Physical detection of antigen-specific CD4 T cells has revealed features of
the in vivo immune response that were not appreciated from in vitro studie
s. In vivo, antigen is initially presented to naive CD4 T cells exclusively
by dendritic cells within the T cell areas of secondary lymphoid tissues.
Anatomic constraints make it likely that these dendritic cells acquire the
antigen at the site where it enters the body. Inflammation enhances in vivo
T cell activation by stimulating dendritic cells to migrate to the T cell
areas and display stable peptide-MHC complexes and costimulatory ligands. O
nce stimulated by a dendritic cell, antigen-specific CD4 T cells produce IL
-2 but proliferate in an IL-2-independent fashion. Inflammatory signals ind
uce chemokine receptors on activated T cells that direct their migration in
to the B cell areas to interact with antigen-specific B cells. Most of the
activated T cells then die within the lymphoid tissues. However, in the pre
sence of inflammation, a population of memory T cells survives. This popula
tion is composed of two functional classes. One recirculates through nonlym
phoid tissues and is capable of immediate effector lymphokine production. T
he other recirculates through lymph nodes and quickly acquires the capacity
to produce effector lymphokines if stimulated. Therefore, antigenic stimul
ation in the presence of inflammation produces an increased number of speci
fic T cells capable of producing effector lymphokines throughout the body.