PMID- 20825428 OWN - NLM STAT- MEDLINE DCOM- 20111013 LR - 20211020 IS - 1365-2222 (Electronic) IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 41 IP - 1 DP - 2011 Jan TI - Dendritic cell and T cell responses in children with food allergy. PG - 61-71 LID - 10.1111/j.1365-2222.2010.03606.x [doi] AB - BACKGROUND: Food allergy (FA) and eosinophilic oesophagitis (EE) are increasingly common clinical problems. Dendritic cells (DCs) are key regulators of the sensitization and effector phases of allergic immune responses, but their role in these diseases is largely unknown. OBJECTIVE: To evaluate for alterations in the phenotype and function of DCs in children with IgE-mediated milk allergy or EE compared with their non-affected siblings. METHODS: Plasmacytoid DCs (pDCs) and myeloid DCs (mDCs) were prepared from peripheral blood of children with milk allergy (FA), EE, and non-affected siblings (CON). Purified pDCs and mDCs were cultured alone or with autologous CD4(+) lymphocytes. Cytokine levels in plasma, or culture supernatants following stimulation, were measured using multiplex array immunoassay. Cell-surface molecule expression was determined by flow cytometry. RESULTS: DCs from FA subjects produced greater levels of pro-inflammatory cytokines (IL-6, TNF-alpha), granulocyte macrophage-colony forming factor, and mDC-derived IL-10 compared with controls following allergen exposure. T(H) 2 but not T(H) 1 cytokines were spontaneously produced in DC-CD4(+) T cell co-cultures from children with FA and were not significantly increased after stimulation with milk extract, suggesting an ongoing activation in vivo. This hypothesis was further supported by evidence for elevated IL-5 and IL-13 protein in the plasma of children with both FA and EE. The only significant DC phenotypic differences were: (1) reduced levels of CD80 in EE subjects and (2) FcvarepsilonRI expression that correlated with serum IgE levels in both groups of subjects. CONCLUSION: This study suggests that DCs from children with FA and EE produce more pro-inflammatory cytokines, and that their CD4(+) T cells are spontaneously activated to produce T(H) 2 cytokines in the presence of FcvarepsilonRI-bearing DCs. CI - (c) 2010 Blackwell Publishing Ltd. FAU - Frischmeyer-Guerrerio, P A AU - Frischmeyer-Guerrerio PA AD - Department of Pediatrics, Division of Pediatric Allergy and Immunology, Johns Hopkins Children's Center, Baltimore, MD, USA. pfrisch1@jhmi.edu FAU - Guerrerio, A L AU - Guerrerio AL FAU - Chichester, K L AU - Chichester KL FAU - Bieneman, A P AU - Bieneman AP FAU - Hamilton, R A AU - Hamilton RA FAU - Wood, R A AU - Wood RA FAU - Schroeder, J T AU - Schroeder JT LA - eng GR - R21 AI079853/AI/NIAID NIH HHS/United States GR - U19 AI070345/AI/NIAID NIH HHS/United States GR - T32AI007007/AI/NIAID NIH HHS/United States GR - T32 AI007007/AI/NIAID NIH HHS/United States GR - R21 AI079853-02/AI/NIAID NIH HHS/United States GR - U19AI070345-01/AI/NIAID NIH HHS/United States GR - R21 AI079853-01/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20100905 PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Dendritic Cells/*immunology MH - Female MH - Food Hypersensitivity/*immunology MH - Humans MH - Male MH - T-Lymphocytes/*immunology MH - Young Adult PMC - PMC3006008 MID - NIHMS225275 COIS- The authors have no conflicts of interest to report. EDAT- 2010/09/10 06:00 MHDA- 2011/10/14 06:00 PMCR- 2012/01/01 CRDT- 2010/09/10 06:00 PHST- 2010/09/10 06:00 [entrez] PHST- 2010/09/10 06:00 [pubmed] PHST- 2011/10/14 06:00 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - CEA3606 [pii] AID - 10.1111/j.1365-2222.2010.03606.x [doi] PST - ppublish SO - Clin Exp Allergy. 2011 Jan;41(1):61-71. doi: 10.1111/j.1365-2222.2010.03606.x. Epub 2010 Sep 5.