PMID- 18323745 OWN - NLM STAT- MEDLINE DCOM- 20081118 LR - 20080919 IS - 1540-0514 (Electronic) IS - 1073-2322 (Linking) VI - 30 IP - 4 DP - 2008 Oct TI - Altered gene expression patterns in dendritic cells after severe trauma: implications for systemic inflammation and organ injury. PG - 344-51 LID - 10.1097/SHK.0b013e3181673eb4 [doi] AB - Dendritic cells (DCs) are professional antigen-presenting cells and members of the adoptive immunity. In addition, they play an important role in innate immunity within the systemic inflammatory response to trauma and sepsis. In this study, gene expression patterns of DC in patients with multiple trauma were studied. Total RNA was isolated from highly purified DCs (purity>95%) that were enriched from peripheral blood mononuclear cells and whole blood, respectively. Samples were obtained from 10 multiple trauma patients (injury severity score, 35.4+/-10.6 on day of admission) and 5 healthy volunteers (control). Aliquots of target cDNAs and reference samples (cDNA derived from the monocytic cell line SIGM5) were cohybridized on a thematic medium-density microarray assessing 780 inflammation-related transcripts. Twenty transcripts were up-regulated in DCs of multiple trauma patients compared with healthy volunteers, whereas these differences were missed when RNA from whole blood was subjected to transcriptomic profiling. This cluster included central effector molecules of DC such as transcripts encoding for 5-lipoxygenase and the corresponding leukotriene 4 receptor, which regulate DC migration, adoptive immune responses, and airway inflammation, as well as CD74, CXCL4, or platelet factor 4, a chemokine not implicated as a product of DCs to date. In addition, genes involved in antiapoptosis (BCL2), intracellular signal transduction (mitogen-activated protein kinase), and secretion of mediators (VAMP2) were found to be up-regulated. The up-regulated transcripts suggest that life span and signaling function of DCs are altered by trauma. Furthermore, these data confirm and expand the central role of chemokines and lipid mediators as effector molecules of DC-mediated immune responses in systemic inflammation associated with severe trauma. FAU - Maier, Marcus AU - Maier M AD - Department of Trauma Surgery, Hospital of the J.W. Goethe-University, Frankfurt, Germany. Marcus.Maier@kgu.de FAU - Wutzler, Sebastian AU - Wutzler S FAU - Bauer, Michael AU - Bauer M FAU - Trendafilov, Petar AU - Trendafilov P FAU - Henrich, Dirk AU - Henrich D FAU - Marzi, Ingo AU - Marzi I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Shock JT - Shock (Augusta, Ga.) JID - 9421564 RN - 0 (Immunosuppressive Agents) RN - 0 (MicroRNAs) SB - IM MH - Adult MH - Cell Movement MH - Dendritic Cells/*cytology/*metabolism MH - Female MH - Gene Expression Profiling MH - *Gene Expression Regulation MH - Humans MH - Immunosuppressive Agents/pharmacology MH - *Inflammation MH - Leukocytes, Mononuclear/cytology MH - Male MH - MicroRNAs/metabolism MH - Models, Biological MH - Oligonucleotide Array Sequence Analysis MH - Transcription, Genetic EDAT- 2008/03/08 09:00 MHDA- 2008/11/19 09:00 CRDT- 2008/03/08 09:00 PHST- 2008/03/08 09:00 [pubmed] PHST- 2008/11/19 09:00 [medline] PHST- 2008/03/08 09:00 [entrez] AID - 10.1097/SHK.0b013e3181673eb4 [doi] PST - ppublish SO - Shock. 2008 Oct;30(4):344-51. doi: 10.1097/SHK.0b013e3181673eb4.