PMID- 20699442 OWN - NLM STAT- MEDLINE DCOM- 20110106 LR - 20210206 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 116 IP - 23 DP - 2010 Dec 2 TI - Dendritic cells modulate platelet activity in IVIg-mediated amelioration of ITP in mice. PG - 5002-9 LID - 10.1182/blood-2010-03-275123 [doi] AB - Intravenous immunoglobulin (IVIg) is an effective treatment against immune thrombocytopenia (ITP). Previous studies suggested that IVIg exerts this ameliorative role through 2 different leukocyte subsets. Dendritic cells (DCs) modulate the immunosuppression in an adoptive cell transfer model, and phagocytes up-regulate their inhibitory IgG Fc receptors (FcgammaR)IIB expression and thereby ameliorate the inflammatory response and platelet clearance. However, whether or not regulatory mechanisms exist among DCs, phagocytes, and platelets is still largely unknown. In this study we present findings that IVIg-primed splenic CD11c(+) DCs (IVIg-DCs) primarily mediate their anti-inflammatory effects at the level of the platelet rather than the phagocyte. IVIg-DCs did not ameliorate ITP in Fcgr2b(-/-), Fcgr3(-/-), nor P-Selp(-/-) mice, implicating the potential involvement of these pathways in IVIg action. As platelets are a component of DC regulatory circuits, these findings may suggest an alternative perspective for the use of IVIg treatment. FAU - Huang, Hsuan-Shun AU - Huang HS AD - Institute of Medical Sciences, Tzu-Chi University, Hualien, Taiwan, Republic of China. FAU - Sun, Der-Shan AU - Sun DS FAU - Lien, Te-Sheng AU - Lien TS FAU - Chang, Hsin-Hou AU - Chang HH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100810 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Fcgr2b protein, mouse) RN - 0 (Fcgr3 protein, mouse) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Receptors, IgG) RN - 0 (Selenoprotein P) SB - IM CIN - Blood. 2010 Dec 2;116(23):4740-1. PMID: 21127183 MH - Animals MH - Blood Platelets/drug effects/*immunology/metabolism MH - Cell Separation MH - Dendritic Cells/drug effects/*immunology/metabolism MH - Flow Cytometry MH - Immunoglobulins, Intravenous/immunology/*pharmacology MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Purpura, Thrombocytopenic, Idiopathic/drug therapy/*immunology/metabolism MH - Receptors, IgG/immunology/metabolism MH - Selenoprotein P/immunology/metabolism EDAT- 2010/08/12 06:00 MHDA- 2011/01/07 06:00 CRDT- 2010/08/12 06:00 PHST- 2010/08/12 06:00 [entrez] PHST- 2010/08/12 06:00 [pubmed] PHST- 2011/01/07 06:00 [medline] AID - S0006-4971(20)60264-6 [pii] AID - 10.1182/blood-2010-03-275123 [doi] PST - ppublish SO - Blood. 2010 Dec 2;116(23):5002-9. doi: 10.1182/blood-2010-03-275123. Epub 2010 Aug 10.