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Major histocompatibility complex class II compartments in human B lymphoblastoid cells are distinct from early endosomes - PMC

<!DOCTYPE html> <html lang="en" > <head > <meta charset="UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta name="HandheldFriendly" content="True" /> <meta name="MobileOptimized" content="320" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="stylesheet" href="/static/assets/style-70b9163a.css" /> <script type="module" crossorigin="" src="/static/assets/base_style-ec2bc71e.js"></script> <link rel="stylesheet" href="/static/assets/style-ef962842.css" /> <link rel="stylesheet" href="/static/assets/style-3ade8b5c.css" /> <script type="module" crossorigin="" src="/static/assets/article_style-d757a0dd.js"></script> <style> @media screen and (min-width: 64em) { div.pmc-wm { background: repeat-y; background-image: url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='20' height='350' xmlns:xlink='http://www.w3.org/1999/xlink'%3E%3Cdefs%3E%3Cfilter x='-.02' y='0' width='1.05' height='1' id='c'%3E%3CfeFlood 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content="INDEX,NOFOLLOW,NOARCHIVE"> <meta name="citation_journal_title" content="The Journal of Experimental Medicine"> <meta name="citation_title" content="Major histocompatibility complex class II compartments in human B lymphoblastoid cells are distinct from early endosomes"> <meta name="citation_publication_date" content="1995 Aug 1"> <meta name="citation_volume" content="182"> <meta name="citation_issue" content="2"> <meta name="citation_firstpage" content="325"> <meta name="citation_doi" content="10.1084/jem.182.2.325"> <meta name="citation_pmid" content="7629497"> <meta name="citation_abstract_html_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC2192145/"> <meta name="citation_fulltext_html_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC2192145/"> <meta name="citation_pdf_url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC2192145/pdf/je1822325.pdf"> <meta name="description" content="In human B lymphoblastoid cell lines, the majority of major histocompatibility complex (MHC) class II heterodimers are located on the cell surface and in endocytic compartments, while invariant chain (Ii)-associated class II molecules represent ..."> <meta name="og:title" content="Major histocompatibility complex class II compartments in human B lymphoblastoid cells are distinct from early endosomes"> <meta name="og:type" content="article"> <meta name="og:site_name" content="PubMed Central (PMC)"> <meta name="og:description" content="In human B lymphoblastoid cell lines, the majority of major histocompatibility complex (MHC) class II heterodimers are located on the cell surface and in endocytic compartments, while invariant chain (Ii)-associated class II molecules represent ..."> <meta name="og:url" content="https://pmc.ncbi.nlm.nih.gov/articles/PMC2192145/"> <meta name="og:image" content="https://cdn.ncbi.nlm.nih.gov/pmc/cms/images/pmc-card-share.jpg?_=0"> <meta name="twitter:card" content="summary_large_image"> <meta name="twitter:site" content="@ncbi"> </head> 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Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health.<br/> Learn more: <a class="usa-link" data-ga-category="Link click" data-ga-action="Disclaimer" data-ga-label="New disclaimer box" href="/about/disclaimer/">PMC Disclaimer</a> | <a class="usa-link" data-ga-category="Link click" data-ga-action="PMC Copyright Notice" data-ga-label="New disclaimer box" href="/about/copyright/"> PMC Copyright Notice </a> </div> </div> </div> <div class="grid-row pmc-wm desktop:margin-left-neg-6"> <!-- Main content --> <main id="main-content" class="usa-layout-docs__main usa-layout-docs grid-col-12 pmc-layout pmc-prose padding-0" > <section class="pmc-journal-banner text-center line-height-none" aria-label="Journal banner"><img src="https://cdn.ncbi.nlm.nih.gov/pmc/banners/logo-jexpmed.png" alt="The Journal of Experimental Medicine logo" usemap="#pmc-banner-imagemap" width="500" height="75"><map name="pmc-banner-imagemap"><area alt="Link to The Journal of Experimental Medicine" title="Link to The Journal of Experimental Medicine" shape="default" href="https://doi.org/10.1084/jem.182.2.325" target="_blank" rel="noopener noreferrer"></map></section><article lang="en"><section aria-label="Article citation and metadata"><section class="pmc-layout__citation font-secondary font-xs"><div> <div class="display-inline-block"><button type="button" class="cursor-pointer text-no-underline bg-transparent border-0 padding-0 text-left margin-0 text-normal text-primary" aria-controls="journal_context_menu">J Exp Med</button></div>. 1995 Aug 1;182(2):325–334. doi: <a href="https://doi.org/10.1084/jem.182.2.325" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">10.1084/jem.182.2.325</a> </div> <nav id="journal_context_menu" hidden="hidden"><ul class="menu-list font-family-ui" role="menu"> <li role="presentation"><a href="https://www.ncbi.nlm.nih.gov/pmc/?term=%22J%20Exp%20Med%22%5Bjour%5D" class="usa-link" role="menuitem">Search in PMC</a></li> <li role="presentation"><a href="https://pubmed.ncbi.nlm.nih.gov/?term=%22J%20Exp%20Med%22%5Bjour%5D" lang="en" class="usa-link" role="menuitem">Search in PubMed</a></li> <li role="presentation"><a href="https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J%20Exp%20Med%22%5BTitle%20Abbreviation%5D" class="usa-link" role="menuitem">View in NLM Catalog</a></li> <li role="presentation"><a href="?term=%22J%20Exp%20Med%22%5Bjour%5D" class="usa-link" role="menuitem" data-add-to-search="true">Add to search</a></li> </ul></nav></section><section class="front-matter"><div class="ameta p font-secondary font-xs"> <hgroup><h1>Major histocompatibility complex class II compartments in human B lymphoblastoid cells are distinct from early endosomes</h1></hgroup><ul class="d-buttons inline-list"><li><button class="d-button" aria-controls="clp_a" aria-expanded="false">Copyright and License information</button></li></ul> <div class="d-panels font-secondary-light"><div id="clp_a" class="d-panel p" style="display: none"> <p>This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see <a href="http://www.rupress.org/terms" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">http://www.rupress.org/terms</a>). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 4.0 Unported license, as described at <a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>).</p> <div class="p"><a href="/about/copyright/" class="usa-link">PMC Copyright notice</a></div> </div></div> <div>PMCID: PMC2192145  PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/7629497/" class="usa-link">7629497</a> </div> </div></section></section><section aria-label="Article content"><section class="body main-article-body"><section class="abstract" id="abstract1"><h2>Abstract</h2> <p>In human B lymphoblastoid cell lines, the majority of major histocompatibility complex (MHC) class II heterodimers are located on the cell surface and in endocytic compartments, while invariant chain (Ii)-associated class II molecules represent biosynthetic intermediates which are present mostly in the endoplasmic reticulum and Golgi complex. To investigate the origin of the MHC class II-positive compartments and their relation to early endosomes, the intracellular distribution of MHC class II molecules and Ii in relation to endocytic tracers was studied in human lymphoblastoid B cells by immunoelectronmicroscopy on ultrathin cryosections. Cross-linking of surface immunoglobulins, followed by a brief period of internalization of the immune complexes, did not alter the intracellular distribution of MHC class II molecules. While early endosomes were abundantly labeled for the cross-linked immunoglobulins, &lt; 1% of total MHC class II molecules were detectable in early endosomes. MHC class II- and Ii- positive structures associated with the trans-Golgi network can be reached by endocytosed bovine serum albumin (BSA)-gold conjugates after 30 min of internalization. Prolonged exposure to BSA-gold allowed visualization of later endocytic compartments, in which a progressive loss of Ii was observed: first the lumenal portion, and then the cytoplasmic portion of Ii escaped detection, culminating in the formation of MHC class II-positive compartments (MIIC) devoid of Ii. The loss of Ii also correlated with a transition from a multivesicular to a multilaminar, electron-dense MIIC. The intracellular compartments in which class II molecules reside (MIIC) are therefore a heterogeneous set of structures, part of the later aspects of the endocytic pathway.</p></section><section id="_pon93_" lang="en" class="pdf-only-notice"><h2 class="pmc_sec_title">Full Text</h2> <p>The Full Text of this article is available as a <a href="/articles/instance/2192145/pdf/je1822325.pdf" class="usa-link">PDF</a> (3.3 MB).</p></section><section id="ref-list1" class="ref-list"><h2 class="pmc_sec_title">Selected References</h2> <p>These references are in PubMed. This may not be the complete list of references from this article.</p> <section id="ref-list1_sec2"><ol class="ref-list font-sm"> <li id="PDF_00619"> <cite>Amigorena S., Drake J. R., Webster P., Mellman I. Transient accumulation of new class II MHC molecules in a novel endocytic compartment in B lymphocytes. Nature. 1994 May 12;369(6476):113–120. doi: 10.1038/369113a0.</cite> [<a href="https://doi.org/10.1038/369113a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8177316/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Transient%20accumulation%20of%20new%20class%20II%20MHC%20molecules%20in%20a%20novel%20endocytic%20compartment%20in%20B%20lymphocytes.&amp;author=S.%20Amigorena&amp;author=J.%20R.%20Drake&amp;author=P.%20Webster&amp;author=I.%20Mellman&amp;volume=369&amp;issue=6476&amp;publication_year=1994&amp;pages=113-120&amp;pmid=8177316&amp;doi=10.1038/369113a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00636"> <cite>Amigorena S., Webster P., Drake J., Newcomb J., Cresswell P., Mellman I. Invariant chain cleavage and peptide loading in major histocompatibility complex class II vesicles. J Exp Med. 1995 May 1;181(5):1729–1741. doi: 10.1084/jem.181.5.1729.</cite> [<a href="https://doi.org/10.1084/jem.181.5.1729" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2191985/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/7722451/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Exp%20Med&amp;title=Invariant%20chain%20cleavage%20and%20peptide%20loading%20in%20major%20histocompatibility%20complex%20class%20II%20vesicles.&amp;author=S.%20Amigorena&amp;author=P.%20Webster&amp;author=J.%20Drake&amp;author=J.%20Newcomb&amp;author=P.%20Cresswell&amp;volume=181&amp;issue=5&amp;publication_year=1995&amp;pages=1729-1741&amp;pmid=7722451&amp;doi=10.1084/jem.181.5.1729&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00670"> <cite>Baron R., Neff L., Brown W., Courtoy P. J., Louvard D., Farquhar M. G. Polarized secretion of lysosomal enzymes: co-distribution of cation-independent mannose-6-phosphate receptors and lysosomal enzymes along the osteoclast exocytic pathway. J Cell Biol. 1988 Jun;106(6):1863–1872. doi: 10.1083/jcb.106.6.1863.</cite> [<a href="https://doi.org/10.1083/jcb.106.6.1863" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2115156/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2968345/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Cell%20Biol&amp;title=Polarized%20secretion%20of%20lysosomal%20enzymes:%20co-distribution%20of%20cation-independent%20mannose-6-phosphate%20receptors%20and%20lysosomal%20enzymes%20along%20the%20osteoclast%20exocytic%20pathway.&amp;author=R.%20Baron&amp;author=L.%20Neff&amp;author=W.%20Brown&amp;author=P.%20J.%20Courtoy&amp;author=D.%20Louvard&amp;volume=106&amp;issue=6&amp;publication_year=1988&amp;pages=1863-1872&amp;pmid=2968345&amp;doi=10.1083/jcb.106.6.1863&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00633"> <cite>Bijlmakers M. J., Benaroch P., Ploegh H. L. Mapping functional regions in the lumenal domain of the class II-associated invariant chain. J Exp Med. 1994 Aug 1;180(2):623–629. doi: 10.1084/jem.180.2.623.</cite> [<a href="https://doi.org/10.1084/jem.180.2.623" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2191624/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/7519244/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Exp%20Med&amp;title=Mapping%20functional%20regions%20in%20the%20lumenal%20domain%20of%20the%20class%20II-associated%20invariant%20chain.&amp;author=M.%20J.%20Bijlmakers&amp;author=P.%20Benaroch&amp;author=H.%20L.%20Ploegh&amp;volume=180&amp;issue=2&amp;publication_year=1994&amp;pages=623-629&amp;pmid=7519244&amp;doi=10.1084/jem.180.2.623&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00592"> <cite>Brodsky F. M. What's the score? Nature. 1991 Jul 25;352(6333):288–289. doi: 10.1038/352288c0.</cite> [<a href="https://doi.org/10.1038/352288c0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1677162/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=What's%20the%20score?&amp;author=F.%20M.%20Brodsky&amp;volume=352&amp;issue=6333&amp;publication_year=1991&amp;pages=288-289&amp;pmid=1677162&amp;doi=10.1038/352288c0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00623"> <cite>Bénaroch P., Yilla M., Raposo G., Ito K., Miwa K., Geuze H. J., Ploegh H. L. How MHC class II molecules reach the endocytic pathway. EMBO J. 1995 Jan 3;14(1):37–49. doi: 10.1002/j.1460-2075.1995.tb06973.x.</cite> [<a href="https://doi.org/10.1002/j.1460-2075.1995.tb06973.x" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC398050/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/7530198/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=EMBO%20J&amp;title=How%20MHC%20class%20II%20molecules%20reach%20the%20endocytic%20pathway.&amp;author=P.%20B%C3%A9naroch&amp;author=M.%20Yilla&amp;author=G.%20Raposo&amp;author=K.%20Ito&amp;author=K.%20Miwa&amp;volume=14&amp;issue=1&amp;publication_year=1995&amp;pages=37-49&amp;pmid=7530198&amp;doi=10.1002/j.1460-2075.1995.tb06973.x&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00579"> <cite>Cresswell P., Blum J. S., Kelner D. N., Marks M. S. Biosynthesis and processing of class II histocompatibility antigens. Crit Rev Immunol. 1987;7(1):31–53.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/3545672/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Crit%20Rev%20Immunol&amp;title=Biosynthesis%20and%20processing%20of%20class%20II%20histocompatibility%20antigens.&amp;author=P.%20Cresswell&amp;author=J.%20S.%20Blum&amp;author=D.%20N.%20Kelner&amp;author=M.%20S.%20Marks&amp;volume=7&amp;issue=1&amp;publication_year=1987&amp;pages=31-53&amp;pmid=3545672&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00571"> <cite>Cresswell P. Intracellular class II HLA antigens are accessible to transferrin-neuraminidase conjugates internalized by receptor-mediated endocytosis. Proc Natl Acad Sci U S A. 1985 Dec;82(23):8188–8192. doi: 10.1073/pnas.82.23.8188.</cite> [<a href="https://doi.org/10.1073/pnas.82.23.8188" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC391468/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2999796/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Proc%20Natl%20Acad%20Sci%20U%20S%20A&amp;title=Intracellular%20class%20II%20HLA%20antigens%20are%20accessible%20to%20transferrin-neuraminidase%20conjugates%20internalized%20by%20receptor-mediated%20endocytosis.&amp;author=P.%20Cresswell&amp;volume=82&amp;issue=23&amp;publication_year=1985&amp;pages=8188-8192&amp;pmid=2999796&amp;doi=10.1073/pnas.82.23.8188&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00646"> <cite>Davidson H. W., Reid P. A., Lanzavecchia A., Watts C. Processed antigen binds to newly synthesized MHC class II molecules in antigen-specific B lymphocytes. Cell. 1991 Oct 4;67(1):105–116. doi: 10.1016/0092-8674(91)90575-j.</cite> [<a href="https://doi.org/10.1016/0092-8674(91)90575-j" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1913812/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Cell&amp;title=Processed%20antigen%20binds%20to%20newly%20synthesized%20MHC%20class%20II%20molecules%20in%20antigen-specific%20B%20lymphocytes.&amp;author=H.%20W.%20Davidson&amp;author=P.%20A.%20Reid&amp;author=A.%20Lanzavecchia&amp;author=C.%20Watts&amp;volume=67&amp;issue=1&amp;publication_year=1991&amp;pages=105-116&amp;pmid=1913812&amp;doi=10.1016/0092-8674(91)90575-j&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00660"> <cite>Davis J. E., Cresswell P. Lack of detectable endocytosis of B lymphocyte MHC class II antigens using an antibody-independent technique. J Immunol. 1990 Feb 1;144(3):990–997.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/2295824/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Immunol&amp;title=Lack%20of%20detectable%20endocytosis%20of%20B%20lymphocyte%20MHC%20class%20II%20antigens%20using%20an%20antibody-independent%20technique.&amp;author=J.%20E.%20Davis&amp;author=P.%20Cresswell&amp;volume=144&amp;issue=3&amp;publication_year=1990&amp;pages=990-997&amp;pmid=2295824&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00616"> <cite>Geuze H. J., Slot J. W., Strous G. J., Hasilik A., von Figura K. Possible pathways for lysosomal enzyme delivery. J Cell Biol. 1985 Dec;101(6):2253–2262. doi: 10.1083/jcb.101.6.2253.</cite> [<a href="https://doi.org/10.1083/jcb.101.6.2253" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2114005/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2933416/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Cell%20Biol&amp;title=Possible%20pathways%20for%20lysosomal%20enzyme%20delivery.&amp;author=H.%20J.%20Geuze&amp;author=J.%20W.%20Slot&amp;author=G.%20J.%20Strous&amp;author=A.%20Hasilik&amp;author=K.%20von%20Figura&amp;volume=101&amp;issue=6&amp;publication_year=1985&amp;pages=2253-2262&amp;pmid=2933416&amp;doi=10.1083/jcb.101.6.2253&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00593"> <cite>Geuze H. J., Slot J. W., Strous G. J., Lodish H. F., Schwartz A. L. Intracellular site of asialoglycoprotein receptor-ligand uncoupling: double-label immunoelectron microscopy during receptor-mediated endocytosis. Cell. 1983 Jan;32(1):277–287. doi: 10.1016/0092-8674(83)90518-4.</cite> [<a href="https://doi.org/10.1016/0092-8674(83)90518-4" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/6130851/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Cell&amp;title=Intracellular%20site%20of%20asialoglycoprotein%20receptor-ligand%20uncoupling:%20double-label%20immunoelectron%20microscopy%20during%20receptor-mediated%20endocytosis.&amp;author=H.%20J.%20Geuze&amp;author=J.%20W.%20Slot&amp;author=G.%20J.%20Strous&amp;author=H.%20F.%20Lodish&amp;author=A.%20L.%20Schwartz&amp;volume=32&amp;issue=1&amp;publication_year=1983&amp;pages=277-287&amp;pmid=6130851&amp;doi=10.1016/0092-8674(83)90518-4&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00582"> <cite>Guagliardi L. E., Koppelman B., Blum J. S., Marks M. S., Cresswell P., Brodsky F. M. Co-localization of molecules involved in antigen processing and presentation in an early endocytic compartment. Nature. 1990 Jan 11;343(6254):133–139. doi: 10.1038/343133a0.</cite> [<a href="https://doi.org/10.1038/343133a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2404209/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Co-localization%20of%20molecules%20involved%20in%20antigen%20processing%20and%20presentation%20in%20an%20early%20endocytic%20compartment.&amp;author=L.%20E.%20Guagliardi&amp;author=B.%20Koppelman&amp;author=J.%20S.%20Blum&amp;author=M.%20S.%20Marks&amp;author=P.%20Cresswell&amp;volume=343&amp;issue=6254&amp;publication_year=1990&amp;pages=133-139&amp;pmid=2404209&amp;doi=10.1038/343133a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00590"> <cite>Hackett C. J. Antigen presentation. Later for the rendezvous. Nature. 1991 Feb 21;349(6311):655–656. doi: 10.1038/349655a0.</cite> [<a href="https://doi.org/10.1038/349655a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1996135/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Antigen%20presentation.%20Later%20for%20the%20rendezvous.&amp;author=C.%20J.%20Hackett&amp;volume=349&amp;issue=6311&amp;publication_year=1991&amp;pages=655-656&amp;pmid=1996135&amp;doi=10.1038/349655a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00640"> <cite>Harding C. V., Collins D. S., Slot J. W., Geuze H. J., Unanue E. R. Liposome-encapsulated antigens are processed in lysosomes, recycled, and presented to T cells. Cell. 1991 Jan 25;64(2):393–401. doi: 10.1016/0092-8674(91)90647-h.</cite> [<a href="https://doi.org/10.1016/0092-8674(91)90647-h" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1899049/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Cell&amp;title=Liposome-encapsulated%20antigens%20are%20processed%20in%20lysosomes,%20recycled,%20and%20presented%20to%20T%20cells.&amp;author=C.%20V.%20Harding&amp;author=D.%20S.%20Collins&amp;author=J.%20W.%20Slot&amp;author=H.%20J.%20Geuze&amp;author=E.%20R.%20Unanue&amp;volume=64&amp;issue=2&amp;publication_year=1991&amp;pages=393-401&amp;pmid=1899049&amp;doi=10.1016/0092-8674(91)90647-h&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00657"> <cite>Harding C. V., Unanue E. R. Antigen processing and intracellular Ia. Possible roles of endocytosis and protein synthesis in Ia function. J Immunol. 1989 Jan 1;142(1):12–19.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/2909613/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Immunol&amp;title=Antigen%20processing%20and%20intracellular%20Ia.%20Possible%20roles%20of%20endocytosis%20and%20protein%20synthesis%20in%20Ia%20function.&amp;author=C.%20V.%20Harding&amp;author=E.%20R.%20Unanue&amp;volume=142&amp;issue=1&amp;publication_year=1989&amp;pages=12-19&amp;pmid=2909613&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00610"> <cite>Harding C. V., Unanue E. R., Slot J. W., Schwartz A. L., Geuze H. J. Functional and ultrastructural evidence for intracellular formation of major histocompatibility complex class II-peptide complexes during antigen processing. Proc Natl Acad Sci U S A. 1990 Jul;87(14):5553–5557. doi: 10.1073/pnas.87.14.5553.</cite> [<a href="https://doi.org/10.1073/pnas.87.14.5553" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC54363/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2371288/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Proc%20Natl%20Acad%20Sci%20U%20S%20A&amp;title=Functional%20and%20ultrastructural%20evidence%20for%20intracellular%20formation%20of%20major%20histocompatibility%20complex%20class%20II-peptide%20complexes%20during%20antigen%20processing.&amp;author=C.%20V.%20Harding&amp;author=E.%20R.%20Unanue&amp;author=J.%20W.%20Slot&amp;author=A.%20L.%20Schwartz&amp;author=H.%20J.%20Geuze&amp;volume=87&amp;issue=14&amp;publication_year=1990&amp;pages=5553-5557&amp;pmid=2371288&amp;doi=10.1073/pnas.87.14.5553&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00605"> <cite>Hirsch J. G., Fedorko M. E., Cohn Z. A. Vesicle fusion and formation at the surface of pinocytic vacuoles in macrophages. J Cell Biol. 1968 Sep;38(3):629–632. doi: 10.1083/jcb.38.3.629.</cite> [<a href="https://doi.org/10.1083/jcb.38.3.629" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2108378/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/5664229/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Cell%20Biol&amp;title=Vesicle%20fusion%20and%20formation%20at%20the%20surface%20of%20pinocytic%20vacuoles%20in%20macrophages.&amp;author=J.%20G.%20Hirsch&amp;author=M.%20E.%20Fedorko&amp;author=Z.%20A.%20Cohn&amp;volume=38&amp;issue=3&amp;publication_year=1968&amp;pages=629-632&amp;pmid=5664229&amp;doi=10.1083/jcb.38.3.629&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00653"> <cite>Koch N., Moldenhauer G., Hofmann W. J., Möller P. Rapid intracellular pathway gives rise to cell surface expression of the MHC class II-associated invariant chain (CD74). J Immunol. 1991 Oct 15;147(8):2643–2651.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/1918985/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Immunol&amp;title=Rapid%20intracellular%20pathway%20gives%20rise%20to%20cell%20surface%20expression%20of%20the%20MHC%20class%20II-associated%20invariant%20chain%20(CD74).&amp;author=N.%20Koch&amp;author=G.%20Moldenhauer&amp;author=W.%20J.%20Hofmann&amp;author=P.%20M%C3%B6ller&amp;volume=147&amp;issue=8&amp;publication_year=1991&amp;pages=2643-2651&amp;pmid=1918985&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00575"> <cite>Neefjes J. J., Stollorz V., Peters P. J., Geuze H. J., Ploegh H. L. The biosynthetic pathway of MHC class II but not class I molecules intersects the endocytic route. Cell. 1990 Apr 6;61(1):171–183. doi: 10.1016/0092-8674(90)90224-3.</cite> [<a href="https://doi.org/10.1016/0092-8674(90)90224-3" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2156628/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Cell&amp;title=The%20biosynthetic%20pathway%20of%20MHC%20class%20II%20but%20not%20class%20I%20molecules%20intersects%20the%20endocytic%20route.&amp;author=J.%20J.%20Neefjes&amp;author=V.%20Stollorz&amp;author=P.%20J.%20Peters&amp;author=H.%20J.%20Geuze&amp;author=H.%20L.%20Ploegh&amp;volume=61&amp;issue=1&amp;publication_year=1990&amp;pages=171-183&amp;pmid=2156628&amp;doi=10.1016/0092-8674(90)90224-3&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00643"> <cite>Niebling W. L., Pierce S. K. Antigen entry into early endosomes is insufficient for MHC class II processing. J Immunol. 1993 Apr 1;150(7):2687–2697.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/8384229/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Immunol&amp;title=Antigen%20entry%20into%20early%20endosomes%20is%20insufficient%20for%20MHC%20class%20II%20processing.&amp;author=W.%20L.%20Niebling&amp;author=S.%20K.%20Pierce&amp;volume=150&amp;issue=7&amp;publication_year=1993&amp;pages=2687-2697&amp;pmid=8384229&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00666"> <cite>Peters P. J., Borst J., Oorschot V., Fukuda M., Krähenbühl O., Tschopp J., Slot J. W., Geuze H. J. Cytotoxic T lymphocyte granules are secretory lysosomes, containing both perforin and granzymes. J Exp Med. 1991 May 1;173(5):1099–1109. doi: 10.1084/jem.173.5.1099.</cite> [<a href="https://doi.org/10.1084/jem.173.5.1099" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2118839/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2022921/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Exp%20Med&amp;title=Cytotoxic%20T%20lymphocyte%20granules%20are%20secretory%20lysosomes,%20containing%20both%20perforin%20and%20granzymes.&amp;author=P.%20J.%20Peters&amp;author=J.%20Borst&amp;author=V.%20Oorschot&amp;author=M.%20Fukuda&amp;author=O.%20Kr%C3%A4henb%C3%BChl&amp;volume=173&amp;issue=5&amp;publication_year=1991&amp;pages=1099-1109&amp;pmid=2022921&amp;doi=10.1084/jem.173.5.1099&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00586"> <cite>Peters P. J., Neefjes J. J., Oorschot V., Ploegh H. L., Geuze H. J. Segregation of MHC class II molecules from MHC class I molecules in the Golgi complex for transport to lysosomal compartments. Nature. 1991 Feb 21;349(6311):669–676. doi: 10.1038/349669a0.</cite> [<a href="https://doi.org/10.1038/349669a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/1847504/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Segregation%20of%20MHC%20class%20II%20molecules%20from%20MHC%20class%20I%20molecules%20in%20the%20Golgi%20complex%20for%20transport%20to%20lysosomal%20compartments.&amp;author=P.%20J.%20Peters&amp;author=J.%20J.%20Neefjes&amp;author=V.%20Oorschot&amp;author=H.%20L.%20Ploegh&amp;author=H.%20J.%20Geuze&amp;volume=349&amp;issue=6311&amp;publication_year=1991&amp;pages=669-676&amp;pmid=1847504&amp;doi=10.1038/349669a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00663"> <cite>Reid P. A., Watts C. Cycling of cell-surface MHC glycoproteins through primaquine-sensitive intracellular compartments. Nature. 1990 Aug 16;346(6285):655–657. doi: 10.1038/346655a0.</cite> [<a href="https://doi.org/10.1038/346655a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2166918/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Cycling%20of%20cell-surface%20MHC%20glycoproteins%20through%20primaquine-sensitive%20intracellular%20compartments.&amp;author=P.%20A.%20Reid&amp;author=C.%20Watts&amp;volume=346&amp;issue=6285&amp;publication_year=1990&amp;pages=655-657&amp;pmid=2166918&amp;doi=10.1038/346655a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00649"> <cite>Roche P. A., Teletski C. L., Stang E., Bakke O., Long E. O. Cell surface HLA-DR-invariant chain complexes are targeted to endosomes by rapid internalization. Proc Natl Acad Sci U S A. 1993 Sep 15;90(18):8581–8585. doi: 10.1073/pnas.90.18.8581.</cite> [<a href="https://doi.org/10.1073/pnas.90.18.8581" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC47401/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8397411/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Proc%20Natl%20Acad%20Sci%20U%20S%20A&amp;title=Cell%20surface%20HLA-DR-invariant%20chain%20complexes%20are%20targeted%20to%20endosomes%20by%20rapid%20internalization.&amp;author=P.%20A.%20Roche&amp;author=C.%20L.%20Teletski&amp;author=E.%20Stang&amp;author=O.%20Bakke&amp;author=E.%20O.%20Long&amp;volume=90&amp;issue=18&amp;publication_year=1993&amp;pages=8581-8585&amp;pmid=8397411&amp;doi=10.1073/pnas.90.18.8581&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00675"> <cite>Sallusto F., Lanzavecchia A. Efficient presentation of soluble antigen by cultured human dendritic cells is maintained by granulocyte/macrophage colony-stimulating factor plus interleukin 4 and downregulated by tumor necrosis factor alpha. J Exp Med. 1994 Apr 1;179(4):1109–1118. doi: 10.1084/jem.179.4.1109.</cite> [<a href="https://doi.org/10.1084/jem.179.4.1109" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2191432/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8145033/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Exp%20Med&amp;title=Efficient%20presentation%20of%20soluble%20antigen%20by%20cultured%20human%20dendritic%20cells%20is%20maintained%20by%20granulocyte/macrophage%20colony-stimulating%20factor%20plus%20interleukin%204%20and%20downregulated%20by%20tumor%20necrosis%20factor%20alpha.&amp;author=F.%20Sallusto&amp;author=A.%20Lanzavecchia&amp;volume=179&amp;issue=4&amp;publication_year=1994&amp;pages=1109-1118&amp;pmid=8145033&amp;doi=10.1084/jem.179.4.1109&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00597"> <cite>Slot J. W., Geuze H. J. A new method of preparing gold probes for multiple-labeling cytochemistry. Eur J Cell Biol. 1985 Jul;38(1):87–93.</cite> [<a href="https://pubmed.ncbi.nlm.nih.gov/4029177/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Eur%20J%20Cell%20Biol&amp;title=A%20new%20method%20of%20preparing%20gold%20probes%20for%20multiple-labeling%20cytochemistry.&amp;author=J.%20W.%20Slot&amp;author=H.%20J.%20Geuze&amp;volume=38&amp;issue=1&amp;publication_year=1985&amp;pages=87-93&amp;pmid=4029177&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00600"> <cite>Stoorvogel W., Geuze H. J., Griffith J. M., Schwartz A. L., Strous G. J. Relations between the intracellular pathways of the receptors for transferrin, asialoglycoprotein, and mannose 6-phosphate in human hepatoma cells. J Cell Biol. 1989 Jun;108(6):2137–2148. doi: 10.1083/jcb.108.6.2137.</cite> [<a href="https://doi.org/10.1083/jcb.108.6.2137" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="/articles/PMC2115624/" class="usa-link">PMC free article</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/2544602/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=J%20Cell%20Biol&amp;title=Relations%20between%20the%20intracellular%20pathways%20of%20the%20receptors%20for%20transferrin,%20asialoglycoprotein,%20and%20mannose%206-phosphate%20in%20human%20hepatoma%20cells.&amp;author=W.%20Stoorvogel&amp;author=H.%20J.%20Geuze&amp;author=J.%20M.%20Griffith&amp;author=A.%20L.%20Schwartz&amp;author=G.%20J.%20Strous&amp;volume=108&amp;issue=6&amp;publication_year=1989&amp;pages=2137-2148&amp;pmid=2544602&amp;doi=10.1083/jcb.108.6.2137&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00627"> <cite>Tulp A., Verwoerd D., Dobberstein B., Ploegh H. L., Pieters J. Isolation and characterization of the intracellular MHC class II compartment. Nature. 1994 May 12;369(6476):120–126. doi: 10.1038/369120a0.</cite> [<a href="https://doi.org/10.1038/369120a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8177317/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Isolation%20and%20characterization%20of%20the%20intracellular%20MHC%20class%20II%20compartment.&amp;author=A.%20Tulp&amp;author=D.%20Verwoerd&amp;author=B.%20Dobberstein&amp;author=H.%20L.%20Ploegh&amp;author=J.%20Pieters&amp;volume=369&amp;issue=6476&amp;publication_year=1994&amp;pages=120-126&amp;pmid=8177317&amp;doi=10.1038/369120a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> <li id="PDF_00630"> <cite>West M. A., Lucocq J. M., Watts C. Antigen processing and class II MHC peptide-loading compartments in human B-lymphoblastoid cells. Nature. 1994 May 12;369(6476):147–151. doi: 10.1038/369147a0.</cite> [<a href="https://doi.org/10.1038/369147a0" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">DOI</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/8177319/" class="usa-link">PubMed</a>] [<a href="https://scholar.google.com/scholar_lookup?journal=Nature&amp;title=Antigen%20processing%20and%20class%20II%20MHC%20peptide-loading%20compartments%20in%20human%20B-lymphoblastoid%20cells.&amp;author=M.%20A.%20West&amp;author=J.%20M.%20Lucocq&amp;author=C.%20Watts&amp;volume=369&amp;issue=6476&amp;publication_year=1994&amp;pages=147-151&amp;pmid=8177319&amp;doi=10.1038/369147a0&amp;" class="usa-link usa-link--external" data-ga-action="click_feat_suppl" target="_blank" rel="noopener noreferrer">Google Scholar</a>]</li> </ol></section></section></section><footer class="p courtesy-note font-secondary font-sm text-center"><hr class="headless"> <p>Articles from The Journal 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