Imperial Cancer Research Fund, Tumour Immunology
Unit, University College London,
Department of Biology, Medawar Building, Gower Street, London, WCl
E 6BT, UK
The immune system as we know it in vertebrates is divided into
a number of compartments, each of which contains a more or less
complete set of lymphocytes with diverse receptors. Among them,
by far the largest single compartment is devoted to immunoregulation
and comprises the CD4+, class II MHC-restricted set of T cells.
Our invertebrate progenitors have molecules that are distantly homologous
to antibody, but in this ancestral form they are believed to function
in cell adhesion rather than defence, and are not diversified. At
a stage in the evolution of vertebrates they developed a mechanism
of diversification, and at that point must have been distributed
on a single set of lymphocytes. This non-compartmentalized stage
has not been found in any living vertebrates such as the primitive
jawless fish. The rapid replacement of this missing link tells us
that a compartmentalized immune system must provide significant
evolutionary benefits. The existence of a regulatory compartment
permits:
1. Better antibodies to be made, by means of hypermutation
2. Coordination of the immunological attack on complex antigens,
by means of epitope linkage
3. Control of hypersensitivity, by means of immunosuppression
Among these benefits, the third is the odd one out as it is needed
only after the regulatory compartment has evolved; it corrects some
of the problems that then arise as a result of overactivity within
that compartment. Each of these benefits needs further explanation.
The first, that of hypermutation, is linked logically to the mechanism
that the immune system has developed for avoiding reactivity with
self. Tolerance of self, it is now generally agreed, results from
deletion of self-reactive lymphocytes during development. This proposition
needs minor qualification, in so far as mechanisms of suppression
may supplement clonal deletion, but experience with unmanipulated
systems (such as my group's work on F liver protein as an an tigen
in mice [ 1]) has un derlined the primary role of deletion. If we
accept this proposition, then it is also clear that hypermutation
cannot be allowed to occur within the set of lymphocytes that is
responsible for selftolerance. Rajewsky's current estimate of the
hypermutation rate in memory Bcells is> 10- ²/base pair per cell
division; a rate as high as that would surely fill in any holes
in the repertoire created by clonal deletion, and that would lead
on to autoimmune disease. What actually happens is that the essential
clonal deletion occurs only within the regulatory compartment (among
helper T -cells), while hypermutation is confined to B cells, i.e.,
within one of the effector compartments. Clonal deletion mayor may
not also occur within the B-cell compartment, but that seems to
be an optional extra that varies from one self macromolecule to
another, depending mainly on concentration within body fluids. All
this was known prior to the discovery of hyper mutation; the real
step forward is to understand that T -cell tolerance and hypermutation
in B cells fit together logically, so that the two sets of observations
mutually reinforce one another . The second benefit, ofepitope linkage,
is of special interest because it has recently been discovered to
work through two rather different mechanisms, and thus provides
the first logical explanation of why T and B cells follow different
traffic patterns within the immune system. Overall, linkage coordinates
immunological attack in the following way: a regulatory lymphocyte
(a helper T cell) recognizes an epitope (in effect a regulatory
epitope) of a complex antigen, and then selectively activates effector
lymphocytes (B cells or cytolytic T cells) that recognize other
epitopes (effector epitopes) of the same antigen. In much the same
way a suppressor regulatory cell (a suppressor T cell) can also
selectively downregulate other cells (principally helper T cells)
that recognize the same antigen. F or both T and B cells the selective
activation works via short-range lymphokines that are not antigen
specific, and so the linkage depends exclusively on the regulatory
and effector cells being brought into juxtaposition. There, however,
the similarity stops. The T to B interaction depends on the formation
oftwo-cell-type clusters, in which a B cell binds directly to T
cells. The T -to- T interaction (helper to cytolytic T cell) depends
rather on three-celltype clusters, in which the two types of lymphocytes
bind to a common antigenpresenting cell. Two crucial pieces of evidence
establish that three-cell-type clusters do in fact form under physiological
conditions in vivo [2]: (a) the two types of lymphocyte need not
make a cognate interaction (in contrast to the T -B interaction,
where such a requirement applies), and (b) with large numbers of
antigenic particles (i.e. when each antigen-presenting cell can
be calculated to pick up several particles) epitope linkage no longer
operates (in contrast, again, to the T -B interaction, which saturates,
ifat all, only at much higher particle numbers). Thus the immune
system requires two quite different types of antigen-presenting
cell. One, for B cells, must retain antigen in a conformationally
intact form (most B cells recognize conformation epitopes); it must
do so long term, in order to provide time for hypermutation to operate;
and its dendrites need to be spaced together in a network dense
enough to maximize the chances of contact with migrating B cells.
The other, for T cells, must cleave antigen into a form able to
bind to major histocompatibility complex (MHC) molecules; it need
not retain antigen long term, for T cells do not hypermutate and
their response plateaus early; and the presenting cells with their
dendrites need to be spaced far enough apart to prevent the three-cell-type
clusters, each with its own presenting cell, from interacting with
one another and thus interfering with epitope linkage [3]. If one
looks at the T -cell and B-cell area of a lymph node, two quite
different (and possibly unrelated) types ofantigenpresenting cell
are evident in the two areas. Among T cells are to be found interdigitating
dendritic cells, and among B cells follicular dendritic cells. Each
has the appropriate combination of the three contrasting properties
that have just been described. Furthermore the interdigitating dendritic
cell, as well as being able to process antigen so that it associates
with MHC molecule, is known also to bind T cells spontaneously in
the absence of antigen and to stimulate them effectively in its
presence. It is natural to conclude that the segregation of a lymph
node into these two areas depends primarily on the need for the
two types of antigen-presenting cell, and indeed that once the dendritic
cells have sorted themselves out everything else in a lymph node
will follow automatically as a consequence of selective aggregation
of lymphocytes. This account of lymph node structure is far from
complete. It leaves unexplained the initial phase of the immune
response, prior to localization of antigen on follicular dendritic
cells in the form of antigen-antibody complexes; this early phase
is still poorly understood. In addition, there is probably more
to the structure of a follicle than simply aggregation of B cells
around their antigen, for the germinal centre, the outer follicle,
and the marginal zone around it are carefully arranged in a way
that still require explanation. The third benefit, of immunosuppression,
raises the controversial issue of the suppressor T cell. Opinions
among immunologists vary from those who regard this cell as playing
a fundamental role in regulation of the immune response, to those
who regard it as no more than an illusion. My own opinion, expressed
in several recent and forthcoming reviews [4-7], lies somewhere
between these two poles. I think it likely that a suppressor mechanism
does operate, and that it has evolved primarily as a measure to
counteract that threat of hypersensitivity. Over the course of evolution
it is likely that the main threat of hypersensitivity has come from
chronic infection: witness the extent to which chronic parasitic
infection in the third world is usually well tolerated, except when
it generates hypersensitivity. This line of thought finds support
from studies in immunogenetics. On present evidence that MHC class
II genes that mainly mediate suppression are HLA-DQ in man and H-2E
in the mouse; as these are not homologous, this function must have
flipped from one locus to another during mammalian evolution of
the mammals. Furthermore mice, and possible rats too, fairly often
lose expression of their suppression-mediating MHC class genes,
as though the selective pressure of hypersentivity is diminished
in these short-lived species. As for the mechanism of suppression,
the central questions remain unanswered pending the full deployment
of molecular biology in this area. It is entirely possible that
the phenomena of suppression can be accounted for by the known properties
of suppression-mediating T cells: specialized restriction, surface
markers such as CD45R, lymphokine-secretion profile, and high connectivity.
Alternatively, these composite properties may eventually lead us
to a set ofT cells that have their own unique molecular mechanisms,
such as anew set of receptors. The question is still open, and must
surely occupy a high position on the agenda of contemporary immunology.
References
1. Griffiths JA, Mitchison NA, Nardi N, Oliveira DBG (1987) F protein.
In: Sercarz E, Berzofsky J (eds) Immunogenicity of protein antigens:
repertoire and regulation, Vol II. CRC, Boca Raton, pp 35-40
2. Mitchison NA, O'Malley C (1987) Three cell type clusters ofT
-cells with antigen presenting cells best explain the epitope linkage
and non-cognate requirements of the in vivo cytolytic response.
Eur J Immunol 17:579-583
3. Dexter M, Marvel J, Merkenschlager M, Mitchison NA, Oliveira
D, O'Malley C, Smith L, Terry L, Timms E (1987) Progress in T cell
biology. Immunol Lett 16: 171 178
4. Mitchison NA, Oliveira DBG (1986) Chronic infection as a major
force in the evolution of the suppressor T cell system. Parasitol
Today 2: 312-313
5. Mitchison NA, Oliveira DBG (1986) Epirestricti on and a specialised
subset of T helper cells are key factors in the regulation of T
suppressor cells. In: Cinader B, Miller RG (eds) Progress in immunology,
vol VI. Academic Press, London, pp 326-334
6. Marvel J, Mitchison NA, Oliveira DBG, O'Malley C (1987) The
split within the CD4 (helper) T -cell subset, and its implications
for immunopathology. Mem Inst Oswaldo Cruz [Suppl I] 82: 260- 273
7. Oliveira DBG, Mitchison NA (1989) Immune suppression genes.
Clin Exp Immunol 75: 167177
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