We have previously reported that the buccal mucosa can support delayed
type hypersensitivity (DTH) reactions to contact sensitizers. In the
present study, we show that cells isolated from the buccal epithelium
are able to present soluble exogenous antigens to specific T cells. Si
ngle cell suspensions obtained by enzymatic dispersion of buccal epith
elial sheets could present the native protein antigen hen-egg lysozyme
(HEL) to the I-A(k)-restricted CD4(+) T-cell hybridoma specific for a
.a 46-61 on HEL. T-cell activation resulted in interleukin-2 (IL-2) pr
oduction which could be inhibited by anti-major histocompatibility com
plex (MHC) class-II antibodies of pertinent specificity. Immunohistoch
emical staining of whole buccal epithelial sheets revealed that all MH
C II positive cells had a dendritic morphology and expressed ATPase ac
tivity, indicating that these cells represent a major antigen-presenti
ng cell (APC) population in this tissue. Furthermore, single cell susp
ensions isolated from buccal epithelium (BEG) after local in vivo admi
nistration of either a native soluble protein, a synthetic dodecapepti
de, or a contact sensitizer were able to activate antigen-specific T c
ells ex vivo. Kinetic analyses indicated that maximal APC activity in
the oral epithelium occurred within 1 hr after local antigen administr
ation, and had essentially vanished after 24 hr. Conversely, APC activ
ity was undetectable in draining cervico-mandibular lymph node cell su
spensions recovered 1 hr after local antigen injection but became mani
fest after 3-24 hr. These observations suggest that dendritic cells ca
n acquire antigens in the buccal epithelium and migrate to draining ly
mph nodes where they present processed antigen to MHC class II-restric
ted T cells. This APC population may thus be a critical element in the
initiation of Th1-driven DTH responses in-the oral mucosa.