PMID- 17919493 OWN - NLM STAT- MEDLINE DCOM- 20071025 LR - 20081121 IS - 0016-5085 (Print) IS - 0016-5085 (Linking) VI - 133 IP - 4 DP - 2007 Oct TI - Evidence for the role of interferon-alfa production by dendritic cells in the Th1 response in celiac disease. PG - 1175-87 AB - BACKGROUND & AIMS: Dendritic cells (DCs) play a crucial role in immune responses by controlling the extent and type of T-cell response to antigen. Celiac disease is a condition in which T-cell immunity to gluten plays an important pathogenic role, yet information on DCs is scant. We examined mucosal DCs in celiac disease in terms of phenotype, activation/maturation state, cytokine production, and function. METHODS: Mucosal DCs from 48 celiacs and 30 controls were investigated by flow cytometry. In situ distribution of DCs was analyzed by confocal microscopy. Interferon (IFN)-alfa, interleukin (IL)-4, IL-5, IL-12p35, IL-12p40, IL-18, IL-23p19, IL-27, and transforming growth factor-beta transcripts were measured by real-time reverse-transcription polymerase chain reaction in sorted DCs. DC expression of IL-6, IL-12p40, and IL-10 was assessed by intracellular cytokine staining. The effect of IFN-alfa and IL-18 blockade on the gluten-induced IFN-gamma response in celiac biopsy specimens grown ex vivo also was investigated. RESULTS: Mucosal DCs were increased in untreated, but not treated, celiacs. The majority of them were plasmacytoid with higher levels of maturation (CD83) and activation (CD80/CD86) markers. Higher transcripts of Th1 relevant cytokines, such as IFN-alfa, IL-18, and IL-23p19, were produced by celiac DCs, but because IL-12p40 was undetectable, a role for IL-23 is unlikely. Intracellular cytokine staining of celiac DCs showed higher IL-6, but lower IL-10 expression, and confirmed the lack of IL-12p40. Blocking IFN-alfa inhibited IFN-gamma transcripts in ex vivo organ culture of celiac biopsy specimens challenged with gluten. CONCLUSIONS: These data suggest that IFN-alfa-producing DCs contribute to the Th1 response in celiac disease. FAU - Di Sabatino, Antonio AU - Di Sabatino A AD - Centre for Infectious Disease, Institute of Cell and Molecular Science, Barts and the London School of Medicine and Dentistry, London, United Kingdom. FAU - Pickard, Karen M AU - Pickard KM FAU - Gordon, John N AU - Gordon JN FAU - Salvati, Virginia AU - Salvati V FAU - Mazzarella, Giuseppe AU - Mazzarella G FAU - Beattie, Robert M AU - Beattie RM FAU - Vossenkaemper, Anna AU - Vossenkaemper A FAU - Rovedatti, Laura AU - Rovedatti L FAU - Leakey, Nicholas A B AU - Leakey NA FAU - Croft, Nicholas M AU - Croft NM FAU - Troncone, Riccardo AU - Troncone R FAU - Corazza, Gino R AU - Corazza GR FAU - Stagg, Andrew J AU - Stagg AJ FAU - Monteleone, Giovanni AU - Monteleone G FAU - MacDonald, Thomas T AU - MacDonald TT LA - eng PT - Journal Article DEP - 20070814 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Antibodies) RN - 0 (Antigens, CD) RN - 0 (Interferon-alpha) RN - 0 (Interleukins) RN - 0 (Peptide Fragments) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta) RN - 8002-80-0 (Glutens) RN - 82115-62-6 (Interferon-gamma) RN - 9007-90-3 (Gliadin) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 1.14.99.1 (PTGS2 protein, human) SB - IM MH - Antibodies MH - Antigens, CD/analysis MH - Case-Control Studies MH - Celiac Disease/diet therapy/genetics/immunology/*metabolism MH - Cell Differentiation MH - Cell Separation MH - Cells, Cultured MH - Cyclooxygenase 2/analysis MH - Dendritic Cells/immunology/*metabolism MH - Diet, Protein-Restricted MH - Flow Cytometry MH - Gliadin/immunology MH - Glutens/*immunology MH - Humans MH - *Immunity, Cellular MH - *Immunity, Mucosal MH - Interferon-alpha/genetics/immunology/*metabolism MH - Interferon-gamma/genetics/metabolism MH - Interleukins/genetics/metabolism MH - Intestinal Mucosa/enzymology/immunology/*metabolism MH - Microscopy, Confocal MH - Peptide Fragments/immunology MH - Phenotype MH - RNA, Messenger/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Th1 Cells/immunology/*metabolism MH - Tissue Culture Techniques MH - Transforming Growth Factor beta/genetics/metabolism EDAT- 2007/10/09 09:00 MHDA- 2007/10/27 09:00 CRDT- 2007/10/09 09:00 PHST- 2006/07/24 00:00 [received] PHST- 2007/06/14 00:00 [accepted] PHST- 2007/10/09 09:00 [pubmed] PHST- 2007/10/27 09:00 [medline] PHST- 2007/10/09 09:00 [entrez] AID - S0016-5085(07)01475-8 [pii] AID - 10.1053/j.gastro.2007.08.018 [doi] PST - ppublish SO - Gastroenterology. 2007 Oct;133(4):1175-87. doi: 10.1053/j.gastro.2007.08.018. Epub 2007 Aug 14.