericaserovar 12 Mohan,J.F.,Levisetti,M.G.,Calderon,B.,Herzog,J.W.,Petzold,S.J.and typhimuriumevadesadaptiveimmunitybypreventingdendriticcells Unanue, E. R.,UniqueautoreactiveTcellsrecognizeinsulinpeptides fromactivatingTcells.Infect.Immun.2006.74:6438–6448. (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu 906 NicolaP.Jacksonetal. Eur.J.Immunol.2013.43:897–906 29 Sachse,M.,Urbe,S.,Oorschot,V.,Strous,G.J.andKlumperman,J.,Bilay- 38 Accapezzato,D.,Nisini,R.,Paroli,M.,Bruno,G.,Bonino,F.,Houghton,M. eredclathrincoatsonendosomalvacuolesareinvolvedinproteinsorting andBarnaba,V.,GenerationofanMHCclassII-restrictedT-cellepitope towardlysosomes.Mol.Biol.Cell2002.13:1313–1328. byextracellularprocessingofhepatitisdeltaantigen.J.Immunol.1998. 160:5262–5266. 30 Purdy,G.E.andRussell,D.G.,Ubiquitintraffickingtothelysosome: keepingthehousetidyandgettingridofunwantedguests.Autophagy 39 Santambrogio, L., Sato, A. K., Carven, G. J., Belyanskaya, S. L., Stro- 2007.3:399–401. minger,J.L.andStern,L.J.,Extracellularantigenprocessingandpre- sentationbyimmaturedendriticcells.Proc.Natl.Acad.Sci.USA.1999.96: 31 Strong, B. S.andUnanue, E. R.,PresentationofTypeBPeptide-MHC 15056–15061. complexesfromheneggwhitelysozymebyTLRligandsandTypeIIFNs independentofH2-DMregulation.J.Immunol.2011.187:2193–2201. 40 Ehrhardt,C.,Schmolke,M.,Matzke,A.,Knoblauch,A.,Will,C.,Wixler,V. andLudwig,S.,Polyethylenimine,acost-effectivetransfectionreagent. 32 Lovitch, S. B., Esparza, T. J., Schweitzer, G., Herzog, J. and Unanue, SignalTransduction2006.6:179–184. E. R.,ActivationoftypeBTcellsafterproteinimmunizationreveals novelpathwaysofinvivopresentationofpeptides.J.Immunol.2007.178: 41 Peters,P.J.andPierson,J.,Immunogoldlabelingofthawedcryosections. 122–133. MethodsCellBiol.2008.88:131–149. 33 Mattsby-Baltzer,I.,Lindgren,K.,Lindholm,B.andEdebo,L.,Endotoxin sheddingbyenterobacteria:freeandcell-boundendotoxindifferinLimu- lusactivity.Infect.Immun.1991.59:689–695. Abbreviations:BMDC:bonemarrow-deriveddendriticcell·HEL:henegg 34 Hill Gaston, J. S. and Lillicrap, M. S., Arthritis associated lysozyme·HK:heat-killed·Ii:invariantchain·MVB:multi-vesicular with enteric infection. Best Pract. Res. Clin. Rheumatol. 2003. 17: body·pMHC-II:peptide-MHC-II·SCV:Salmonella-containingvacuole· 219–239. SPI:Salmonellapathogenicityisland·S.Typhimurium:Salmonellaenterica 35 Arnedo-Pena,A.,Beltran-Fabregat,J.,Vila-Pastor,B.,Tirado-Balaguer, serovarTyphimurium·T3SS:TypeIIIsecretionsystem M. D., Herrero-Carot, C., Bellido-Blasco, J. B., Romeu-Garcia, M. A. etal.,Reactivearthritisandothermusculoskeletalsequelaefollowing Fullcorrespondence: Dr.AdrianP.Kelly,DepartmentofPathology, anoutbreakofSalmonellahadarinCastellon,Spain.J.Rheumatol.2010. UniversityofCambridge,TennisCourtRd,CambridgeCB21QP,United 37:1735–1742. Kingdom 36 NotoLlana,M.,Sarnacki,S.H.,Giacomodonato,M.N.,Caccuri,R.L., Fax:+44-1223-761509 Blanco,G.A.andCerquetti,M.C.,SublethalinfectionwithSalmonella e-mail: [email protected] enteritidisbythenaturalrouteinducesintestinalandjointinflammation inmice.Microbes.Infect.2009.11:74–82. Received:13/9/2012 37 Potter,N.S.andHarding,C.V.,Neutrophilsprocessexogenousbacte- Revised:3/12/2012 riaviaanalternateclassIMHCprocessingpathwayforpresentationof Accepted:8/1/2013 peptidestoTlymphocytes.J.Immunol.2001.167:2538–2546. Acceptedarticleonline:14/1/2013 (cid:3)C 2013WILEY-VCHVerlagGmbH&Co.KGaA,Weinheim www.eji-journal.eu

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