Zwitterionic polysaccharides of the normal flora bacteria represent a novel class of antigens in that they correct systemic CD4؉ T-cell deficiencies and direct lymphoid organogenesis during colonization of the host.
Presentation of these polysaccharides to CD4؉ T cells depends on major histocompatibility complex class IIand DM-dependent retrograde transport from lysosomes to the cell surface. Yet the phenotype and clonality of the immune response to the polysaccharide in the mature host immune system have not been studied. Capsular polysaccharides of the human physiologic bacterial flora are immunogenic components that first encounter the human immune system during initial colonization and at the time that the immune system is developing and maturing. As opposed to common negatively charged polysaccharides, the biologic activities of certain commensal bacterial polysaccharides are unique in their ability to stimulate CD4 ϩ T cells in vivo and in vitro. They direct the development of the systemic cellular immune response by correcting CD4 ϩ T-cell deficiencies and TH1/TH2 imbalances toward a TH1 immune response. Responses to the polysaccharides are conferred by CD4 ϩ T cells, not B cells or other T cells (14,18,28,(31)(32)(33). Examples of such bacteria are the ubiquitous anaerobic member of the gut flora Bacteroides fragilis, Staphylococcus aureus as a temporary member of the skin and mucosal flora, and Streptococcus pneumoniae of the upper respiratory tract flora. CD4 ϩ T-cell activation induced by these polysaccharides depends on their unique electrical charge: each repeating unit has a minimum of one positive and one negative charge, leading to their common three-dimensional configuration characterized by a right-handed helix with repeating negatively charged grooves, with the positive charges being on the outer surface of the lateral boundaries (5,14,31,36). Presentation of the so-called zwitterionic polysaccharide (ZPS) from S. pneumoniae serotype 1 (Sp1) by major histocompatibility complex (MHC) class II molecules requires its retrograde transport from lysosomes to the cell surface within tubules as a ZPS-MHC class II complex and also requires the DM molecule (12,22). DM is known to catalyze and edit the exchange of the self-peptide CLIP with processed antigen in MHC class II compartments. The requirement of DM for Sp1 presentation via MHC class II suggests presentation within the antigen binding groove, which is supported by recent studies demonstrating that binding of the ZPS PS A1 from B. fragilis to MHC class II molecules can be competed by peptides known to be presented in the antigen binding cleft (7).For protein-derived T-cell antigens, it is well established that their presence in the MHC class II binding groove leads to the recognition of their antigenic epitopes by the T-cell receptor (TCR), within the CDR3 antigen binding domain of the -chain variable (BV) region, and to subsequent T-cell activation and oligoclonal T-cell proliferation. However, for ZPS, besides the requirement of engaging the ...