Transcript Folie 1

Omentum and milky spots
• the omentum is formed by a double layer of
mesothelial cells
• connect the stomach, pancreas, spleen and
colon
• has immunological and wound-healing properties
• embedded within the omentum are structures
which are clusters of leukocytes, called milky
spots
Omentum and milky spots
• milky spots are mainly composed of macrophages and
B1 cells
• B1cells forma unique subset of B cells
• can be distinguished from conventional B (B2) cells by
expression of distinct cell-surface markers and antigen
receptors that can bind common bacterial epitopes
• have a recognized potential to produce natural
antibodies that provide a first protection to bacterial
infections
• B1 cells are localized in distinct locations, such as the
peritoneal cavitiy and the spleen
• MS described to lack dendritic cells as well as follicular
dendritic cells
Are milky spots secondary lymphoid organs?
Mouse system
• want to address the immunological potential of milky spots in the
absence of lymph nodes, spleen, and Peyer’s patches
• used splenectomized lymphotoxin-alpha (LTa)-deficient mice (Lta-/-),
which as a result of their deficiency already lacked lymph nodes
and Peyer’s patches
• animals, devoid of secondary lymphoid organs, were reconstituted
with wild-type bone marrow (SLP mice)
• compared to irradiated C57BL/6 mice that were similarly
reconstituted with wild-type bone marrow
Antibody responses to peritoneal antigens in the
absence of conventional lymphoid organs
NP-OVA i.p.
TNP-KLH i.p.
NP-OVA i.p.
• WT and SLP mice produce similar titers of NP-specific IgM, IgG1, IgG2a+b and IgG3
• after immunization with TNP-KLH SLP mice showed slower generation of IgG titer
• concentration to see how much secific IgG was produced
 conventional lymphoid organs are not needed for B cell response
The milky spots of the omentum collect
HEV + B cell
peritoneal cells and antigens
• activation of peritoneal cells promotes their migration to the omentum
• at least some particulates can be passively collected by the omentum in addition
to being captured by phagocytic cells
The milky spots of the omentum collect
peritoneal cells and antigens
• peritoneal cells use PTX-sensitive mechanisms to actively migrate to the omentum
• can also accumulate in the omentum by other mechanisms
• the segregation of B and T cells and the formation of follicular structures in the MSs
are controlled by PTX-sensitive mechanisms
Antigen-specific B cell responses occur in the
omentum
NP-OVA i.p.
SRBC i.p boost d14
GC B cells
specific
d8
GC B cells
non-specific
d5
Isotype-switched
plasmacells
SRBC specific IgG secreting cells
Antigen-specific B cell responses occur in the
omentum
SRBC i.p d14
NP-OVA i.p d14
GC B cells
• MSs support local germinal center B cell responses to peritoneal antigens
Antigen-specific T cell responses in the
omentum
T cell activation
homing receptor
OTII CD4 i.p.
4 hr later immunized
• T cell responses can also occur
in the MSs of the omentum,
even in mice that lack spleen,
LNs, and Peyer’s patches
Antigen-specific T cell responses in the
omentum
influenza i.n.
21d p.i.
4-get mice helminth larvae oral
28 d p.i.
• antigen-experienced CD4+ and CD8+ T cells recirculate through the
peritoneal cavity and omentum
• even when these cells were primed outside of the peritoneal cavity
Milky spot development requires LTα and
CXCL13, but not LTi cells
inactive genes
for CCL19, CCL21
• MSs were much smaller or even absent in Lta-/- and Cxcl13-/- mice
• MSs were much smaller or even absent in Lta-/- and Cxcl13-/- mice
• defects in theMSs of Lta-/- mice seem not be due to an absolute blockade
in development
Milky spot development requires LTα and
CXCL13, but not LTi cells
lymphoid tissue inducer cells
• even though CXCL13 is very important for the development of the MSs,
its expression is not controlled by Lta
• Lti cells are not needed
CXCL13 is expressed surrounding the B cell areas
omentum
spleen
• CXCL13 is expressed around the B cell area
• absence of conventional FDC networks
CXCL13 is expressed surrounding the B cell areas
• network of ERTR7+ stromal cells throughout the MSs
• the cellular architecture and pattern of chemokine expression in the MSs
are different than in conventional lymphoid organs
Somatic hypermutation and affinity selection
occurs in the absence of conventional secondary
lymphoid organs
NP-OVA i.p.
boost d14
W to L position 33
 higher affinity
YYYG motif at V-D
junction
 NP-binding sequence
• somatic hypermutation is still evident in SLP mice
• but the process of clonal selection is unusual
• the MSs of the omentum support some aspects of T cell dependent
B cell responses
Summary
• the omentum functions much more broadly as a secondary
lymphoid organ
• it is structurally, developmentally, and functionally unique
• intersection of recirculating lymphocytes and peritoneal drainage makes the
MSs ideal sites for the initiation of local immune responses
• the structure of the MSs seems inside-out relative to that of conventional
lymphoid organs or even ectopic lymphoid follicles
 the MSs of the omentum are unique secondary lymphoid organs that
sample antigens from the peritoneal cavity and promote local, albeit
unusual, immune responses