This is fortunate because:
- Most viruses infect cells other than APCs.
- While viral antigens displayed on the surface of infected cells can serve as targets for cytotoxic T cells (CTLs),
- the lack of any costimulatory molecules on the cell surface makes them poor stimulants for the development of clones of CTLs in the first place.
- When an infected cell dies, it can be engulfed by a professional APC and the viral antigens within it can enter the class I pathway.
- The dead cell is engulfed by phagocytosis as described above.
- The endosome that forms fuses with a lysosome and degradation of the dead cell begins.
- Viral antigens pass into the cytosol and are degraded in proteasomes.
- The viral peptides formed are then are picked up by TAP and, as described above,
- inserted into class I MHC molecules and
- displayed at the cell surface — along with the costimulatory molecules needed to start a vigorous clonal expansion of CD8+ cytotoxic T cells.
- Cells infected with viruses can also transfer viral peptides directly from their cytosol to an adjacent cell like
- a professional APC able to present the peptide — with the needed costimulatory molecules — to CTLs;
- or simply a cell of the same type that can then present it in a class I molecule and be killed by a CTL before the infection can spread to it. This mechanism provides a way of walling off the infection.
- In both cases, the transfer occurs through gap junctions linking the adjacent cells.