Programmed death via apoptosis is the metazoan physiologic mode of cel
l death, Apoptotic cells are recognized by scavenger phagocytes via a
number of membrane receptors and engulfed, Thereafter, little is known
of their fate, or that of phagocytes. Here, we have traced apoptotic
cells upon their engulfment by macrophages. After 3 h, apoptotic cells
were contained in discrete well-defined vacuoles, Upon overnight chas
e, several small vesicles, possibly originating from the fragmentation
of original vacuoles, were evident all over the macrophage body, Furt
hermore, Ags were diffused in the cytosol of some cells, which raises
the possibility that epitopes from engulfed apoptotic cells may associ
ate with macrophage MHC class I molecules and be recognized by T lymph
ocytes. Indeed, Ag-specific CTLs recognize and specifically lyse synge
neic macrophages upon phagocytosis of MHC class I-positive or -negativ
e apoptotic cells, provided that they contain the relevant Ags. Synthe
sis and membrane expression of class I molecules by macrophages, toget
her with functional transporters associated with Ag presentation, were
necessary for recognition and lysis. The indirect presentation of epi
topes from engulfed apoptotic cells by scavenger Ag-presenting phagocy
tes may, in the absence of ''danger'' signals, have implications for t
he establishment of central and peripheral self-tolerance.