Title:
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The role of antigen presentation in the induction of immune tolerance
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Experimental Autoimmune Dveoretinitis (EAD), a CD4+ T cell-mediated retinaspecific
disease, is a model for the sight-threatening human posterior uveitis.
Dendritic cells (DC) are key regulators of immune responses. Mature DC are
traditionally considered to be immunogenic due to their ability to directly activate
naIve T cells, though there is accumulating evidence that mature DC can also be
tolerogenic and induce antigen-specific regulatory T cells (Treg). Although many
studies have demonstrated that systemic administration of DC can suppress the
induction ofautoimmune disease, the mechanism ofthis disease suppression in vivo is
largely undefined. Here in this thesis, we have examined the mechanism of disease
suppression by the subcutaneous (s.c.) transfer oftolerogenic DCs.
Tolerogenic DC were prepared by altemative activation of bone marrow derived DC
using LPS. In Chapter 3 we have characterised the phenotype and function of
differential LPS-activated mature DCs that secrete either the immunoregulatory
cytokine 11-10 (ILIO-DC) or the pro-inflammatory cytokine IL-12 (1112-DC). In
addition, we have identified their differential expression of TLR4/CDI4 and
phosphorylation of the MAPkinase ERKI. The'in vivo tolerogenicity of IRBPpeptide-
pulsed ILIO-DC (ILIO-DC+IRBP
) was examined in Chapter 4, where it was
evident that the s.c. administration of 1110-DC+IRBP at the nape can significantly
suppress the induction of IRBP-peptide-induced EAD at the inguinal, and this effect
correlates strongly with an increase in the absolute number of CD4+CD25+Poxp3+
regulatory T cells as well as the cellularity ofthe DC-dLNs.
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