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Department of Pathology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814
| Abstract |
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| Introduction |
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Although the ability of the DC-derived exosomes to prime T cells has been studied in detail (5, 6, 7), their ability to induce humoral immune responses remains unclear. The importance of this point is underscored by the potential use of exosomes as vaccines, including those targeting bacterial infections in which humoral immunity plays a dominant role (12, 13). Thus, exosomes derived from a intestinal epithelial cell line cultured with predigested OVA and treated with IFN-
primed mice for secondary IgG and IgE anti-OVA responses following s.c. immunization with OVA in CFA (14). However, the ability of exosomes to induce a primary anti-OVA Ig response was not tested. A single report demonstrated the ability of exosomes from an immortalized DC line, pulsed with a Toxoplasma gondii Ag extract, to prime mice for specific Ig responses after experimental infection with the parasite (13). However, the role of exosomes in inducing Ig responses was unclear, because repetitive injections with exosomes and challenge with the parasite were used.
In this report, we study the ability of exosomes from diphtheria toxoid (DT)-pulsed mature and immature bone marrow DC (BMDC) to induce DT-specific Ig responses during an inflammatory response. We demonstrate, for the first time, that exosomes, containing DT processed to serologically undetectable levels, induce a primary IgM and IgG anti-DT response in vivo, and that the maturation of the DC producing the exosomes increases their ability to induce primary IgG anti-DT responses. These anti-DT responses were biased toward type 1 IgG isotypes (IgG2b and IgG2a), in contrast to the preferential type 2 isotype, IgG1 induced by intact DT. Thus, exosomes derived from DC can induce and modulate humoral immunity through a type 1 polarizing mechanism.
| Materials and Methods |
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BALB/c mice were obtained from The Jackson Laboratory and used at 810 wk of age for the experiments. Mice were maintained in a pathogen-free environment at Uniformed Services University of the Health Sciences. The experiments in this study were conducted according to the principles set forth in the National Institutes of Health Guide for the Care and Use of Laboratory Animals.
Production and culture of BMDC
DC were cultured from bone marrow of BALB/c mice in the presence of 10 ng/ml GM-CSF as described previously (15), using culture medium supplemented with 6% FCS that was ultracentrifuged two times at 100,000 x g for 18 h at 10°C for depletion of bovine exosomes and protein aggregates.
Preparation of exosomes
BMDC were cultured at 1 x 106 cells/ml in the presence or in the absence of 30 µg/ml detoxified DT provided by Dr. J. Mond (Biosynexus, Gaithersburg, MD). After 24 h of culture, both DT-pulsed and unpulsed BMDC were stimulated with 20 ng/ml LPS to induce DC maturation or maintained in the absence of LPS, followed by addition of another 30 µg/ml DT to the DT-pulsed BMDC cultures. After another 24 h of culture, BMDC culture supernatants were collected and cell debris was removed by centrifugation at 300 x g for 10 min at 4°C. Cleared culture supernatants were filtered through 0.22-µm cellulose acetate filters (GE Osmonics). Exosomes are 6090 nm in diameter and filter freely through 0.22-µm filters. We did not observe significant losses of tetraspan-containing microvesicles after filtration. Filtered supernatants were centrifuged at 10,000 x g for 30 min, and the exosomes collected from the supernatant at 100,000 x g for 1 h at 4°C, washed with cold PBS, and then resuspended in PBS at a 1/500 volume. Sterility was preserved throughout the process. Purified exosomes contained less than one viable bacteria per 25 µg of protein. Protein content was determined by the bicinconinic acid method (Pierce).
Exosomes purified from culture supernatants of BMDC pulsed with DT are referred to as "DT-exosomes," and those from BMDC cultured in the absence of DT as "control-exosomes." Preparations obtained from LPS-stimulated BMDC cultures are referred to as "mature control- or DT-exosomes," and those from cultures lacking LPS as "immature control- or DT-exosomes." A similar preparation obtained from culture medium is referred to as "Media" and was used to control for the potential contaminant carryover during the purification. This preparation contained no detectable protein (<6 µg/ml).
Coupling of exosomes to latex beads and immunofluorescence analysis
A total of 106 aldehyde/sulfate polystyrene latex beads (Interfacial Dynamics), 3.9 µm in diameter, was coated with 1 µg of exosomes for 16 h at 20°C, washed, and incubated for 1 h with 1% BSA. For FACS analysis, 50,000 latex beads coated with exosomes were incubated with 0.2 µg of fluorochrome-conjugated mAbs specific for several DC markers or isotype-matched negative control mAbs. Samples were analyzed in triplicate. All mAbs used were obtained from BD Pharmingen, except for anti-CD9 mAb (clone Nyn.H3), which was obtained from Emfret. Latex beads incubated with the Media preparations and blocked with BSA were used as a control for nonspecific binding of mAb to beads. Only single beads were gated for analysis. Acquired data were analyzed using the WinList3D program. The mean fluorescence intensity of the phenotypic markers was used to compare their relative expression in mature and immature exosomes.
Quantitation of bovine contaminants in the preparations of exosomes
Bovine haptoglobin (Hp) was quantified essentially as previously reported for human Hp (16) using both a direct adsorption ELISA and a capture ELISA with affinity-purified rabbit anti-bovine Hp (Immunology Consultants Laboratory). Hp purified from fresh bovine acute-phase serum (Life Diagnostics) was used to generate a standard curve. The limit of detection was 0.5 ng/ml (22 ng/ml aggregated Hp) on direct ELISA and 0.75 ng/ml (250 ng/ml aggregated Hp) in capture ELISA.
BSA content was determined by direct ELISA in wells coated with exosomes, and blocked with 1.5% OVA. BSA was detected with mouse IgG2a anti-BSA species-specific mAb BSA-33 (Sigma-Aldrich). The limit of detection was 0.7 ng/ml BSA.
Bovine exosomes were detected by a sandwich-capture ELISA using two mAbs specific for bovine tetraspans CD9 (capture) and CD63 (detection). Therefore, the ELISA detects CD9-CD63 complexes, but not free CD9 or CD63. Wells were coated with 1 µg/ml purified mouse IgG2 anti-bovine CD9 mAb (Abcam; clone IV50), blocked with 2% BSA in PBS, and incubated overnight at 4°C with exosomes. Captured CD9-containing vesicles were detected with a mouse IgG1 anti-bovine CD63 mAb (clone CC25; Serotec). Bovine FCS (not ultracentrifuged) used as a reference, typically gives an OD405 of 3.0. Guinea pig sera and wells not incubated with anti-CD63 mAb were used as negative controls. More than 93% of the detectable CD9-CD63 vesicles were pelleted by a single ultracentrifugation of the FCS.
Bovine microvesicles were detected by a sandwich-capture ELISA using two mAbs specific for bovine tetraspans CD9 and CD63. Therefore, the ELISA detects CD9-CD63 complexes likely assembled in microvesicles, but not free CD9 or CD63. Wells were coated with 1 µg/ml purified mouse IgG2 anti-bovine CD9 mAb (clone IV50; Abcam), blocked with 2% BSA in PBS, and incubated overnight at 4°C with exosomes. Captured CD9-containing vesicles were detected with a mouse IgG1 anti-bovine CD63 mAb (clone CC25; Serotec). Bovine FCS (not ultracentrifuged) used as a reference, typically gives an OD405 of 3.0. Guinea pig sera and wells not incubated with anti-CD63 mAb were used as negative controls. Approximately 93% of the detectable CD9-CD63 was pelleted by a single ultracentrifugation of the FCS at 100,000 x g for 18 h.
Quantitation of murine cytokines
IL-6 and IL-12 concentrations in the purified exosomes were measured using a quantitative sandwich ELISA previously described in detail (15).
Quantitation of DT
The content of intact DT in the purified exosomes was determined by competitive inhibition ELISA. Briefly, wells coated with 5 µg/ml DT, and blocked with 2% BSA, were incubated with serial 2-fold dilutions of purified DT standard or DT-exosomes diluted in a 1/200,000 dilution of a high-titered mouse anti-DT sera. Control-exosomes were used as negative controls. The Ig binding was detected with a goat anti-mouse IgG conjugated to AP. The limit of detection of the assay was 5 ng/ml DT. DT was also quantified in exosomes following treatment for 1 h at room temperature with 1% Triton X-100 (TX-100). Both samples and standards were treated with detergent during incubations.
Mouse immunizations
Groups of 20 female BALB/c mice at 810 wk of age were immunized i.p. with 250 µl of an emulsion of CFA and PBS or CFA and a solution of 25 µg of DT in PBS at day 0. Twenty-four days later, five mice of each group received one i.v. injection of 25 µg of mature or immature DT-exosomes or 25 µg of mature or immature control-exosomes in 200 µl of PBS. Additional groups of mice immunized with CFA or DT plus CFA emulsion at day 0, received at this time (day 24) one i.v. injection with an equal volume of media, or with 25 pg of LPS and 0.02 µg of intact DT in PBS, two times the upper limit of DT that could be detected in a 25-µg dose of exosomes. All mice were bled at day 0 to obtain preimmune sera, and at days 14, 23, 38, and 44 for measurement of anti-DT Ig isotype titers by ELISA.
Measurement of serum titers of Ig anti-DT isotypes
DT-coated and 2% BSA-blocked ELISA plates were incubated with serial 3-fold serum dilutions overnight at 4°C. Replicate plates were then incubated for 1 h at 37°C with polyclonal goat anti-mouse IgG1, IgG2a, IgG2b, IgG3, IgM, or IgG (
-chain) conjugated to alkaline phosphatase (Southern Biotechnology Associates). Titers were expressed as the dilution of sera giving an absorbance at 405 nm equal to 1.0, following the development of the enzymatic reaction for 1 h, using p-nitrophenyl-pyrophosphate as substrate. Preimmune sera were used as negative controls.
Statistics
Data were expressed as arithmetic mean ± SEM of the individual titer. Levels of significance of the differences between the groups were determined by the Students t test. Values of p < 0.05 were considered statistically significant.
| Results |
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Our major goal was to determine the ability of BMDC-derived exosomes to induce Ag-specific humoral immunity in vivo, following preincubation of BMDC cultures in vitro with a soluble protein. DT, a highly immunogenic protein widely used as a carrier in conjugate vaccines, was selected as our model protein (17, 18). BMDC were cultured in the presence or in the absence of DT for 48 h, and the exosomes were then purified from the culture supernatant. This early time point in the culture was selected to reduce the risk of contamination with apoptotic microvesicles, because BMDC undergo some spontaneous apoptosis following the first 48 h of culture (19). Exosomes from these immature BMDC showed high levels of tetraspans (CD9 and CD81), predominant in exosomes, CD11b and one of its ligands (CD54), but very low levels of CD11c (Fig. 1). These exosomes also expressed relatively high levels of MHC-II, MHC-I, CD1d, and CD86, with CD80 expressed at lower levels (Fig. 1). Because exosomes from immature BMDC have been reported to have anti-inflammatory (9) and even T cell-immunosuppressive properties (8), we wanted to compare these immature exosomes with those obtained from BMDC stimulated during the last 24 h of culture with 20 ng/ml LPS. This stimulation induced BMDC maturation as evidenced by up-regulation of cell surface MHC-II and CD86 (data not shown). Exosomes secreted from LPS-matured BMDC, showed an identical expression level of tetraspans relative to immature BMDC, consistent with the attachment to the beads of equal numbers of exosomes, but demonstrated an increased expression of MHC-II, CD86, CD80, and especially of CD54 (Fig. 1). CD54 has been shown to be critical for priming of naive T cells (4). The increased expression of theses markers was similar in two independent experiments run in triplicate (p < 0.01). The phenotype of the control-exosomes obtained from BMDC cultured in the absence of DT, was identical with that shown for DT-exosomes in Fig. 1, suggesting the pulse with DT do not affect the phenotype of the secreted exosomes. Collectively, these data suggest that exosomes will have immunostimulatory properties that may be enhanced by BMDC maturation.
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Next, we determined the level of medium-derived protein contaminants within the purified exosomes, because these contaminants could produce artifacts following mouse immunization. Three bovine proteins: tetraspan (CD9/CD63) complexes, Hp, and BSA, were used as tracers. Tetraspans are highly expressed in cell membranes and were thus used as markers of contamination for bovine vesicles. Bovine tetraspans were readily detectable in de-complemented FCS, but following the first and second ultracentrifugation of FCS used for BMDC culture, >93% and essentially 100% of the detectable tetraspans were removed, respectively. Furthermore, bovine tetraspans were undetectable in BMDC-derived exosomes (Table I), suggesting that all the purified exosomes were murine.
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Ultracentrifugation removed <14% of total BSA, which is a major component of FCS (>600 µg/ml culture medium). In this regard, BSA was detected in the purified exosomes used in the experiments illustrated in Figs. 13 (Table I), although it was <0.065% of the total protein. A similar content of BSA was detected (0.42 ± 0.05 ng/µg of protein; n = 32) in other preparations of exosomes. The tendency of BSA to copurify with exosomes has been observed (12). Collectively, these data suggest that, although some major protein component of FCS may be copurified in very low but quantifiable amounts, we can consider our BMDC-derived exosomes as being essentially free of bovine contaminants.
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Next, we wanted to determine the potential presence of serologically intact DT within the purified exosomes. Using a high-titered mouse anti-DT sera in a competitive inhibition ELISA, we determined that DT was not serologically detectable (<0.04% protein or <10 ng of DT in 25 µg of exosomes) in either intact (Table I) or 1% TX-100 solubilized (data not shown) control- or DT-exosomes. The pulse of BMDC with DT did not affect the yield or purity of the exosomes. LPS-matured BMDC consistently yielded lower amounts of exosomes than immature BMDC (Table I). Collectively, the purified preparations of immature exosomes (n = 6) yielded for control exosomes 0.82 ± 0.09 µg/ml supernatant, similar (p = 0.07) to that of DT-exosomes (0.76 ± 0.08 µg/ml supernatant). In contrast, the yield of mature exosomes was lower than for immature exosomes in both control exosomes (0.65 ± 0.07 µg/ml supernatant; p = 0.01) and DT-exosomes (0.59 ± 0.06 µg/ml supernatant; p = 0.008)
Exosomes from DT-pulsed BMDC induce IgG DT-specific responses in naive recipients
Immunization of naive mice with intact CFA plus DT induced DT-specific IgM and IgG responses with the delayed kinetics and isotype distribution typical of responses to T cell-dependent Ags (Fig. 2B). Thus, IgG anti-DT was the prevalent isotype, peaking at 24 days postimmunization. In contrast, IgM anti-DT titers were relatively low, peaked at day 14, and gradually decreased to undetectable levels by day 30. However, a major part of the decreased detection of IgM over the time is likely due to competition with IgG anti-DT, present in sera in overwhelming amounts, at time points later than 14 days. Sera from naive mice contained no detectable IgG anti-DT (titer <1/10) and CFA alone did not induce IgG anti-DT responses, or significantly affect preimmune natural IgM anti-DT levels (Fig. 2A).
We next determined the ability of exosomes, derived from either immature or mature DT-pulsed BMDC (DT-exosomes), to initiate primary Ig isotype responses in naive mice, and/or to boost secondary Ig responses in mice primed 24 days earlier with intact DT. Exosomes (25 µg of total protein) were injected i.v, without adjuvant, allowing exosomes direct access to the spleen in the absence of local inflammation. Exosomes purified from both DT-pulsed immature and mature BMDC induced primary IgM and IgG anti-DT responses, more sustained than that observed in naive mice immunized with intact DT (Fig. 2A), and boosted the IgG anti-DT response in DT-immune mice (Fig. 2B). However, mature DT-exosomes induced a primary IgG anti-DT response (Fig. 2A) that was 10-fold higher than the IgG response induced by immature DT-exosomes (p < 0.0003), whereas the primary IgM (p > 0.11) and boosted IgG (p > 0.05) anti-DT responses were not significantly different between the two groups. In contrast, injection of Media or control-exosomes from immature (data not shown) or mature (Fig. 2) BMDC had no effect on these responses. These responses were unlikely due to free intact DT, because serologically detectable DT in the dose injected was <0.01 µg. Furthermore, we measured <1 pg of LPS per microgram of exosome protein and the injection of 25 pg of LPS and 0.02 µg of intact DT had no effect on these responses (Fig. 2). These results suggest that exosomes are a competent stimulus to initiate primary humoral Ag-specific responses, as well as to stimulate a secondary response in primed mice. Furthermore, the maturation state of the DC releasing the exosomes has a major impact in the efficiency of those exosomes to induce primary Ab responses in naive recipients.
IgG2b and IgG2a are the major subclasses induced by DT-exosomes, in contrast to the predominant IgG1 anti-DT response induced by intact DT
We next wanted to determine the IgG subclass distribution induced by either intact DT or DT-exosomes. Immunization with intact DT induced IgG responses that were mostly IgG1 (type 2 response). Thus, serum titers of IgG1 anti-DT were 30100 times higher than those of IgG2a or IgG2b anti-DT at any given time point postimmunization (Fig. 3A). IgG3 was only a minor part of the IgG anti-DT response. Serum titers and kinetics for the IgG1 anti-DT response following immunization with intact DT, was very similar to that obtained for total IgG (Fig. 2).
In striking contrast, both immature and mature DT-exosomes induced primary DT-specific IgG responses that were predominantly IgG2b and IgG2a (type 1 response), with only a relatively modest contribution by IgG1 (3- to 5-fold lower serum titers than IgG2b or IgG2a) (Fig. 3A). As mentioned earlier for IgG, higher overall IgG isotype responses, with the exception of IgG3 (p = 0.056), were observed in response to mature, relative to immature, DT-exosomes. Thus, exosomes induce primary IgG responses in nonimmune recipients through a type 1-associated mechanism. This result lends strong support to the notion that exosomes are directly involved in the induction of IgG anti-DT responses, and not copurified traces of free DT.
In mice primed with intact DT, secondary immunization with mature DT-exosomes significantly boosted IgG1 anti-DT (p = 0.030.01), IgG2a anti-DT (p = 0.00010.000006), and IgG2b anti-DT (p = 0.0060.003) responses relative to either mature or immature control-exosomes, Media, or 20 ng of intact DT plus LPS. In contrast, IgG3 titers were unaffected (p = 0.740.56). Immature DT-exosomes also boosted each anti-DT IgG subclass in a similar manner as the mature DT-exosomes (Fig. 3B; p = 0.870.19). Of interest, the IgG1/IgG2a anti-DT titer ratio, which was 76 ± 12, 21 days after primary immunization with intact DT, was essentially maintained 20 days after a subsequent injection with control exosomes (IgG1/IgG2a ratio, 51 ± 14; p = 0.14). However, following secondary immunization with either immature or mature DT-exosomes, this ratio was significantly reduced (IgG1/IgG2a ratio, 10 ± 2; p = 0.0002), suggesting that exosomes could mediate a relative shift to a type 1 response in mice previously primed for a type 2 response.
Exosomes do not contain detectable IL-12 or IL-6
BMDC activation with pathogen-associated molecular patterns result in secretion of proinflammatory cytokines, particularly IL-12 and IL-6 (15, 19). We observed >30 ng/ml of both IL-12 and IL-6 in BMDC culture supernatants after 24 h of stimulation with 20 ng/ml LPS (data not shown). IL-12 is a key type 1-polarizing cytokine produced by DC (20), whereas IL-6 can act directly on B cells to induce maturation to Ab secretion (21). IL-12 and IL-6 have been implicated in DC priming for antibacterial IgG responses (15). However, we were unable to detect either IL-12 or IL-6 in the intact (Table I) or 1% TX-100 solubilized exosomes (data not shown), arguing against their direct role in the exosome-mediated induction of type 1 polarizing activity and Ig induction, respectively.
| Discussion |
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The mechanism by which exosomes mediate T cell activation is partially understood. Thus, it has been demonstrated that exosome-mediated T cell priming requires the participation of mature DC in the recipient host (5, 6, 7). Additionally, only exosomes from mature DC will trigger effector T cell responses in vivo (4). DC maturation is a key component of the innate, inflammatory response to a wide range of pathogens. Therefore, we hypothesized that, if exosomes in fact contributed to the initiation of primary Ag-specific Ig responses, activation of both the recipient APCs and the DC releasing the exosomes would be required. Thus, we initially induced a proinflammatory response systemically through i.p. immunization with CFA (without DT), to activate host DC. Furthermore, we obtained exosomes from DT-pulsed immature or LPS-stimulated mature DC that were maintained in an immature state or were maturated by LPS, to determine the relevance of the maturation of the DC producing the exosomes. LPS was used at a concentration that induces DC maturation, but not apoptosis. Furthermore, exosomes were collected early during culture (48 h of culture, 24 h with LPS), when no spontaneous apoptosis is observed (19). This precluded contamination of the preparations of exosomes with microapoptotic vesicles. Exosomes were injected i.v. to facilitate direct contact with blood APCs and transit into the spleen. This likely simulates the route connecting peripheral inflammation and systemic immune activation. Thus, our experimental approach likely reproduces the events occurring during a primary immune response to infection with the exception that here, only the exosomes carry the processed protein (DT).
Mice receiving a single injection of DT-exosomes produced DT-specific primary IgM and IgG responses, showing kinetics of induction similar to that observed following immunization with intact protein. The maturation state of the DC producing the exosomes had a major impact in the magnitude of the primary anti-DT IgG responses, but not in the IgM responses. This enhanced ability of mature DT-exosomes to induce an IgG isotype response in resting Ag-specific B cells is likely due to its greater immunostimulatory properties via increased expression of costimulatory and Ag-presenting molecules (Fig. 1). However, we cannot rule out the possibility of improved targeting of the mature exosomes to competent recipient cells through increased expression of CD54 (Fig. 1) or other unidentified molecules. The greater efficiency of mature exosomes to induce primary IgG responses perfectly fits the model in which, during inflammation, the initiation and magnitude of the induced primary Ag-specific Ig response must be commensurate to the level of pathogen stimulation and consequently to the level of DC activation. Once the adaptive response is established, the maturation state of DC being stimulated will have less relevance. Thus, we do not observe significant differences in the ability of mature and immature exosomes to boost secondary IgG responses induced by intact DT.
Our findings suggest that, because the stimulation of T cells alone cannot induce Ag-specific humoral responses, not only T cells, but Ag-specific B cells were activated by DC-derived exosomes. Of interest, exosomes appear to mediate Ag-specific B cell activation with, at best, a minimal amount of intact protein Ag. Thus, using mouse DT-specific polyclonal antisera produced in response to immunization with intact DT, we were unable to detect DT in exosomes derived from DT-pulsed BMDC, even after detergent solubilization. Our preparations of DT-exosomes do not contain detectable levels of free or exosome-associated DT (<10 ng of intact DT per immunizing dose). Presuming that some intact DT-epitopes are required for the B cell-specific Ig response, these data suggest an extremely efficient mechanism for exosome-mediated immunity. B cell clones producing natural anti-DT IgM, could have served to amplify the DT responses. The injection of 20 ng of intact free DT (plus LPS) was unable by itself to initiate a primary IgG or IgM anti-DT response, suggesting that if these DT-epitopes are present, they must be physically linked with the exosomes in an immunogenic manner.
DT-exosomes, mature and immature, induced a primary anti-DT response in naive mice biased toward type 1 isotypes (IgG2b and IgG2a) in contrast to intact DT in which a largely type 2 (IgG1) response was observed. Similarly, DT-exosomes boosted anti-DT responses in mice primed with intact DT, coupled with an increase in the ratio of DT-specific IgG2a/IgG1. IL-12 was undetectable in our preparations of exosomes, leaving unresolved the mechanism by which exosomes induced type 1 polarization. Studies using IL-12/ mice indicate that type 1 immunity can be induced in the absence of endogenous IL-12 (20), suggesting that exosome-mediated type 1 polarization might similarly occur through an IL-12-independent mechanism.
In summary, our data suggest that exosomes released by DC following exposure to and uptake of pathogens expressing TLR ligands, may play a highly efficient role in amplifying humoral immunity and type 1 polarization. In contrast, agents that induce classical type 2 immune responses, appear to induce minimal DC maturation, at least in vitro. Thus, exosomes derived from such DC might serve to down-regulate immune activation, thus limiting inflammatory sequelae. These data further suggest a potential role for exosomes from mature DC as cell-free vaccines for down-modulating or preventing pathologic type 2 immunity or for boosting Ig responses to poorly immunogenic Ags.
| Disclosures |
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| Footnotes |
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1 This work was supported by National Institutes of Health Grants 1R01 AI49192 and 1R01 AI 46551. ![]()
2 Address correspondence and reprint requests to Dr. Clifford M. Snapper, Department of Pathology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814. E-mail address: csnapper{at}usuhs.mil ![]()
3 Abbreviations used in this paper: DC, dendritic cell; MHC-I, MHC class I; MHC-II, MHC class II; DT, diphtheria toxoid; BMDC, bone marrow-derived DC; Hp, haptoglobin; TX-100, Triton X-100. ![]()
Received for publication May 11, 2006. Accepted for publication June 26, 2006.
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