PMID- 16584112 OWN - NLM STAT- MEDLINE DCOM- 20090318 LR - 20151119 IS - 1740-2522 (Print) IS - 1740-2530 (Electronic) IS - 1740-2522 (Linking) VI - 12 IP - 4 DP - 2005 Dec TI - Inhibition of progenitor dendritic cell maturation by plasma from patients with peripartum cardiomyopathy: role in pregnancy-associated heart disease. PG - 265-73 AB - Dendritic cells (DCs) play dual roles in innate and adaptive immunity based on their functional maturity, and both innate and adaptive immune responses have been implicated in myocardial tissue remodeling associated with cardiomyopathies. Peripartum cardiomyopathy (PPCM) is a rare disorder which affects women within one month antepartum to five months postpartum. A high occurrence of PPCM in central Haiti (1 in 300 live births) provided the unique opportunity to study the relationship of immune activation and DC maturation to the etiology of this disorder. Plasma samples from two groups (n = 12) of age- and parity-matched Haitian women with or without evidence of PPCM were tested for levels of biomarkers of cardiac tissue remodeling and immune activation. Significantly elevated levels of GM-CSF, endothelin-1, proBNP and CRP and decreased levels of TGF-beta were measured in PPCM subjects relative to controls. Yet despite these findings, in vitro maturation of normal human cord blood derived progenitor dendritic cells (CBDCs) was significantly reduced (p < 0.001) in the presence of plasma from PPCM patients relative to plasma from post-partum control subjects as determined by expression of CD80, CD86, CD83, CCR7, MHC class II and the ability of these matured CBDCs to induce allo-responses in PBMCs. These results represent the first findings linking inhibition of DC maturation to the dysregulation of normal physiologic cardiac tissue remodeling during pregnancy and the pathogenesis of PPCM. FAU - Ellis, Jane E AU - Ellis JE AD - Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Ansari, Aftab A AU - Ansari AA FAU - Fett, James D AU - Fett JD FAU - Carraway, Robert D AU - Carraway RD FAU - Randall, Hugh W AU - Randall HW FAU - Mosunjac, Mario I AU - Mosunjac MI FAU - Sundstrom, J Bruce AU - Sundstrom JB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Egypt TA - Clin Dev Immunol JT - Clinical & developmental immunology JID - 101183692 RN - 0 (Antibodies) RN - 0 (Biomarkers) RN - 0 (Growth Inhibitors) SB - IM MH - Adolescent MH - Adult MH - Antibodies/blood MH - Biomarkers/blood MH - Cardiomyopathies/*immunology/physiopathology MH - Cell Differentiation/*immunology MH - Dendritic Cells/*cytology/*immunology MH - Female MH - Growth Inhibitors/blood/*physiology MH - Humans MH - Plasma/*physiology MH - Pregnancy/*immunology MH - Stem Cells/cytology/immunology PMC - PMC2270740 EDAT- 2006/04/06 09:00 MHDA- 2009/03/19 09:00 PMCR- 2005/12/01 CRDT- 2006/04/06 09:00 PHST- 2006/04/06 09:00 [pubmed] PHST- 2009/03/19 09:00 [medline] PHST- 2006/04/06 09:00 [entrez] PHST- 2005/12/01 00:00 [pmc-release] AID - Q1U582T307U73373 [pii] AID - 10.1080/17402520500304352 [doi] PST - ppublish SO - Clin Dev Immunol. 2005 Dec;12(4):265-73. doi: 10.1080/17402520500304352.