APC : Antigen Presenting Cell
The immune system contains of three types of antigen presenting cells (APC's).
1) Macrophages
2) Dendritic cells
3) B cells

It will be explained below that these three types of APC's present different sets of antigens and also may serve to activate T cells at different points during the immune response. The most relevant property of APCs is that, in addition to antigen presentation, they provide co-stimulatory signals via B7.1 and B7.2. It is important to note that APC's do not constitutively express these co-stimulatory molecules. (Except Dendritic cells, see below). Since these cells potentially phagocytose both self and infectious materials, there has to be some mechanism for the recognition of infection (non-self). Upon this recognition, the APC's will up regulate their co-stimulatory molecules (namely B7's), and only then will they activate T cells, by interactiong with the B7 receptor called CD28.
Summary table of Antigen Presenting Cells
| Macrophage | Dendritic Cell | B cell | |
| MHC-II Expression | Low levels. Induced by Bacteria and/or Cytokines |
Always Expressed. | Always Expressed. Inducible upon Activation |
| Antigen type and presentation by MHC |
Extracellular Antigens: presentation via MHC-II |
Intracellular & Extracellular Antigens: presentation via MHC-I & II |
Extracellular Antigen binds to specific Ig receptors: presentation via MHC-II |
| Co-Stimulation (B7 expression) |
Low levels. Induced by Bacteria and/or Cytokines |
Always expressed at high Levels |
Low levels. Inducible upon Activation |
| Location | Lymphoid tissue Connective tissue Body Cavities |
Lymphoid tissue Connective tissue Epithelium |
Lymphoid tissues. Blood |
1) MACROPHAGES
See PPD (tuberculin) test for Mycobacterium Tuberculosis exposure.
Since viral proteins are internally synthesized by host cells, they possess the same carbohydrate pattern as the host. Thus macrophages do ingest them as part of the general tissue debris, present the antigen as peptides, but do not become activated.

Star: Vacuole
containing ingested extracellular material.
Full Arrow: Shows phagocytosis
of external material.
This can occur in a receptor mediated manner (recognition of
carbohydrate patterns on bacterial surface), or non-receptor
mediated manner (pinocytosis of extracellular proteins).
Open Arrow: Fusion of lysosome
with Phagocytosed vacuole,
Phagolysosome formation. MHC-II binds extracellular
antigen peptides in this compartment.
Note: Upon
recognition of infectious (non-self) material, macrophages
secrete a plethora of effector molecules:
Cytokines: INF-ð & TNF-a: Activation of Neutrophils,
T cells,
self- and other macrophages.
Cytotoxins: O2 & NO: Free
radicals and oxidants toxic to
bacterial cells.
Along with antigen presentation,
Macrophages play other key roles in the Immune system
| Lymphocyte activation | APC function & Cytokine secretion (IL-1). |
| Response modulation | Secrete IL-12 for Th1 & IL-10 for Th2 responses. |
| Inflammation | Cytokines induce Acute phase response, Fever and Inflammation |
| Tissue Reorganization | Secrete important factors: elastases, Collagenases, FGF & Angiogenesis Factors |
| Micobicidal Activity | Oxygen dependent free radicals, cytotoxins. Oxygen Independent Hydrolases, anti-microbials. |
| Tumor Immunity | Secrete toxic factors, free radicals, Hydrolases & TNF- a |
These
cells are mostly found in the skin and mucosal epithelium, where they are referred to as
Langerhan's cells. These cells continuously express high levels of co-stimulatory B7.
During ingestion of self proteins, they remain in the epithelium, inaccessible to
"naïve" T cells. Naive T cells circulate through blood and the lymphatic
system. Only activated and/or memory T cells can migrate to tissues.
Upon recognition of infectious particles, these cells migrate through the lymphatics
to the nearest lymph node
B cells are the least efficient antigen presenting cells. Unlike the other two APCs, they possess specific antigen receptors, surface immunoglobulins. B cells ingest soluble proteins by pinocytosis. They also posses specific uptake receptors in surface Immunoglobulins. B cells present antigen via MHC-II. But these cells do not express co-stimulatory molecules. In order to do so, they need to be activated by Th cells (see B cell activation). The role of B cells as APC's in vivo is not very well understood.
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