Pulendran Bali
Department of Pathology & Emory Vaccine Center, Atlanta, GA 30329, USA.
Immunol Rev. 2004 Jun;199:227-50. doi: 10.1111/j.0105-2896.2004.00144.x.
The immune system is ignorant or even unresponsive to most foreign proteins that are injected in a soluble, deaggregated form, but when injected together with an immune-stimulating agent (i.e. an adjuvant, such as CpG-rich DNA), these foreign proteins can generate robust immunity and long-lived memory to the antigen. In fact, the nature of the adjuvant is what determines the particular type of immune response that follows, which may be biased towards cytotoxic T-cell responses, antibody responses, particular classes of T-helper responses, or antibody isotypes. Clearly, the ability of a vaccine to skew the response toward a particular type is of paramount importance, because different pathogens require distinct types of protective immunities. Therefore, the quest to manipulate the immune system to generate optimally effective immunity against different pathogens can justifiably be considered the 'grand challenge' of modern immunology. Central to this issue is a rare but widely distributed network of cells known as dendritic cells (DCs). DCs, which have been called 'Nature's adjuvants,' express pathogen recognition receptors, such as the Toll-like receptors (TLRs) and C-type lectins, which enable them to sense and respond to microbes or vaccines. Research in the last decade has demonstrated a fundamental role for DCs in initiating and controlling the quality and strength of the immune response. As such, DCs and TLRs represent attractive immune modulatory targets for vaccinologists. The present review provides a summary of emerging themes in the biology DCs and TLRs, with a particular focus on relevance for vaccine development.
免疫系统对大多数以可溶、解聚形式注射的外来蛋白质处于无知甚至无反应状态,但当与免疫刺激剂(即佐剂,如富含CpG的DNA)一起注射时,这些外来蛋白质可产生强大的免疫力和对抗原的长期记忆。事实上,佐剂的性质决定了随后产生的特定类型的免疫反应,这种反应可能偏向于细胞毒性T细胞反应、抗体反应、特定类型的辅助性T细胞反应或抗体亚型。显然,疫苗使反应偏向特定类型的能力至关重要,因为不同的病原体需要不同类型的保护性免疫。因此,试图操纵免疫系统以产生针对不同病原体的最佳有效免疫力,可以合理地被视为现代免疫学的“重大挑战”。这个问题的核心是一种罕见但广泛分布的细胞网络,称为树突状细胞(DCs)。DCs被称为“天然佐剂”,表达病原体识别受体,如Toll样受体(TLRs)和C型凝集素,这使它们能够感知并对微生物或疫苗作出反应。过去十年的研究表明,DCs在启动和控制免疫反应的质量和强度方面发挥着重要作用。因此,DCs和TLRs是疫苗学家有吸引力的免疫调节靶点。本综述总结了DCs和TLRs生物学中的新兴主题,特别关注与疫苗开发的相关性。