PMID- 18835391 OWN - NLM STAT- MEDLINE DCOM- 20090106 LR - 20240430 IS - 1528-0012 (Electronic) IS - 0016-5085 (Linking) VI - 135 IP - 6 DP - 2008 Dec TI - Myeloid dendritic cells of patients with chronic HCV infection induce proliferation of regulatory T lymphocytes. PG - 2119-27 LID - 10.1053/j.gastro.2008.07.082 [doi] AB - BACKGROUND & AIMS: Dendritic cells (DCs) initiate and sustain an efficient T-lymphocyte response. Chronic hepatitis C virus (HCV) infection is associated with inefficient T-cell functions that fail to eradicate the virus, so defects in DC function might be involved in HCV pathogenesis. This study analyzed the activities of myeloid DCs and distinct CD4(+) T-cell populations in samples collected from patients with HCV. METHODS: The abilities of primary BDCA1(+) or monocyte-derived DCs from HCV patients (HCV-DC) to stimulate CD4(+), CD4(+)CD25(-), or different ratios of CD4(+)CD25(+)/CD4(+)CD25(-) T cells were evaluated in mixed lymphocyte reactions. T-cell proliferation and phenotype were evaluated by flow cytometry; cytokine production was evaluated by enzyme-linked immunosorbent assay and marker expression by polymerase chain reaction analyses. RESULTS: HCV-DCs were poor activators of CD4(+) T cells; this defect was reversed by addition of interleukin-2, neutralization of interleukin-10, or elimination of CD4(+)CD25(+) T cells. HCV-DC stimulated proliferation of regulatory T cells (Tregs; CD4(+)CD25(+)FoxP3(+)), which limit proliferation of HCV-specific T lymphocytes. We observed an increased frequency of CD4(+)CD25(+) T cells in peripheral blood of HCV patients and that HCV-DC overexpressed a number of alternative costimulatory molecules, including PD-L1. Finally, HCV-DC stimulated expansion rather than de novo induction of FoxP3(+) Tregs. CONCLUSIONS: Our results indicate a role for myeloid DC in expansion of Tregs to promote chronic infection of patients with HCV. FAU - Dolganiuc, Angela AU - Dolganiuc A AD - University of Massachusetts Medical School, Department of Medicine, Worcester, Massachusetts 01605-2324, USA. FAU - Paek, Edward AU - Paek E FAU - Kodys, Karen AU - Kodys K FAU - Thomas, Joanne AU - Thomas J FAU - Szabo, Gyongyi AU - Szabo G LA - eng GR - R01 AA014372/AA/NIAAA NIH HHS/United States GR - DK32520/DK/NIDDK NIH HHS/United States GR - 5P30 AI42845/AI/NIAID NIH HHS/United States GR - AA014372/AA/NIAAA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20080807 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Cytokines) RN - 63231-63-0 (RNA) SB - IM MH - Cell Proliferation MH - Cytokines/biosynthesis/genetics MH - Dendritic Cells/*immunology/pathology MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Flow Cytometry MH - Gene Expression MH - Hepatitis C, Chronic/*immunology/metabolism/pathology MH - Humans MH - Myeloid Cells/*immunology/pathology MH - RNA/genetics MH - T-Lymphocytes, Regulatory/immunology/*pathology EDAT- 2008/10/07 09:00 MHDA- 2009/01/07 09:00 CRDT- 2008/10/07 09:00 PHST- 2007/09/25 00:00 [received] PHST- 2008/07/22 00:00 [revised] PHST- 2008/07/31 00:00 [accepted] PHST- 2008/10/07 09:00 [entrez] PHST- 2008/10/07 09:00 [pubmed] PHST- 2009/01/07 09:00 [medline] AID - S0016-5085(08)01454-6 [pii] AID - 10.1053/j.gastro.2008.07.082 [doi] PST - ppublish SO - Gastroenterology. 2008 Dec;135(6):2119-27. doi: 10.1053/j.gastro.2008.07.082. Epub 2008 Aug 7.