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Blood, 15 November 2004, Vol. 104, No. 10, pp. 3257-3266.
Prepublished online as a Blood First Edition Paper on July 29, 2004; DOI 10.1182/blood-2004-03-0824.
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IMMUNOBIOLOGY
Endocytosis, intracellular sorting, and processing of exosomes by dendritic cells
Adrian E. Morelli,
Adriana T. Larregina,
William J. Shufesky,
Mara L. G. Sullivan,
Donna Beer Stolz,
Glenn D. Papworth,
Alan F. Zahorchak,
Alison J. Logar,
Zhiliang Wang,
Simon C. Watkins,
Louis D. Falo, Jr, and
Angus W. Thomson
From the Thomas E. Starzl Transplantation Institute; the Department of Surgery and the Department of Dermatology, University of Pittsburgh Cancer Institute; the Department of Immunology and the Department of Cell Biology; and the Physiology and Center for Biologic Imaging, University of Pittsburgh Medical Center, Pittsburgh, PA.
Exosomes are nanovesicles released by leukocytes and epithelial cells. Although their function remains enigmatic, exosomes are a source of antigen and transfer functional major histocompatibility complex (MHC)I/peptide complexes to dendritic cells (DCs) for CD8+ T-cell activation. Here we demonstrate that exosomes also are internalized and processed by immature DCs for presentation to CD4+ T cells. Endocytosed exosomes are sorted into the endocytic compartment of DCs for processing, followed by loading of exosome-derived peptides in MHC-II molecules for presentation to CD4+ T cells. Targeting of exosomes to DCs is mediated via milk fat globule (MFG)E8/lactadherin, CD11a, CD54, phosphatidylserine, and the tetraspanins CD9 and CD81 on the exosome and v/ 3 integrin, and CD11a and CD54 on the DCs. Circulating exosomes are internalized by DCs and specialized phagocytes of the spleen and by hepatic Kupffer cells. Internalization of blood-borne allogeneic exosomes by splenic DCs does not affect DC maturation and is followed by loading of the exosome-derived allopeptide IE 52-68 in IAb by host CD8 + DCs for presentation to CD4+ T cells. These data imply that exosomes present in circulation or extracellular fluids constitute an alternative source of self- or allopeptides for DCs during maintenance of peripheral tolerance or initiation of the indirect pathway of allorecognition in transplantation.

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