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2016 ; 13
(3
): 293-300
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Presentation of hepatocellular antigens
#MMPMID26924525
Grakoui A
; Crispe IN
Cell Mol Immunol
2016[May]; 13
(3
): 293-300
PMID26924525
show ga
The liver is an organ in which antigen-specific T-cell responses manifest a bias
toward immune tolerance. This is clearly seen in the rejection of allogeneic
liver transplants, and multiple other phenomena suggest that this effect is more
general. These include tolerance toward antigens introduced via the portal vein,
immune failure to several hepatotropic viruses, the lack of natural liver-stage
immunity to malaria parasites, and the frequent metastasis of cancers to the
liver. Here we review the mechanisms by which T cells engage with hepatocellular
antigens, the context in which such encounters occur, and the mechanisms that act
to suppress a full T-cell response. While many mechanisms play a role, we will
argue that two important processes are the constraints on the cross-presentation
of hepatocellular antigens, and the induction of negative feedback inhibition
driven by interferons. The constant exposure of the liver to microbial products
from the intestine may drive innate immunity, rendering the local environment
unfavorable for specific T-cell responses through this mechanism. Nevertheless,
tolerance toward hepatocellular antigens is not monolithic and under specific
circumstances allows both effective immunity and immunopathology.