PMID- 12379547 OWN - NLM STAT- MEDLINE DCOM- 20030509 LR - 20061115 IS - 1073-449X (Print) IS - 1073-449X (Linking) VI - 166 IP - 8 DP - 2002 Oct 15 TI - Alteration of balance between myeloid dendritic cells and plasmacytoid dendritic cells in peripheral blood of patients with asthma. PG - 1050-4 AB - Asthma, a well-known helper T cell Type 2 (Th2)-mediated disease, has a polarized immune response toward a Th2 phenotype. However, the factors causing the Th2 polarization remain to be fully determined in this disease. Dendritic cells (DCs) are the most potent antigen-presenting cells that play a central role in initiating the primary immune response. In human blood, two functional distinct subsets of DCs, myeloid DCs and plasmacytoid DCs, have been identified. Myeloid DCs (mDCs) and plasmacytoid DCs (pDCs) are also called Type 1 DCs (DC1) and Type 2 DCs (DC2), respectively, because mDCs and pDCs were shown to preferentially differentiate naive T cells into Th1 and Th2 cells, respectively. In asthma, it can thus be speculated that an altered balance of mDCs to pDCs toward pDCs may contribute to the Th2 polarization. To clarify this, we examined the numbers of mDCs and pDCs in the peripheral blood of 44 patients with asthma and 38 normal subjects, using multicolor flow cytometry. We found that the patients with asthma had a significantly higher number of pDCs, resulting in a significant decrease in the ratio of mDCs to pDCs compared with normal subjects. These data indicate that the patients with asthma had a polarization of the mDC:pDC balance toward pDCs, which may be involved in producing the Th2-dominant immune phenotype in asthma. FAU - Matsuda, Hiroyuki AU - Matsuda H AD - Second Division, Department of Internal Medicine, and Department of Dermatology, Hamamatsu University School of Medicine, Hamamatsu, Japan. FAU - Suda, Takafumi AU - Suda T FAU - Hashizume, Hideo AU - Hashizume H FAU - Yokomura, Koushi AU - Yokomura K FAU - Asada, Kazuhiro AU - Asada K FAU - Suzuki, Kenichiro AU - Suzuki K FAU - Chida, Kingo AU - Chida K FAU - Nakamura, Hirotoshi AU - Nakamura H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Respir Crit Care Med JT - American journal of respiratory and critical care medicine JID - 9421642 RN - 0 (Interleukin-3) RN - 143011-72-7 (Granulocyte Colony-Stimulating Factor) SB - IM MH - Adult MH - Asthma/*blood/immunology MH - Blood Cell Count MH - Dendritic Cells/*classification/immunology MH - Female MH - Flow Cytometry MH - Granulocyte Colony-Stimulating Factor/blood MH - Humans MH - Interleukin-3/blood MH - Male EDAT- 2002/10/16 04:00 MHDA- 2003/05/13 05:00 CRDT- 2002/10/16 04:00 PHST- 2002/10/16 04:00 [pubmed] PHST- 2003/05/13 05:00 [medline] PHST- 2002/10/16 04:00 [entrez] AID - 10.1164/rccm.2110066 [doi] PST - ppublish SO - Am J Respir Crit Care Med. 2002 Oct 15;166(8):1050-4. doi: 10.1164/rccm.2110066.