PMID- 16012934 OWN - NLM STAT- MEDLINE DCOM- 20050929 LR - 20220330 IS - 0016-5085 (Print) IS - 0016-5085 (Linking) VI - 129 IP - 1 DP - 2005 Jul TI - Characteristics of intestinal dendritic cells in inflammatory bowel diseases. PG - 50-65 AB - BACKGROUND & AIMS: Dendritic cells (DCs) recognize and respond to microbial structures using pattern recognition receptors, including Toll-like receptors (TLRs). In the intestine, DCs are pivotal in tolerance induction and direct the differentiation of T cells. We aimed to identify changes in intestinal DCs that may underlie the dysregulated immune response to enteric bacteria that occurs in patients with inflammatory bowel disease (IBD). METHODS: DCs were identified in freshly isolated lamina propria mononuclear cells by multicolor flow cytometry in patients with IBD and controls. Expression of TLR2, TLR4, and the activation/maturation marker CD40 was assessed by cell surface labeling. Production of cytokines (interleukin [IL]-12, IL-6, and IL-10) was assessed in the absence of exogenous stimulation by intracellular staining of permeabilized cells. RESULTS: In healthy controls, few intestinal DCs expressed TLR2 or TLR4, in contrast to blood DCs. DC expression of both TLRs was significantly enhanced in Crohn's disease and ulcerative colitis. DCs from inflamed tissue of patients with Crohn's disease expressed significantly higher levels of the maturation/activation marker CD40. Elevated levels of CD40 on DCs were decreased after treating patients with anti-tumor necrosis factor alpha. In Crohn's disease, but not ulcerative colitis, more colonic DCs produced IL-12 and IL-6. The number of IL-10-producing DCs did not differ significantly between patients with IBD and controls. CONCLUSIONS: In IBD, DCs are activated, their expression of microbial recognition receptors is up-regulated, and more DCs produce pathologically relevant cytokines. Intestinal DCs are likely to be key initiators or perpetuators of the inflammatory response that characterizes IBD. FAU - Hart, Ailsa L AU - Hart AL AD - Antigen Presentation Research Group, Imperial College London, England. FAU - Al-Hassi, Hafid Omar AU - Al-Hassi HO FAU - Rigby, Rachael J AU - Rigby RJ FAU - Bell, Sally J AU - Bell SJ FAU - Emmanuel, Anton V AU - Emmanuel AV FAU - Knight, Stella C AU - Knight SC FAU - Kamm, Michael A AU - Kamm MA FAU - Stagg, Andrew J AU - Stagg AJ LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Biomarkers) RN - 0 (CD40 Antigens) RN - 0 (Interleukin-6) RN - 0 (Membrane Glycoproteins) RN - 0 (Receptors, Cell Surface) RN - 0 (TLR2 protein, human) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 2) RN - 0 (Toll-Like Receptor 4) RN - 0 (Toll-Like Receptors) RN - 130068-27-8 (Interleukin-10) RN - 187348-17-0 (Interleukin-12) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers MH - CD40 Antigens/metabolism MH - Colon/cytology/*immunology MH - Crohn Disease/*immunology/*pathology MH - Dendritic Cells/*immunology/metabolism MH - Female MH - Flow Cytometry MH - Humans MH - Interleukin-10/metabolism MH - Interleukin-12/metabolism MH - Interleukin-6/metabolism MH - Male MH - Membrane Glycoproteins/metabolism MH - Middle Aged MH - Receptors, Cell Surface/metabolism MH - Toll-Like Receptor 2 MH - Toll-Like Receptor 4 MH - Toll-Like Receptors EDAT- 2005/07/14 09:00 MHDA- 2005/09/30 09:00 CRDT- 2005/07/14 09:00 PHST- 2005/07/14 09:00 [pubmed] PHST- 2005/09/30 09:00 [medline] PHST- 2005/07/14 09:00 [entrez] AID - S0016508505008838 [pii] AID - 10.1053/j.gastro.2005.05.013 [doi] PST - ppublish SO - Gastroenterology. 2005 Jul;129(1):50-65. doi: 10.1053/j.gastro.2005.05.013.