Class I MHC (MHC-I) molecules present primarily endogenous antigens, i
.e. antigens that are present in the cytosol and are subject to the cy
tosolic processing mechanisms that comprise the conventional MHC-I pro
cessing pathway. However, exogenous antigens can also be presented by
MHC-I molecules in certain circumstances, particularly in the case of
particulate antigens. Recently, considerable attention has been focuse
d on mechanisms that may contribute to alternate MHC-I processing path
ways. Divergent results in several different systems have suggested th
at more than one alternate processing mechanism may exist. After phago
cytic or endocytic uptake, some exogenous nous antigens can escape the
vacuolar system and penetrate into the cytosol, accessing the convent
ional MHC-I antigen processing mechanisms. In other cases, MHC-I molec
ules present antigens that have no clear ability to actively escape th
e vacuolar system. Some results indicate that certain alternate proces
sing mechanisms are quite distinct from the conventional MHC-I pathway
and are not dependent on compartments, proteins, or mechanisms that a
re necessary for the conventional pathway, including the endoplasmic r
eticulum, the transporter for antigen presentation (TAP) and proteasom
es. In vivo, alternate MHC-I processing mechanisms may be expressed pr
imarily by phagocytic antigen presenting cells, i.e., macrophages, and
perhaps dendritic cells, although other cell types may contribute in
certain circumstances. These mechanisms may play important roles in ge
nerating CD8 T cell responses, especially to antigens expressed by vac
uolar microorganisms. In addition, they provide a potential avenue for
therapeutic immunization to achieve protective CD8 T cell responses w
ith nonviable vaccine preparations, in the absence of the endogenous a
ntigen synthesis that is provided by live viral vaccine preparations.