ABSTRACT

The class II molecules of the major histocompatibility complex (MHC) are involved in presenting antigens to CD4 T cells. The peptide antigens that they present are derived from extracellular pathogens and proteins taken up into intracellular vesicles, or from pathogens such as Mycobacterium that persist intracellularly inside vesicles. MHC class II molecules are expressed constitutively on antigen-presenting cells, including B lymphocytes, macrophages, and dendritic cells. In humans, together with the MHC class I molecules (see Case 17) they are known as the HLA antigens. They are also expressed on the epithelial cells of the thymus and their expression can be induced on other cells, principally by the cytokine interferon-g. T cells also express MHC class II molecules when they are activated.