Key Points
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MHC class II molecules are of central importance to the adaptive immune system. MHC-class-II-mediated peptide presentation is essential for positive and negative selection of CD4+ T cells in the thymus, for homeostasis of the mature CD4+ T-cell population in the periphery, and for the initiation, amplification and regulation of protective immune responses.
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To fulfil their functions, MHC class II molecules must be expressed according to a precise cell-type-specific and quantitatively modulated pattern. Constitutive expression is largely restricted to thymic epithelial cells and antigen-presenting cells — that is, B cells, macrophages and dendritic cells (DCs) — whereas expression by other cell types requires induction by interferon-γ.
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The key factor that controls almost all qualitative and quantitative aspects of MHC class II expression is the class II transactivator (CIITA), which is a non-DNA-binding co-activator.
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Mutations in the CIITA gene cause a severe human immunodeficiency syndrome, which is known as bare lymphocyte syndrome. Gene-knockout mice carrying deletions of the corresponding mouse gene (C2ta) also show most features of the human disease.
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The highly regulated pattern of expression of the gene encoding CIITA dictates where, when and to what level MHC class II genes are expressed. Transcription of the gene encoding CIITA is controlled by a large regulatory region that contains three independent promoters (pI, pIII and pIV). These have different well-defined functions that have been characterized in vivo by analysis of mice carrying targeted deletions of the C2ta promoters pIII and/or pIV.
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The promoters pI and pIII share the job of driving CIITA expression in all antigen-presenting cells: pI is a myeloid-cell-specific promoter that is activated in macrophages and conventional DC subsets, whereas pIII is a lymphoid-cell-specific promoter that is essential for driving CIITA expression in B cells, activated human T cells and plasmacytoid DCs.
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The promoter pIV is essential for driving CIITA expression in thymic epithelial cells (TECs) and in cells of non-haematopoietic origin that are stimulated with interferon-γ. Because MHC class II expression by cortical TECs drives positive selection of CD4+ T cells, pIV is essential for CD4+ T-cell development.
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Dysregulated activation or repression of the promoters that drive the expression of CIITA is associated with various diseases, including infection with various pathogens, autoimmune and inflammatory diseases, and the development of tumours of various origins.
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Detailed knowledge of the regulation and dysregulation of CIITA expression has set the stage for the development of novel therapeutic strategies aimed at modulating MHC-class-II-mediated antigen presentation.
Abstract
MHC class II molecules are pivotal for the adaptive immune system, because they guide the development and activation of CD4+ T helper cells. Fulfilling these functions requires that the genes encoding MHC class II molecules are transcribed according to a strict cell-type-specific and quantitatively modulated pattern. This complex gene-expression profile is controlled almost exclusively by a single master regulatory factor, which is known as the class II transactivator. As we discuss here, differential activation of the three independent promoters that drive expression of the gene encoding the class II transactivator ultimately determines the exquisitely regulated pattern of MHC class II gene expression.
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Acknowledgements
We are grateful to B. Mach, in whose laboratory this subject was first initiated. We are also grateful to all current and past members of our laboratories, particularly B. Durand, M. Krawczyk, K. Masternak, A. Muhlethaler-Mottet, L. Otten and V. Steimle, who made pivotal contributions to the field. We thank H. Acha-Orbea, A. Fontana and C. Reis e Sousa for important collaborations. Work in our laboratory was supported by the Swiss National Science Foundation, the Roche Research Foundation (Switzerland), the Gabriella Giorgi-Cavaglieri Foundation (Switzerland), the Ernst and Lucie Schmidheiny Foundation (Switzerland), the Swiss Multiple Sclerosis Society and the National Center of Competence in Research on Neural Plasticity and Repair (Switzerland).
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Glossary
- ASTROCYTE
-
A star-shaped glial cell of the central-nervous system that forms a structural and functional interface between non-nervous tissues and neurons.
- TROPHOBLAST
-
A cell of the outer layer of the mammalian blastocyst that gives rise to the embryonic portion of the placenta.
- ENHANCER
-
A composite regulatory region that is composed of several distinct sequence elements that are bound by sequence-specific transcription factors that act positively or negatively on the transcription of an adjacent gene.
- REGULATORY-FACTOR-X FAMILY
-
(RFX family). A family of evolutionarily related DNA-binding proteins that has diverse functions in eukaryotic organisms, ranging from yeast to man. There are five family members (RFX1, RFX2, RFX3, RFX4 and RFX5) in mammals.
- CHROMATIN MODIFICATION
-
Alterations that are induced in chromatin by enzymes that modify the extent of acetylation, methylation or other covalent modifications of histones.
- GENERAL TRANSCRIPTION MACHINERY
-
Factors that are required for the initiation of transcription of all genes that are transcribed by RNA polymerase II. They include RNA polymerase II itself and numerous general transcription factors that assemble at the core promoter (that is, the DNA sequence that surrounds the transcription-initiation site) of these genes.
- CHROMATIN REMODELLING
-
Alterations that are induced in chromatin through the displacement of nucleosomes by ATP-dependent multiprotein complexes.
- BRAHMA-RELATED GENE 1
-
(BRG1). An ATPase subunit that is present in chromatin-remodelling complexes that are known as SWI–SNF (switching-defective–sucrose non-fermenting) complexes.
- MICROGLIA
-
Small glial cells that are distributed throughout the grey and white matter in the central-nervous system. They are monocyte-derived cells that invade neural tissue before birth and can differentiate into macrophages.
- FIBROSARCOMA
-
A malignant tumour that is derived from connective-tissue fibroblasts.
- REAGGREGATE THYMIC ORGAN CULTURE
-
Three-dimensional thymus-lobe structures that are formed in cell culture by the reaggregation of cells that are present in mixtures of purified thymocytes and thymic stromal-cell subsets.
- T-CELL-DEPENDENT ANTIGEN
-
CD4+ T-cell help is required for the production of high-affinity antibodies specific for this type of antigen.
- PLASMACYTOID DC
-
(pDC). A unique type of dendritic cell (DC). These cells are also known as interferon (IFN)-producing cells because they are the main source of type I IFNs (that is, IFN-α and IFN-β) during viral infections.
- GLIOBLASTOMA
-
A malignant tumour that is derived from glial cells.
- GLOMERULONEPHRITIS
-
An inflammation of the kidney glomeruli that can result in destruction of the glomeruli and renal failure.
- STATINS
-
A family of inhibitors of hydroxymethylglutaryl-coenzyme A reductase (HMG-CoA reductase), an enzyme that catalyses the conversion of HMG-CoA to L-mevalonate. These molecules are mainly used as cholesterol-lowering drugs, but they also have immunoregulatory and anti-inflammatory properties. L-Mevalonate and its metabolites are implicated in cholesterol synthesis and other intracellular pathways.
- EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS
-
(EAE). An experimental model of multiple sclerosis that is induced by immunization of susceptible animals with myelin-derived antigens, such as myelin basic protein, proteolipid protein or myelin oligodendrocyte glycoprotein.
- COLLAGEN-INDUCED ARTHRITIS
-
(CIA). An experimental model of rheumatoid arthritis that is induced by immunization of susceptible animals with collagen type II.
- DNA-ALKYLATING AGENT
-
An anticancer drug that is cytotoxic to rapidly proliferating cells because it leads to the alkylation of bases in DNA.
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Reith, W., LeibundGut-Landmann, S. & Waldburger, JM. Regulation of MHC class II gene expression by the class II transactivator. Nat Rev Immunol 5, 793–806 (2005). https://doi.org/10.1038/nri1708
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DOI: https://doi.org/10.1038/nri1708
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