The possible direct antigen formation of Ni2+ on antigen-presenting cells (
APCs) was studied with cultured human dendritic cells (DCs) obtained from 1
0 subjects contact allergic to Ni2+ and six non-allergic control individual
s. All contact allergic subjects showed a significantly increased periphera
l blood mononuclear cell(PBMC) response in vitro to Ni2+. DCs were expanded
from the plastic-adherent cell fraction of PBMCs by culturing with granulo
cyte macrophage colony-stimulating Factor (GM-CSF) and interleukin-4 (IL-4)
for 7 days to obtain immature DCs, and with the addition of monocyte-condi
tioned medium for another 4 days, for DC maturation. The DCs were pulsed fo
r 20 min with Ni2+ (50 mu M) in protein-free Hank's balanced salt solution
(HBSS) and added to freshly prepared autologous responder PBMCs. With five
allergic subjects, immature DCs pulsed with Ni2+ demonstrated a significant
capacity to activate Ni2+-reactive lymphocytes. With the remaining five pa
tients and the six controls no difference in lymphocyte proliferation was o
bserved between Ni2+-pulsed and non-pulsed immature DCs. In contrast, with
mature Ni2+-pulsed DCs from both 'positive responder' (n = 4) and 'non-resp
onder' (n = 4) patients, there was a significantly stimulated PBMC prolifer
ation, whereas with the controls (n = 4) still no activation was observed.
Our results indicate that direct formation of the antigenic determinant of
Ni2+ on APCs is possible and that Ni2+ uptake and processing mechanisms may
not play a major role. Differences in the ease of activation of Ni2+ -reac
tive lymphocytes are discussed in terms of a possible heterogeneity in the
availability of Ni2+ -reactive groups presented on endogenous peptides boun
d in the antigen binding groove of human leucocyte antigen (HLA) class-II m
olecules.