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MHC class II compartment subtypes: structure and function Lawrence J Stern 1 , Ilaria Potolicchio 2 and Laura Santambrogio 3 Reports from the past couple of years point to an emerging association of the biogenesis, composition and ultrastructural morphology of MHC class II compartments (MIICs) with their functions in antigen processing and loading. Growth factors and cytokines involved in dendritic cell maturation have been shown to regulate MIIC biogenesis, and the MHC-class-II- associated invariant chain chaperone has been reported to regulate endosomal morphology and vacuolation. Differences among ultrastructurally distinct MIICs have begun to be appreciated with regard to variation in antigen loading capacity and to polarization of MHC class II conformational variants among different compartments. Finally, the MIIC ultrastructure organizes the mechanism of MHC class II surface trafficking. Together, these findings begin to shed light on the connection between MIIC protein content, MIIC morphology and MHC class II-related antigen processing. Addresses 1 Department of Pathology University of Massachusetts Medical School Worcester, MA 01655, USA 2 Division of Immunology and Allergy, Centre Hospitalier Universitaire Vaudois, Lausanne, CH, Switzerland 3 Department of Pathology Albert Einstein College of Medicine, New York, NY 10461, USA Corresponding author: Santambrogio, Laura ([email protected]) Current Opinion in Immunology 2006, 18:64–69 This review comes from a themed issue on Antigen processing and recognition Edited by Steven Porcelli and Gunter Hammerling Available online 6th December 2005 0952-7915/$ – see front matter # 2005 Elsevier Ltd. All rights reserved. DOI 10.1016/j.coi.2005.11.005 Introduction Late endosomes and lysosomal organelles are sub-cellular compartments, which in all cell types are the site of degradation of both endogenous and exogenous materials [1]. These organelles are characterized by acidic pH, the presence of proteases and expression of lysosome-asso- ciated membrane protein (Lamp) protein family mem- bers [2,3]. Lysosomal compartments are used also in several immune and non-immune cell types to perform specific functions distinct from protein degradation. Indeed, in professional antigen presenting cells, late endosomes and lysosomes are enriched in MHC class II proteins and in other molecules involved in peptide processing, loading and editing (human leukocyte antigen [HLA]-DM, HLA-DO, gamma-interferon-inducible lysosomal thiol reductase, and cathepsins), and become specialized organelles termed MIICs (for MHC class II containing compartments). It is in these that most antigen processing and MHC class II loading occurs [4,5]. The observations that MIIC can appear with different morphologies — multivesicular, multilamellar, or a com- bination of both — and that these differences are likely to reflect different maturative stages, have long been appre- ciated [6,7]. However, the biological significance asso- ciated with the different morphologies and the exact contribution of each compartment to antigen processing and MHC class II loading processes are still ill-defined (Figure 1). During the past couple of years, several reports have begun to shed light on the relationship between MIIC biogenesis, ultrastructural morphology, protein composition and specific roles in antigen processing and presentation. This new body of information will be the focus of this review. Contribution of the molecular mechanism of endosomal protein sorting (endosomal sorting complexes required for transport [ESCORT], ubiquination and adaptor protein complexes [AP]-1, -2, -3 and -4 adaptors), which also play a role in endosomal formation and traf- ficking, have been extensively discussed in other reviews and will not be discussed here [8,9]. Multivesicular MIIC Multivesicular bodies (MVBs) are a type of MIICs that have a diameter of between 400 and 500 nm. They are composed of a limiting membrane that encloses several internal vesicles that have diameters of between 40 and 90 nm [10,11]. They are commonly described as late endosomal compartments and are enriched in MHC class II proteins. MVBs receive bio-synthetic cargo from the trans-Golgi network, as well as molecules that have been internalized by way of endocytosis [5]. An increasing interest is developing in the process of vesiculation, which gives rise to the MVB, and of retrograde fusion, which allows vesicles to fuse back with the limiting membrane: the former is closely intertwined with MHC class II–invariant chain (Ii) arrival from the trans-golgi network and the latter is involved in MHC class II–peptide transport to the cell surface [12–16]. In regard to the biogenesis of these compartments, it has been shown recently that fibroblast stimulation with epidermal growth factor (EGF) increases the number of MVBs, as well as the number of internal vesicles per compartment. This is done by way of a process that is, in part, related to the transport of phosphorylated EGF Current Opinion in Immunology 2006, 18:64–69 www.sciencedirect.com
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Page 1: MHC class II compartment subtypes: structure and function

MHC class II compartment subtypes: structure and functionLawrence J Stern1, Ilaria Potolicchio2 and Laura Santambrogio3

Reports from the past couple of years point to an emerging

association of the biogenesis, composition and ultrastructural

morphology of MHC class II compartments (MIICs) with their

functions in antigen processing and loading. Growth factors

and cytokines involved in dendritic cell maturation have been

shown to regulate MIIC biogenesis, and the MHC-class-II-

associated invariant chain chaperone has been reported to

regulate endosomal morphology and vacuolation. Differences

among ultrastructurally distinct MIICs have begun to be

appreciated with regard to variation in antigen loading capacity

and to polarization of MHC class II conformational variants

among different compartments. Finally, the MIIC ultrastructure

organizes the mechanism of MHC class II surface trafficking.

Together, these findings begin to shed light on the connection

between MIIC protein content, MIIC morphology and MHC

class II-related antigen processing.

Addresses1Department of Pathology University of Massachusetts Medical School

Worcester, MA 01655, USA2Division of Immunology and Allergy, Centre Hospitalier Universitaire

Vaudois, Lausanne, CH, Switzerland3Department of Pathology Albert Einstein College of Medicine, New

York, NY 10461, USA

Corresponding author: Santambrogio, Laura ([email protected])

Current Opinion in Immunology 2006, 18:64–69

This review comes from a themed issue on

Antigen processing and recognition

Edited by Steven Porcelli and Gunter Hammerling

Available online 6th December 2005

0952-7915/$ – see front matter

# 2005 Elsevier Ltd. All rights reserved.

DOI 10.1016/j.coi.2005.11.005

IntroductionLate endosomes and lysosomal organelles are sub-cellular

compartments, which in all cell types are the site of

degradation of both endogenous and exogenous materials

[1]. These organelles are characterized by acidic pH, the

presence of proteases and expression of lysosome-asso-

ciated membrane protein (Lamp) protein family mem-

bers [2,3]. Lysosomal compartments are used also in

several immune and non-immune cell types to perform

specific functions distinct from protein degradation.

Indeed, in professional antigen presenting cells, late

endosomes and lysosomes are enriched in MHC class

II proteins and in other molecules involved in peptide

processing, loading and editing (human leukocyte antigen

Current Opinion in Immunology 2006, 18:64–69

[HLA]-DM, HLA-DO, gamma-interferon-inducible

lysosomal thiol reductase, and cathepsins), and become

specialized organelles termed MIICs (for MHC class II

containing compartments). It is in these that most antigen

processing and MHC class II loading occurs [4,5]. The

observations that MIIC can appear with different

morphologies — multivesicular, multilamellar, or a com-

bination of both— and that these differences are likely to

reflect different maturative stages, have long been appre-

ciated [6,7]. However, the biological significance asso-

ciated with the different morphologies and the exact

contribution of each compartment to antigen processing

and MHC class II loading processes are still ill-defined

(Figure 1). During the past couple of years, several reports

have begun to shed light on the relationship between

MIIC biogenesis, ultrastructural morphology, protein

composition and specific roles in antigen processing

and presentation.

This new body of information will be the focus of this

review. Contribution of the molecular mechanism of

endosomal protein sorting (endosomal sorting complexes

required for transport [ESCORT], ubiquination and

adaptor protein complexes [AP]-1, -2, -3 and -4 adaptors),

which also play a role in endosomal formation and traf-

ficking, have been extensively discussed in other reviews

and will not be discussed here [8,9].

Multivesicular MIICMultivesicular bodies (MVBs) are a type of MIICs that

have a diameter of between 400 and 500 nm. They are

composed of a limiting membrane that encloses several

internal vesicles that have diameters of between 40 and

90 nm [10,11]. They are commonly described as late

endosomal compartments and are enriched in MHC class

II proteins. MVBs receive bio-synthetic cargo from the

trans-Golgi network, as well as molecules that have been

internalized by way of endocytosis [5]. An increasing

interest is developing in the process of vesiculation,

which gives rise to the MVB, and of retrograde fusion,

which allows vesicles to fuse back with the limiting

membrane: the former is closely intertwined with

MHC class II–invariant chain (Ii) arrival from the

trans-golgi network and the latter is involved in MHC

class II–peptide transport to the cell surface [12–16].

In regard to the biogenesis of these compartments, it has

been shown recently that fibroblast stimulation with

epidermal growth factor (EGF) increases the number

of MVBs, as well as the number of internal vesicles per

compartment. This is done by way of a process that is, in

part, related to the transport of phosphorylated EGF

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Page 2: MHC class II compartment subtypes: structure and function

MHC class II compartment subtypes Stern, Potolicchio and Santambrogio 65

Figure 1

Schematic representation of MIICs. In professional APCs, both multivesicular (MVB) and multilamellar (MLB) MIICs have been described.

The open/empty conformation of HLA-DR (red) has only been observed in the MLB type. HLA-DM (green) is expressed in both compartments,

albeit particularly abundant in MLB. The carboxy and amino terminals of invariant chains are still evident in MVBs whereas are mostly processed in

MLBs. Electrondense bodies (EDBs) are lysosomal-like MIICs, and have been observed in human monocytes and in GM-CSF differentiated

monocytes. See the text for further details.

receptor (EGF-R) to the MVB and Annexin-1-dependent

inward vesiculation (other members of the Annexin

family have shown to play important roles in the endo-

cytic pathway, involving the generation, localization or

fusion of endocytic compartments) [17�]. This was the

first observation that a growth factor can induce MVB

formation. Similarly, in human monocytes, an increase in

the number of MVBs per cell was observed upon differ-

entiation with granulocyte-macrophage colony-stimulat-

ing factor (GM-CSF) along with a positive correlation

between the number of MVBs per cell and the amount of

total surface HLA-DR [18��]. Thus, during the matura-

tive process, which converts human monocytes to profes-

sional dendritic cells (DCs), up-regulation of the number

of MVBs as well as of the amount of internal vesicles per

MVB occurs. The increased biogenesis ofMVBs and their

vesicular contents upon growth factor stimulation indi-

cates that there is a significant increase in the amount of

cellular membrane conveyed to endosomal compart-

ments. It is likely that in the pre-DC once the endosomal

and lysosomal compartments are on their way to becom-

ing further specialized in MHC class II loading, there is

an increased flux of proteins involved in antigen proces-

sing and an upregulation of the antigen loading machin-

ery. Previous reports have indicated that GM-CSF

stimulation does increase HLA-DR, Ii and HLA-DM

www.sciencedirect.com

synthesis in several non-professional antigen-presenting

cells (APCs) [18��,19,20]. In this line of research, it has

also recently been reported that the negative charges

provided by acidic residues in the cytoplasmic tail of Ii

located upstream of the Leu-based sorting signals serve to

regulate endosomal morphology and vacuolation [21,22].

These data not only indicate a new biological function of

Ii but also open the field to future investigation of how

proteins involved in MHC class II transport and loading

can shape endosomal compartments to best fit their

functions.

Additional observations relating to MVB vesicle forma-

tion indicate that there is more than one type of internal

membrane. Vesicles that contain EGF-R internalized

from the cell surface require Annexin 1 for their formation

[17�], whereas vesicles that contain the lipid lysobispho-

sphatidic acid bis (monoacylglycerol) phosphate (LBPA)

require Alix for their biogenesis [23�]. Alix is a cytosolic

protein that interacts with the endosomal sorting com-

plexes required for transport system and controls the

limiting membrane invagination and the inward fission

process from which the internal vesicles originate [23�].Both vesicles are distinct inside the MVB [17�]. It waspreviously accepted that proteins differentially sort

between the limiting and internal MVB membranes, as

Current Opinion in Immunology 2006, 18:64–69

Page 3: MHC class II compartment subtypes: structure and function

66 Antigen processing and recognition

proteins that are meant to recycle back to the plasma

membrane (e.g. the transferrin receptor) were found

particularly enriched on the MVB-limiting membrane,

whereas proteins intended for degradation (e.g. the inter-

nalized EGF-R) were sorted to the internal vesicles for

further lysosomal transport [24–26]. It was also known

that the lipid and protein composition differ between the

limiting membrane and the internal vesicles, with tetra-

spanins, cholesterol and LBPA being particularly

enriched on the inner membranes [27]. These new

reports indicate that the internal structures could also

be much more heterogeneous then previously thought. In

MVBs from professional APCs, a clear demonstration of

the heterogeneity of internal vesicles in relation to MHC

class II, Ii or sorting processes is still lacking. However,

purified exosomes, which derive from the release of

internal vesicles of MVB upon fusion with the plasma

membrane, are particularly enriched in cluster of differ-

entiation (CD)63 — an MHC-class-II-associated tetra-

spanin — but not in LBPA [28]; this indicates that

subpopulations of MVBs or MHC class II+ vesicles within

MVBs might exist.

Recently the three-dimensional structure of MVB in

immature murine DCs was also reported. Electron tomo-

graphy on cryo-immobilized cells had confirmed that the

inner vesicles are not interconnected with the external

limiting membrane [29] and that MHC class II proteins

are distributed on both the limiting membrane and the

internal vesicles. A similar distribution is also observed for

HLA-DM [30]. Upon lipopolysaccharide stimulation a

retrograde fusion event occurs that allows the inner

vesicles to fuse back with the perimetral membrane

and permits peptide-loaded MHC class II proteins to

reach the outer membrane of the compartments for

delivery at the cell surface [30]. On the basis of the

ultrastructural analysis, the authors propose a model by

which the association between MHC class II and H2-M

only occurs on the limiting membrane of the organelle at

the time of the fusion. This form of regulated retrograde

transport appears to be specific to DCs, and can explain

how the highly efficient surface MHC class II transport

occurs without a concomitant release of lysosomal

enzymes [30,31].

Multilamellar MIICA lysosomal-like compartment formed by concentric

lamellae and particularly enriched in MHC class II mole-

cules was the first MIIC to be identified [32] (Figure 1).

These multilamellar bodies (MLBs) are more specifically

expressed in APCs, such as DCs, B cells and macrophages

[33–35], compared with MVBs, which are ubiquitously

distributed. The biogenesis of MLBs appears to be

dependent on the presence of MHC class II and Ii. In

fact, transfection of kidney epithelial cells that had both

of these proteins induced formation of multilamellar

structures that were Lamp-1-, Cathepsin-D- and

Current Opinion in Immunology 2006, 18:64–69

CD63-positive and that closely resembled MLB [36].

Similarly, an increase in the number of MLBs was

observed for human monocytes differentiated into DCs

using GM-CSF and interleukin 4 [18��]. Because an

increased synthesis of HLA-DR is observed during

monocyte-to-DC differentiation, it appears possible that

the formation of multilamellar endocytic structures is, at

least in part, triggered by the new synthesis of MHC class

II and Ii proteins. As with MVB, qualitative and quanti-

tative differences have been reported in the composition

of the internal and external membranes ofMLB.Whereas

HLA-DR (empty or loaded) andHLA-DM are present on

both membranes, the tetraspanins CD63 and CD68 are

preferentially expressed in the internal membranes

[37,38�]. Also, cholesterol and LBPA are mostly enriched

in the internal membrane [27]. The physiological rele-

vance of this differential distribution is currently unclear,

even though it has been reported that physical association

between HLA-DM and HLA-DR occurs preferentially

on the internal structures of the MIIC; this leads to the

suggestion that that the absence of HLA-DR–HLA-DM

interactions on the limiting membrane prevents MHC

class II loading [39��]. Thus, the differential membrane

composition could affect MHC class II loading.

A recently performed three-dimensional reconstruction

of MLBs reveals that they are organized in a concentric

series of independent membrane rings. Although there is

no contact between the limiting membrane and the

internal sheets, some invaginations of the outer mem-

brane penetrate the inner layers [40�]. On the basis of

morphological observations, the authors propose a model

in which the inner sheets in MLB form after progressive

rounds of internalisation of the outer membrane. It is not

clear how MHC class II–peptide complexes from such

structures reach the cell surface. As an alternative to the

cell surface fusion of organelles [41], transport of mole-

cules fromMIIC has been also described to occur through

compartment tubulation. The emergence of tubular

structures from the MLB has been described in human

DCs after treatment with lipopolysaccharide, which sug-

gests that this as a possible route [37]. However, as no

membrane continuity between the internal and the exter-

nal membranes was identified by electron tomography,

the authors of that study argued that the MHC class II

molecules are trapped within the inner layers and that

transport of molecules to the cell surface, if it occurs at all,

might involve only the external membrane. Thus, even

though MLBs can be defined as MHC-II-loading com-

partments, the modality of MHC class II transport to the

cell surface from the MLB is still unclear.

Until recently, a clear biochemical signature that distin-

guishes MVBs fromMLBs was not known; this is because

all proteins known to be expressed in one compartment

were also expressed in the other, albeit in different

quantities or, in case of Ii, in differently processed forms

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Page 4: MHC class II compartment subtypes: structure and function

MHC class II compartment subtypes Stern, Potolicchio and Santambrogio 67

Figure 2

The open/empty form of HLA-DR is more highly expressed in lysosomal MLB MIICs than in late endosomal MVB MIICs. Ultrathin cryosection

of MIICs in human monocytes differentiated with GM-CSF and interleukin 4. Immunolabelling is performed with MEM-265 (15 nm gold), an antibody

specific for open/empty HLA-DR [48], and with rabbit sera to HLA-DR (10 nm gold). Multivesicular bodies (MVBs) and multilamellar bodies (MLBs)

are labeled. More details are presented in [18��]. This is the first evidence that conformational variants of HLA-DR are polarized between

ultrastructurally different MIIC. The understanding of how differential HLA-DR conformations relate to qualitative and quantitative differences in

antigen processing and MHC II loading is still to be determined.

[18��,32,42]. We have recently reported that MLBs

uniquely express an open/empty conformation of HLA-

DR (Figure 2), which can be identified using specific

antibodies; this clearly establishes— for the first time— a

qualitative difference between MVBs and MLBs and

opens the field to future investigations of differences

in the modality of antigen processing and loading

between the two compartments [18��].

Electrondense bodiesElectron dense bodies (EDBs) have recently been

described as a novel lysosomal-like MIIC (Lamp-1+,

HLA-DR+ and HLA-DM+) that is present in peripheral

CD14+ human monocytes [18��] (Figure 1). These com-

partments are delimitated by a single perimetral mem-

brane and are occupied by electrondense material.

Among APCs and related cell types, these compartments

have, to date, been found together with MVBs in human

monocytes and in pre-DC populations [18��]. EDBs have

a similar structure to the myeloperoxidase-positive secre-

tory lysosomes observed in monocytes and in cytotoxic T

cells. These secretory lysosomes can release their con-

tents upon fusion of their limiting membrane with the

plasma membrane. In doing so, membrane proteins can

be transported at the cell surface and soluble lysosomal

enzymes are released extracellularly. This form of secre-

tion is less sophisticated than the regulated retrograde

transport described for MVBs, which appear to specifi-

cally single out MHC class II–peptide complexes for

www.sciencedirect.com

surface transport while retaining lysosomal enzymes

[31]. These compartments were only recently described

and their role in processing and presentation compared to

the more professional MVBs and MLBs still remain to be

further defined [18��,43].

ConclusionsThe differential ultrastructure of MVBs and MLBs,

reflective of their differential lipid and protein composi-

tion, has long been known. However, the degree to which

this differential endosomal morphology affects antigen

presentation has only begun to be appreciated. It has

recently been reported that differential loading pathways

produce distinct MHC class II–peptide conformers that

differentially prime T cells [44,45��]. MHC class II–

peptide complexes formed in late endosomal and lyso-

somal compartments at low pH can be conformationally

different from MHC class II bound to the same peptide

but generated at a more neutral pH, for example at the

cell surface or in early endosomes [45��]. The differences

are dependent upon HLA-DM, which edits out the

neutral pH conformation. Additional differences in pep-

tide generation and loading modality could exist between

MVB, MLB and EDB. An often reported difference

between MVBs and MLBs is the fact that in the latter

the amino and carboxy terminals of Ii are proteolyzed, and

the peptide-editing molecule HLA-DM is expressed at

higher levels [7,18��,42,46,47]. In addition, we have

recently reported that the empty/open conformation of

Current Opinion in Immunology 2006, 18:64–69

Page 5: MHC class II compartment subtypes: structure and function

68 Antigen processing and recognition

HLA-DR is uniquely expressed in MLB [18��]. These

differences could, in part, be explained by the lower pH

present in the MLB, which can facilitate Ii proteolysis by

cathepsins as well as formation of empty HLA-DR. A

challenge for the future is to quantify differences in

antigen processing and modality of antigen MHC class

II loading between structurally different MIICs.

AcknowledgementsWe would like to thank Sebastian Amigorena for critical reading of thereview

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Current Opinion in Immunology 2006, 18:64–69