However, increased levels of IL-10 could contribute to increased

However, increased levels of IL-10 could contribute to increased susceptibility towards bacterial infections. click here Furthermore, several studies have demonstrated the influence of the PKB/Akt

signaling cascade on the LPS-driven IL-10 production [35-38]. In analogy to our study (Fig. 5C and Supporting Information Fig. 2D), Schaffer et al. [38] showed that LPS stimulation of human PBMCs after mTOR inhibition resulted in reduced IL-10 secretion, whereas TNF levels were not affected. Furthermore, inhibition of PI3K or mTOR and subsequent LPS-stimulation of human monocytes and dendritic cells and murine macrophages yielded similar results: IL-10 synthesis was abolished and IL-12 production increased [33, 35-37, 39]. The counter-regulation of IL-10 and IL-12 is most likely attributable to IL-10-mediated inhibition of IL-12 production as previously demonstrated in human monocytes [40]. We therefore speculate that IRAK4-silenced Angiogenesis inhibitor monocytes resemble rapamycin-treated DCs that display a similar cytokine pattern and defective allogenic T-cell stimulatory capacity [39]. IRAK4-deficiency and mTOR inhibitors

might, thus, counteract the tolerogenic properties of PKB/Akt signaling in innate immune cells resulting inflammation and stomatitis, an important side effect of these drugs [41, 42]. Nevertheless, it remains elusive how TLR signaling is connected to the PI3K/PKB/Akt cascade and how IRAK4 is engaged in this process. In co-immunoprecipitation experiments there was no evidence for a direct

interaction of IRAK4 with PI3K or PKB/Akt (data not shown). However, PI3K is recruited upon TLR activation [43-45]: the cytosolic domain of TLR2 interacted with the regulatory polypeptide p85 of PI3K, resulting in PKB/Akt activation [43] and LPS-induced formation of a TLR4/MyD88/PI3K multiprotein signalosome, which lead to Akt-triggered cytokine secretion in mouse macrophages [44]. Most importantly, a direct interaction of MyD88 with the p85 subunit of PI3K was demonstrated via co-immunoprecipitation, most likely involving an YXXM motif in the TIR domain of MyD88 [44, 45]. Thus, MyD88 could be directly linked to the PI3K/PKB/Akt signaling pathway. We can, however, only speculate that the absence of IRAK4 makes additional MyD88 Methocarbamol binding sites available for PI3K and thereby favors PKB/Akt signaling. Binding of IRAK4 could, thus, interfere with MyD88-PI3K interaction by inducing a conformational change in the MyD88 molecule or by competitively blocking MyD88-binding sites for PI3K. Similarly, we cannot exclude that a so far unknown signaling pathway downstream of IRAK4 negatively regulates PKB/Akt signaling. Future work is needed to clarify this matter. By suppressing IL-10 secretion and FoxO3a transcription factor activation, IRAK4 switches the cell from a tolerogenic to a pro-inflammatory phenotype.

For example, antiretroviral drugs as either preexposure prophylax

For example, antiretroviral drugs as either preexposure prophylaxis or treatment PS 341 of established infection have been examined

in mice with reconstituted human immune system components, and preexposure prophylaxis with these reagents has been shown to block rectal transmission [26, 32-34]. In addition, experimental therapies against HIV infection using either antiviral siRNA delivery to T cells, siRNA-mediated silencing of the CCR5 coreceptor and of viral proteins, or cyclin-dependent kinase blockade to inhibit viral replication have been successfully employed in these mouse models [35-37]. Thus mice with reconstituted human immune system components recapitulate HIV infection and can be used as a preclinical model for therapies against this viral infection. Besides HIV, infection with the human tumor virus EBV has been studied in this in vivo model of the human immune system [6, 38-40]. For these studies the viral strain B95–8 SCH772984 was used almost exclusively, which was originally isolated from a patient with symptomatic primary EBV infection, called infectious mononucleosis [41]. i.p. infection with increasing infectious doses of EBV leads to

asymptomatic persistent infection, lymphoproliferative disease, or even hemophagocytic lymphohistiocytosis [40, 42]. During persistent infection, B cells primarily harbor the virus and strong evidence exists for both latent EBV infection as well as a low level of lytic EBV replication [38]. These persistently infected B cells can be purified from EBV-carrying animals and cultured in vitro as immortalized lymphoblastoid cell lines. They express all eight latent EBV antigens in so-called latency type III. However, it is much less clear if other 3-oxoacyl-(acyl-carrier-protein) reductase EBV latencies also develop in mice with reconstituted human immune system components, such as latency 0, which is found without

any EBV protein expression in memory B cells of healthy virus carriers; latency I, which is found in Burkitt’s lymphoma and homeostatic proliferating memory B cells in humans; and latency II, which is present in Hodgkin’s lymphoma and germinal center B cells in healthy EBV carriers [43]. Immunohistochemical studies provide some evidence to support the development of latencies 0, I, and II in reconstituted mice [44, 45]. However, false-negative immunohistochemistry for EBV gene products might erroneously suggest the presence of latency types other than latency III. Interestingly, EBV-encoded miRNAs are required to establish systemic persistent infection [46]. Furthermore, a latent nuclear antigen of the virus, called Epstein-Barr nuclear antigen 3B (EBNA3B), suppresses tumor formation in vivo [47].

6) We next analysed whether the signalling pathways identified b

6). We next analysed whether the signalling pathways identified by in-vitro

assays on cell lines also operate in intestinal tissue. Basal TG2 expression was detected in healthy tissue, but levels were significantly higher in samples from untreated CD patients (Fig. 7). Incubation with TNF-α + IFN-γ induced TG2 expression in biopsy samples from both CD patients and control individuals. Therefore, TG2 is expressed physiologically in healthy mucosal tissue and is increased in intestinal mucosa of untreated CD patients, as a consequence of the proinflammatory environment in intestinal mucosa Aurora Kinase inhibitor in active CD, due mainly to abundant IFN-γ, a key player in the pathogenic mechanism of CD. Because IkBα is a key negative modulator of the NF-κB pathway, inactivation of IkBα by cross-linking induced strongly by TG2 activates NF-κB. Consequently, TG2 and NF-κB can enhance each other’s actions amplifying the inflammatory cycle [11]. Interestingly, constitutive NF-κB activation often accompanies increased TG2 expression in inflammatory disease such as inflammatory bowel disease, rheumatoid arthritis and coeliac disease [6,7,26,27]. Similar to NF-κB, other transcription factors that activate TG2 also induce the production

of proinflammatory cytokines characteristically present in the intestinal mucosa of untreated CD patients. Therefore, NF-κB, as a key element together with click here others transcription factors, may exacerbate a complex vicious circle of inflammation through interactions with TG2. Induction of these inflammatory pathways drives activation and recruitment of effector cells, such as neutrophils, macrophages, dendritic cells and T cells, which cause and amplify the pathogenic mechanisms of different chronic disorders [7,28,29]. Based on our results obtained by qRT–PCR, flow cytometry and Western blotting, we propose a model for the signalling pathways activated by TNF-α and IFN-γ involved in the regulation of TG2 expression. As a consequence of dysregulation

of TG2 expression and activity, a distinct pathogenic process may be initiated (Fig. 8). Therapeutic approaches aimed to modulate the activity of TG2 are being taken into consideration as a way to reduce, or even cancel, L-gulonolactone oxidase the disease processes in which the enzyme is involved [15,30]. This study on TG2 gene regulation provides useful information for the development of new therapeutic strategies to down-modulate chronic inflammatory disorders. The authors declare no conflict of interest. Fig. S1. Dose–response curve of transglutaminase 2 (TG2) induction by tumour necrosis factor (TNF)-α and interferon (IFN)-γ. Human acute monocytic leukaemia cell line (THP-1) cells were incubated for 24 h with different concentrations of TNF-α and/or IFN-γ as indicated. Grey bars correspond to the cytokine concentration selected for further studies; TNF-α (10 ng/ml) and IFN-γ (200 UI/ml). Fig. S2.

21 Also, peptidoglycans and DNA fragments may behave similarly T

21 Also, peptidoglycans and DNA fragments may behave similarly. The concept of backfiltration has parallels with the movement of fluids across capillary walls – at the ‘arterial’ end, there is a net movement of fluid from blood to dialysate, whereas the distal or ‘venous’ end may have a net movement of fluid from dialysate to blood, depending on the balance of

blood-side pressure and dialysate pressure. Control of the amount of ultrafiltration Selleckchem Ibrutinib in dialysis can therefore be effected by either raising the ‘venous’ pressure (clamping the venous line) but this may lead to clotting of the circuit; or, as is the case usually, creating a variable negative pressure on the dialysate side by pumping dialysate back to the machine. Especially in situations of small ultrafiltration requirements (small ‘weight gains’) using a highly porous membrane, backfiltration Deforolimus datasheet from dialysate to blood will occur. In this way, contaminants may enter the bloodstream by convective transfer from the dialysate. It is also possible that backdiffusion (i.e. movement down a concentration gradient) may contribute, although most of the concerning contaminants are large and thus convective transfer is more likely. Various in vitro studies have examined endotoxin transfer across dialysis membranes – with varying results. Most evidence would suggest

that the synthetic dialysis membranes, with their thick walls and supportive ‘honeycomb’ BCKDHB are actually quite adsorptive for endotoxins and represent a significant barrier to endotoxin

transfer from dialysate to blood. Indeed, the thin-walled cellulosic membranes may actually present less of a barrier to backfiltration.22,23 Whether there is a difference between various types of synthetic membrane is more speculative, with limited evidence supporting some small differences. This can then be translated to in vivo conditions by examining inflammatory cytokine induction after exposure to different membranes in contaminated circumstances. The evidence again supports less cytokine induction and lower C-reactive protein levels with the synthetic membranes under these conditions.23 However, it is often difficult to separate how much of this inflammatory response is caused by membrane biocompatibility versus (prevention of) backfiltration of bacterial fragments. It is also difficult to translate the (potential) endotoxin fragment exposure into clinical scenarios. Massive exposure might result in an endotoxaemia-type picture, but this is almost unheard of. Acute exposure may result in hypotension, nausea, headache and other symptoms we recognize as relatively common in dialysis – and often blame on volume changes. Prolonged exposure may result not only in the effects of chronic inflammation – especially cachexia (e.g.

In a heterologous expression system, processed E1 and E2 remain

In a heterologous expression system, processed E1 and E2 remain

noncovalently associated, interacting in part through their C-terminal transmembrane domains, which also mediate retention of the E1-E2 complex in the ER (27). In addition, it has been demonstrated that E1 is able to adopt a polytopic topology, in which a heterodimeric noncovalent association with E2 is retained (31). E1 also interacts with Core, its interaction being dependent on oligomerization of Core (32). A recent study has demonstrated Ipatasertib that the oligomeric state of E1 and E2 changes dramatically after incorporation into viral particles, upon which the virion-associated glycoproteins form large covalent complexes stabilized by disulfide bridges (28). As with related viruses, the mature HCV virion probably consists of a nucleocapsid, where EGFR tumor Core encapsidates and protects the viral genome and there is an outer envelope composed of a lipid membrane and envelope proteins. However, at present little is known about the molecular mechanisms for assembly of Core into nucleocapsids. Several heterologous expression systems have been used to investigate HCV capsid assembly (33–38). In vitro studies with recombinant proteins have revealed

that domain II and III of Core are dispensable for assembly (33, 34). C-terminally truncated Core (a.a. 1–124) and structured RNA have been implicated in nucleocapsid formation that produces homogenous spherical HCV particles. When Core containing the C terminus up to a.a. 174 has been similarly examined, a heterogeneous array of irregularly shaped

particles has been observed, suggesting that the C-terminus of the protein influences self-assembly. Removal of either cluster of basic residues located in domain I significantly reduces capsid assembly. In contrast, mutations of neutral residues exhibit no effect on assembly (39). However, RNA encapsidation is not specific under these conditions. Nucleocapsid assembly generally involves oligomerization of the capsid protein and encapsidation of genomic RNA. It has been shown that self-oligomerization of Core is promoted by a.a. 72 to 91 of the core protein (32). The encapsidation process is thought to occur upon interaction of Core with viral RNA, and the Core-RNA PIK3C2G interaction may be critical for switching from RNA replication to packaging. Although the signal(s) and processes that mediate RNA packaging during HCV replication are largely unclear, it has been found that Core can bind to positive-strand HCV RNA through stem-loop domains I, III and nt 24–41 (40). Taken together, these model systems demonstrate that expression of HCV Core is sufficient to assemble into capsid-like structures in the presence of RNA. Since a tissue culture system for producing infectious HCV became available (41–43), findings on biochemical and ultrastructural properties of HCV particles, as well as key factors that are important for virion production, have been accumulating.

In contrast, none of the LPS-treated males developed diabetes (Fi

In contrast, none of the LPS-treated males developed diabetes (Fig. S1). Initiation of the treatment in NOD females at 12 weeks LDK378 of age, when mononuclear infiltration of Langerhans islets is readily detectable ([48] and not shown), also prevented progression to diabetes (Fig. 1B). However, administration of LPS after positive scoring for diabetes did not revert disease (data not shown). We next tested shorter LPS treatments. A single LPS injection into 7.5-week-old NOD females delayed diabetes onset by an average of 7 weeks but was not sufficient to significantly decrease diabetes incidence (Fig. 1C). Finally,

administration of LPS in 4-week-old female mice for 1 month resulted in 15 weeks delay in diabetes progression as compared with age-matched PBS-injected controls (Fig. 1D). We conclude that LPS is a potent inhibitor of diabetes occurrence in NOD mice.

The finding that continuous exposure to LPS protects HIF inhibitor NOD mice from diabetes, even after extensive infiltration of the pancreatic islets, suggests that LPS prevents insulitis progression. Our evidence that interruption of LPS treatment systematically leads to reactivation of disease, and hence diabetes establishment, supports the notion that the LPS effect is transient and it is exerted by maintaining diabetogenic T cells at check. Thereafter, to perform the cellular and functional analysis of LPS-protected NOD females, we chose the robust and long-lasting weekly regimen initiated in 6- to 8-week-old mice (Fig. 1A). It is still not known why few NOD females do not spontaneously progress to diabetes while they all reach Megestrol Acetate the stage of insulitis. Yet, it is well established that female NOD mice raised in germ-free conditions all develop disease [49]. Therefore, it was conceivable that LPS treatment would mimic an environmental factor of bacterial

origin present, although limited, in our SPF conditions. This reasoning prompted us to compare the two types of disease-free animals, namely LPS-treated and spontaneously protected, in what concerns sub-clinical signs of autoimmunity (Fig. 2A, B). To this aim it was necessary to focus our analysis on rather old animals (5–6 months of age), to increase the odds that the untreated normoglycemic controls were indeed spontaneously protected animals. In a first step, we evaluated whether the protective regimen affected directly the degree of islet infiltration. As expected, the majority of the islets in diabetic females presented severe infiltration; moreover, islet destruction was evident as indicated by a low number of detectable pancreatic islets (data not shown). Strikingly, LPS-treated mice were indistinguishable from age-matched healthy controls, as the majority of islets were devoid of infiltrates (60% and 66%, respectively), while the remaining islets displayed various degrees of infiltration, from mild to severe.

The associated decrease in distal delivery of sodium may be sense

The associated decrease in distal delivery of sodium may be sensed as an inadequate GFR at the level of the macula densa, so driving a TGF-dependent

increase in SNGFR. Overall, the increase in reabsorption of sodium drives a rightward shift in the pressure natriuresis mechanism promoting expansion of extracellular fluid volume. However, restoration of fluid and electrolyte homeostasis comes at the cost of selleck inhibitor chronically elevated arterial pressure (refer to Fig. 2). Overtime, this increase in arterial pressure increases glomerular capillary pressure, promoting further hyperfiltration. However, the remaining nephrons must reach a point beyond which filtration surface area and SNGFR cannot be increased further. The subsequent increase in arterial pressure may, in turn, generate glomerulosclerosis and cause further nephron loss. Dietary and life-style factors such as increased salt-intake and weight gain may place additional demands on individuals with a nephron deficiency and hasten the progression to chronic kidney disease and renal failure. Compensatory check details responses to a reduction in renal mass are similar to the normal pattern of maturation of

the kidney in the postnatal period. There is an increase in the size of glomeruli and tubules, predominantly the proximal tubule, accompanied by significantly increased SNGFR and tubular reabsorption of sodium. The increase in SNGFR appears to be dependent on multiple factors but a fall in renal vascular resistance associated with preglomerular dilatation is of utmost importance. This decrease Wilson disease protein in preglomerular resistance

may be facilitated by an increase in NO production and perhaps an acute rightward shift in TGF. Despite these adaptations being similar to the normal development of the kidney, hypertension is a common occurrence in individuals with a nephron deficiency. Compensatory growth of the tubules is a hallmark of compensatory renal growth and that the mechanisms promoting this growth and the increase in size of the tubules themselves may be the culprit, initiating sodium retention and increasing blood pressure. Professor Kate Denton and Associate Professor Karen Moritz were supported by NH&MRC Senior Research Fellowships. “
“Aim:  Cerebral white matter hyperintensities (WMHs), comprising periventricular hyperintensity (PVH) and deep and subcortical white matter hyperintensity (DSWMH) on magnetic resonance imaging (MRI), have been reported to be markers of ischaemic cerebral small-vessel disease and risk factors for future stroke, cognitive impairment and dementia in the general population. However, there have been only a few reports describing WMHs in haemodialysis (HD) patients and these previous studies have been relatively small population studies with little investigation on prevalence and risk factors according to the regional subtypes of WMHs.

asiaticus encodes different proteins

asiaticus encodes different proteins click here exhibiting eukaryotic domains, suggesting that amoebae-resisting bacteria widely use such eukaryotic motifs to manipulate the host cell (Schmitz-Esser et al., 2010). These eukaryotic domains include U-box and F-box, leucine-rich repeats (LRRs) and ankyrin repeats, among others. U-box and F-box motifs are likely interfering with the ubiquitin system involved in the degradation of proteins by the proteasome, whereas ankyrin proteins are likely controlling the interactions of the intracellular bacteria in its host cell. Finally, the LRRs domain, also largely

present in the genome of Protochlamydia amoebophila (Eugster et al., 2007), may be involved in decreasing recognition of the bacteria by the innate immune system. We hope that this review on symbionts of nematodes, ticks and amoebae will help the reader to understand the importance of the symbiont in

determining the virulence of its host, as exemplified with Wolbachia in nematodes; similarly, an amoebal endosymbiont may also be implicated in the pathogenesis of Acanthamoeba keratitis, by potentially exacerbating local inflammation. This review Akt inhibitor also recaps the importance of the host in the ecology of its endosymbiont, by directly impacting its survival in the environment, its dissemination and its mode of transmission to humans and animals. This is of paramount importance, because ecology strongly controls the gene content of the symbionts. Sympatric amoebal symbionts exhibit much larger genomes and much more frequent genes exchange events than those living in an allopatric environment in nematodes and ticks. Symbionts have also clearly played an important role by ‘feeding’ eukaryotes with significant amounts of

genetic information during evolution, (1) as previously exemplified by the identification of the role of an ancestral member of the Rickettsiales in the biogenesis of current mitochondria (Andersson et al., 1998) and (2) as recently exemplified by the acquisition by a fruit fly of a nearly complete wolbachial genome second content (Dunning Hotopp et al., 2007). The fact that at least one member of the Order Rickettsiales has been identified in all three eukaryote lineages discussed in this review further supports the hypothesis that an ancestral rickettsia was already intracellular more than one billion years ago, when it exchanged genes encoding an ADP/ATP transporter with an ancestral Chlamydiales (Greub & Raoult, 2003). Moreover, this explains why rickettsiologists are in the forefront of research on endosymbiont–host interactions. Other important lessons provided by studying symbionts are that (1) their diverse nature (large biodiversity encompassing several clades) as well as (2) their intimate relationship with their specific host provides no guaranty of their innocuousness towards other eukaryotes encountered by chance, for instance, in a modified ecosystem such as man-made water networks. M.T. and O.M. contributed equally to this work.

As shown in Fig  5(a), responses to each of these epitopes

As shown in Fig. 5(a), responses to each of these epitopes

EPZ015666 were observed in healthy donors, subjects with T1D, or both at frequencies ranging from two to nine out of the 10 subjects tested. For the limited number of subjects tested, responses to GAD433–452 were observed only in healthy donors. Responses to GAD553–572 were seen more often in healthy subjects than in subjects with T1D. Responses to GAD273–292, GAD265–284 and GAD113–132 were seen more often in subjects with T1D than in healthy controls. None of these differences were statistically significant. We next compared T-cell responses in healthy donors and subjects with T1D (using an analysis of variance with Bonferroni post-test) to look for differences in the magnitude of the tetramer-positive population for each GAD epitope. As shown in Fig. 5(b), responses to GAD113–132 and GAD265–284 had a significantly stronger magnitude (P < 0·05) for subjects with T1D than for healthy donors. For all other epitopes, responses had similar magnitudes in

healthy donors and subjects with T1D. The most commonly observed specificities for our repertoire analysis (using CD25-depleted cultures) were GAD433–452 and GAD553–572. However, the most commonly observed selleck chemicals responses (using non-depleted cultures) were GAD113–132 and GAD273–292. This difference suggested that CD25 depletion may influence the expansion of GAD-specific T cells either through removal of regulatory T (Treg) cells or activated T cells. Table 3 summarizes and compares GAD65-specific

responses observed with and without CD25 depletion. Based on Fisher’s exact test, responses to the six epitopes tested had a similar prevalence in the CD25-depleted and non-depleted cultures, with the exception of GAD113–132, for which responses were significantly more frequent in the non-depleted cultures (P = 0·003). In this study, we systematically investigated HLA-DR0401-restricted epitopes within GAD65, examining responses to this protein in healthy and diabetic subjects. Our first objective was to Dichloromethane dehalogenase characterize the diversity of epitopes that can be visualized using tetramers. We first identified 17 antigenic peptides containing at least 15 unique GAD65 epitopes (Table 1 and Fig. 2). Of these 15 sequences, 12 were confirmed to be processed and presented, based on positive proliferation (Fig. 3) or tetramer staining after GAD65 protein stimulation (Fig. 4). The remaining sequences appear to be cryptic epitopes. Several epitopes were consistent with GAD65 epitopes identified using the HLA-DR0401 transgenic mouse system (underlined in Table 1), indicating that the epitopes identified by tetramer-guided epitope mapping are well correlated with previously identified epitopes.[21] In addition, five of the epitopes were completely novel, expanding the available tools to interrogate the GAD65-specific T-cell response.

Our future study will focus on optimizing the formulation of vacc

Our future study will focus on optimizing the formulation of vaccines. Previous reports have indicated that optimal formulations of aluminum-adjuvanted vaccines containing CpG probably require both the antigen and the CpG to be fully bound to the alum, as this would optimize copresentation of both the antigen and CpG (Morefield et al., 2005). In addition, careful control of formulation, storage conditions postformulation

and the time interval between formulation and Trametinib ic50 use are equally important factors for the enhancement of immunogenicity (Aebig et al., 2007). In conclusion, this study developed a novel subunit vaccine comprising Ag85b, HspX and C/E and a combination of CpG and aluminum adjuvants. GDC-0980 datasheet This vaccine induced a strong humoral and cellular immune response in mice but did not control disease progression in Mtb-challenged guinea pigs. After optimization work on the animal model and further formulation, this mixed subunit vaccine may become available both for the control of postexposure tuberculosis and as a prophylactic vaccine. The research was supported by the National High Technology Research and Development Program (863 program) (2006AA02Z464, 2006AA02A240). The authors declare that they have no conflict of interest. “
“Homing of murine dendritic epidermal T cells (DETCs) from the thymus to the skin is regulated

by specific trafficking receptors during late embryogenesis. Once in the epidermis, Vγ3δ1 TCR DETCs are maintained through self-renewal and participate in wound healing. GPR15 is an orphan G protein-linked chemoattractant receptor involved in the recruitment of regulatory T cells to the colon. Here we show that GPR15 is highly expressed on fetal thymic DETC precursors and on recently recruited DETCs, and mediates the earliest seeding of the epidermis, which occurs at the time of establishment of skin barrier function. DETCs in GPR15−/− mice remain low at birth, but later participation of CCR10 and CCR4 in DETC homing allows DETCs

to reach near normal levels in adult Thiamine-diphosphate kinase skin. Our findings establish a role for GPR15 in skin lymphocyte homing and suggest that it may contribute to lymphocyte subset targeting to diverse epithelial sites. Skin and other squamous epithelia are protected by specialized lymphocyte populations that reside within the epithelium and dermis. The cutaneous epithelium in humans and mice contains specialized populations of γ/δ T cells [1]. The mouse skin harbors so-called dendritic epidermal T cells (DETCs), a unique, highly specialized subset characterized by its dendritic shape and its exclusive expression of γ3δ1 T-cell receptor (also known as γ5, depending on the nomenclature used [2]), thought to recognize a self-antigen on stressed or damaged skin cells [3, 4] and to receive costimulation through junctional adhesion molecule-like protein (JAML) [5].