PMID- 19281567 OWN - NLM STAT- MEDLINE DCOM- 20090413 LR - 20220317 IS - 1574-695X (Electronic) IS - 0928-8244 (Linking) VI - 55 IP - 2 DP - 2009 Mar TI - In vitro neutralization of tumor necrosis factor-alpha during Chlamydia pneumoniae infection impairs dendritic cells maturation/function and increases chlamydial progeny. PG - 215-25 LID - 10.1111/j.1574-695X.2008.00512.x [doi] AB - Dendritic cells (DCs) produce tumor necrosis factor (TNF)-alpha upon infection and contribute in various ways to defense against pathogenic agents. Several biological agents have been designed to inhibit TNF-alpha activity. However, the use of these inhibitors has been associated with an increased rate of certain opportunistic infections. To study the effect of TNF-alpha inhibition, human monocyte-derived DCs were infected with Chlamydia pneumoniae. TNF-alpha was neutralized by adalimumab, a human anti-TNF-alpha monoclonal antibody. Chlamydiae induced the maturation of DC as determined by flow cytometry and quantitative real-time PCR. However, DC maturation was impaired in the presence of adalimumab. Moreover, neutralization of TNF-alpha resulted in a significant increase of infectious progeny, 16S rRNA gene copy number and development of larger inclusions consisting of different stages of chlamydial development. Additionally, chlamydial infection induced secretion of cytokines/chemokines, which were downregulated by adalimumab treatment. Our data reveal an indirect effect on maturation of DC by C. pneumoniae and that maturation is crucial for the restriction of chlamydial development. The results also demonstrate an increase in infectious progeny after TNF-alpha inhibition, suggesting a contribution of TNF-alpha produced by DCs to chlamydial growth arrest. These data suggest a possible mechanism by which TNF-alpha inhibition enhances the risk of intracellular infections. FAU - Njau, Florence AU - Njau F AD - Department of Nephrology, Hannover Medical School, Germany. fnjau@yahoo.com FAU - Wittkop, Ulrike AU - Wittkop U FAU - Rohde, Manfred AU - Rohde M FAU - Haller, Hermann AU - Haller H FAU - Klos, Andreas AU - Klos A FAU - Wagner, Annette Doris AU - Wagner AD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - FEMS Immunol Med Microbiol JT - FEMS immunology and medical microbiology JID - 9315554 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antigens, CD) RN - 0 (Cytokines) RN - 0 (Immunologic Factors) RN - 0 (Tumor Necrosis Factor-alpha) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab MH - Antibodies, Monoclonal/pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antigens, CD/analysis MH - Cells, Cultured MH - Chlamydophila pneumoniae/*growth & development/*immunology MH - Colony Count, Microbial/methods MH - Cytokines/biosynthesis MH - Cytoplasm/microbiology MH - Dendritic Cells/chemistry/*immunology/*microbiology MH - Flow Cytometry MH - Humans MH - Immunologic Factors/pharmacology MH - Inclusion Bodies/microbiology MH - Microscopy, Electron, Transmission MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/*immunology EDAT- 2009/03/14 09:00 MHDA- 2009/04/14 09:00 CRDT- 2009/03/14 09:00 PHST- 2009/03/14 09:00 [entrez] PHST- 2009/03/14 09:00 [pubmed] PHST- 2009/04/14 09:00 [medline] AID - FIM512 [pii] AID - 10.1111/j.1574-695X.2008.00512.x [doi] PST - ppublish SO - FEMS Immunol Med Microbiol. 2009 Mar;55(2):215-25. doi: 10.1111/j.1574-695X.2008.00512.x.