PMID- 20618924 OWN - NLM STAT- MEDLINE DCOM- 20110119 LR - 20211020 IS - 1478-6362 (Electronic) IS - 1478-6354 (Print) IS - 1478-6354 (Linking) VI - 12 IP - 4 DP - 2010 TI - Abnormalities in circulating plasmacytoid dendritic cells in patients with systemic lupus erythematosus. PG - R137 LID - 10.1186/ar3075 [doi] AB - INTRODUCTION: Dendritic cells (DCs) are capable of inducing immunity or tolerance. Previous studies have suggested plasmacytoid DCs (pDCs) are pathogenic in systemic lupus erythematosus (SLE). However, the functional characteristics of directly isolated peripheral circulating blood pDCs in SLE have not been evaluated previously. METHODS: Peripheral blood pDCs from 62 healthy subjects and 58 SLE patients were treated with apoptotic cells derived from polymorphonuclear cells (PMNs). Antigen loaded or unloaded pDCs were then co-cultured with autologous or allogenous T cells. Changes in T cell proliferation, cell surface CD25 expression, intracellular Foxp3 expression and cytokine production were evaluated. pDCs that had captured apoptotic PMNs (pDCs + apoPMNs were also studied for their cytokine production (interferon (IFN)-alpha, interleukin (IL)-6, IL-10, IL-18) and toll like receptor (TLR) expression. RESULTS: Circulating pDCs from SLE patients had an increased ability to stimulate T cells when compared with control pDCs. Using allogenous T cells as responder cells, SLE pDCs induced T cell proliferation even in the absence of apoptotic PMNs. In addition, healthy pDCs + apoPMNs induced suppressive T regulatory cell features with increased Foxp3 expression in CD4 + CD25 + cells while SLE pDCs + apoPMNs did not. There were differences in the cytokine profile of pDCs that had captured apoptotic PMNs between healthy subjects and patients with SLE. Healthy pDCs + apoPMNs showed decreased production of IL-6 but no significant changes in IL-10 and IL-18. These pDCs + apoPMNs also showed increased mRNA transcription of TLR9. On the other hand, while SLE pDCs + apoPMNs also had decreased IL-6, there was decreased IL-18 mRNA expression and persistent IL-10 protein synthesis. In addition, SLE pDCs lacked TLR9 recruitment. CONCLUSIONS: We have demonstrated that peripheral circulating pDCs in patients with SLE were functionally abnormal. They lacked TLR9 expression, were less capable of inducing regulatory T cell differentiation and had persistent IL-10 mRNA expression following the capture of apoptotic PMNs. We suggest circulating pDCs may be pathogenically relevant in SLE. FAU - Jin, Ou AU - Jin O AD - Department of Medicine, The University of Hong Kong, Hong Kong, People's Republic of China. jinouwishugood@hotmail.com FAU - Kavikondala, Sushma AU - Kavikondala S FAU - Mok, Mo-Yin AU - Mok MY FAU - Sun, Lingyun AU - Sun L FAU - Gu, Jieruo AU - Gu J FAU - Fu, Rong AU - Fu R FAU - Chan, Albert AU - Chan A FAU - Yeung, Joseph AU - Yeung J FAU - Nie, Yingjie AU - Nie Y FAU - Lau, Chak-Sing AU - Lau CS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100709 PL - England TA - Arthritis Res Ther JT - Arthritis research & therapy JID - 101154438 RN - 0 (Avian Proteins) RN - 0 (Cytokines) RN - 0 (EMF-1 protein, Gallus gallus) RN - 0 (FOXP3 protein, human) RN - 0 (Forkhead Transcription Factors) RN - 0 (IL2RA protein, human) RN - 0 (Interleukin-2 Receptor alpha Subunit) RN - 0 (TLR9 protein, human) RN - 0 (Toll-Like Receptor 9) SB - IM CIN - Nat Rev Rheumatol. 2010 Oct;6(10):553. PMID: 20925148 MH - Adult MH - Avian Proteins/metabolism MH - Cell Division/immunology MH - Cytokines/metabolism MH - Dendritic Cells/*immunology/metabolism/*pathology MH - Female MH - Forkhead Transcription Factors/genetics MH - Gene Expression/immunology MH - Humans MH - Interleukin-2 Receptor alpha Subunit/genetics MH - Lupus Erythematosus, Systemic/*immunology/*pathology MH - Male MH - Middle Aged MH - Reverse Transcriptase Polymerase Chain Reaction MH - T-Lymphocytes, Regulatory/immunology/pathology MH - Toll-Like Receptor 9/genetics/immunology MH - Young Adult PMC - PMC2945027 EDAT- 2010/07/14 06:00 MHDA- 2011/01/20 06:00 PMCR- 2010/07/09 CRDT- 2010/07/13 06:00 PHST- 2009/10/13 00:00 [received] PHST- 2010/05/12 00:00 [revised] PHST- 2010/07/09 00:00 [accepted] PHST- 2010/07/13 06:00 [entrez] PHST- 2010/07/14 06:00 [pubmed] PHST- 2011/01/20 06:00 [medline] PHST- 2010/07/09 00:00 [pmc-release] AID - ar3075 [pii] AID - 10.1186/ar3075 [doi] PST - ppublish SO - Arthritis Res Ther. 2010;12(4):R137. doi: 10.1186/ar3075. Epub 2010 Jul 9.