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© The Rockefeller University Press, 0022-1007/2000/2/423/ $5.00
The Journal of Experimental Medicine, Volume 191, Number 3, February 7, 2000 423-434


Original Article

Consequences of Cell Death: Exposure to Necrotic Tumor Cells, but Not Primary Tissue Cells or Apoptotic Cells, Induces the Maturation of Immunostimulatory Dendritic Cells



Birthe Sautera, Matthew L. Alberta, Loise Franciscoa, Marie Larssona, Selin Somersana, and Nina Bhardwaja

a Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, New York 10021
the Laboratory of Cellular Physiology and Immunology, The Rockefeller University, 1230 York Avenue, New York, NY 10021.212-327-8875212-327-8332

bhardwn{at}rockvax.rockefeller.edu

Cell death by necrosis is typically associated with inflammation, in contrast to apoptosis. We have identified additional distinctions between the two types of death that occur at the level of dendritic cells (DCs) and which influence the induction of immunity. DCs must undergo changes termed maturation to act as potent antigen-presenting cells. Here, we investigated whether exposure to apoptotic or necrotic cells affected DC maturation. We found that immature DCs efficiently phagocytose a variety of apoptotic and necrotic tumor cells. However, only exposure to the latter induces maturation. The mature DCs express high levels of the DC-restricted markers CD83 and lysosome-associated membrane glycoprotein (DC-LAMP) and the costimulatory molecules CD40 and CD86. Furthermore, they develop into powerful stimulators of both CD4+ and CD8+ T cells. Cross-presentation of antigens to CD8+ T cells occurs after uptake of apoptotic cells. We demonstrate here that optimal cross-presentation of antigens from tumor cells requires two steps: phagocytosis of apoptotic cells by immature DCs, which provides antigenic peptides for major histocompatibility complex class I and class II presentation, and a maturation signal that is delivered by exposure to necrotic tumor cells, their supernatants, or standard maturation stimuli, e.g., monocyte-conditioned medium. Thus, DCs are able to distinguish two types of tumor cell death, with necrosis providing a control that is critical for the initiation of immunity.

Key Words: dendritic cells • apoptosis • necrosis • cross-presentation • ELISPOT assay


Abbreviations used in this paper: DC, dendritic cell; ELISPOT, enzyme-linked immunospot; LAMP, lysosome-associated membrane glycoprotein; MCM, monocyte-conditioned medium; PAMP, pathogen-associated molecular pattern; SEA, staphylococcal enterotoxin A; SFC, spot-forming cell.

© 2000 The Rockefeller University Press


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