PMID- 20956804 OWN - NLM STAT- MEDLINE DCOM- 20110223 LR - 20210206 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 117 IP - 2 DP - 2011 Jan 13 TI - Bortezomib suppresses function and survival of plasmacytoid dendritic cells by targeting intracellular trafficking of Toll-like receptors and endoplasmic reticulum homeostasis. PG - 500-9 LID - 10.1182/blood-2010-05-284737 [doi] AB - Dendritic cells (DCs) play a pivotal role in the pathogenesis of inflammatory disorders, so suppressing the activity of DCs is instrumental in treating such diseases. In the present study, we show that a proteasome inhibitor, bortezomib, suppresses the survival and immunostimulatory function of human plasmacytoid DCs (pDCs) by targeting 2 critical points, intracellular trafficking of nucleic acid-sensingToll-like receptors (TLRs) and endoplasmic reticulum (ER) homeostasis. Among the immune cells in blood, pDCs were the most susceptible to the killing effect of bortezomib. This correlates with a decrease in the spliced form of a transcription factor XBP1, which rescues cells from apoptosis by maintaining ER homeostasis. Bortezomib suppressed the production of interferon-alpha and interleukin-6 by pDCs activated with a TLR9-stimulating CpG DNA and a TLR7-stimulating influenza virus, which appears to be partially independent of apoptosis. Bortezomib inhibited translocation of TLR9 from the ER to endolysosomes but not of an ER membrane protein, Unc93B1, that delivers TLR9 to endolysosomes. Thus, bortezomib suppresses the activity of pDCs by inhibiting intracellular trafficking of TLRs through disrupting the coordinated translocation of TLRs and Unc93B1 and by disturbing ER homeostasis. This study suggests that proteasome inhibitors may alleviate inflammatory disorders such as lupus and psoriasis that involve pDCs. FAU - Hirai, Makiko AU - Hirai M AD - Department of Dermatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. FAU - Kadowaki, Norimitsu AU - Kadowaki N FAU - Kitawaki, Toshio AU - Kitawaki T FAU - Fujita, Haruyuki AU - Fujita H FAU - Takaori-Kondo, Akifumi AU - Takaori-Kondo A FAU - Fukui, Ryutaro AU - Fukui R FAU - Miyake, Kensuke AU - Miyake K FAU - Maeda, Takahiro AU - Maeda T FAU - Kamihira, Shimeru AU - Kamihira S FAU - Miyachi, Yoshiki AU - Miyachi Y FAU - Uchiyama, Takashi AU - Uchiyama T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101018 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Boronic Acids) RN - 0 (Cytokines) RN - 0 (DNA-Binding Proteins) RN - 0 (Protease Inhibitors) RN - 0 (Pyrazines) RN - 0 (Regulatory Factor X Transcription Factors) RN - 0 (Toll-Like Receptors) RN - 0 (Transcription Factors) RN - 0 (X-Box Binding Protein 1) RN - 0 (XBP1 protein, human) RN - 69G8BD63PP (Bortezomib) SB - IM CIN - Blood. 2011 Jan 13;117(2):376-7. PMID: 21233320 MH - Apoptosis/drug effects MH - Boronic Acids/*pharmacology MH - Bortezomib MH - Cell Separation MH - Cytokines/biosynthesis MH - DNA-Binding Proteins/drug effects/metabolism MH - Dendritic Cells/*drug effects/immunology/metabolism MH - Endoplasmic Reticulum/*drug effects/metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Flow Cytometry MH - Homeostasis/*drug effects MH - Humans MH - Microscopy, Confocal MH - Protease Inhibitors/*pharmacology MH - Protein Transport/drug effects MH - Pyrazines/*pharmacology MH - Regulatory Factor X Transcription Factors MH - Reverse Transcriptase Polymerase Chain Reaction MH - Toll-Like Receptors/*drug effects/metabolism MH - Transcription Factors/drug effects/metabolism MH - X-Box Binding Protein 1 EDAT- 2010/10/20 06:00 MHDA- 2011/02/24 06:00 CRDT- 2010/10/20 06:00 PHST- 2010/10/20 06:00 [entrez] PHST- 2010/10/20 06:00 [pubmed] PHST- 2011/02/24 06:00 [medline] AID - S0006-4971(20)59198-2 [pii] AID - 10.1182/blood-2010-05-284737 [doi] PST - ppublish SO - Blood. 2011 Jan 13;117(2):500-9. doi: 10.1182/blood-2010-05-284737. Epub 2010 Oct 18.