PMID- 21360015 OWN - NLM STAT- MEDLINE DCOM- 20111206 LR - 20220408 IS - 1437-7799 (Electronic) IS - 1342-1751 (Linking) VI - 15 IP - 4 DP - 2011 Aug TI - Altered monocyte-derived dendritic cell function in patients on hemodialysis: a culprit for underlying impaired immune responses. PG - 546-53 LID - 10.1007/s10157-011-0424-2 [doi] AB - BACKGROUND: Patients with end-stage renal disease (ESRD) are known to have impaired immune function. Dendritic cells (DCs) are the major antigen-presenting cells that initiate primary immune responses, linking innate and adaptive immunity. Although suboptimal immune responses to vaccination, as frequently observed in ESRD patients, might suggest the presence of impaired DC function, the precise nature of altered DC function is not fully understood. METHODS: In the current study, we compared the maturation status, viability, and function of monocyte-derived DCs (moDCs) of patients on hemodialysis (HD) with healthy controls. RESULTS: Surface expression of major histocompatibility complex class II, CD83, and CD86, and chemokine receptor CCR7 in moDCs was not different between HD patients and healthy controls. No significant difference was detected in the viability of moDCs determined by expression of annexin V and propidium iodide between two groups. However, moDCs from HD patients produced significantly higher amounts of IL-6 when stimulated by cytokine cocktails compared to healthy controls. In addition, mature moDCs from HD patients showed significantly enhanced allogeneic T-cell proliferation compared to healthy controls. CONCLUSIONS: Our data demonstrate aberrant DC function in HD patients and suggest that this might contribute to impaired immune responses. FAU - Choi, Hye Min AU - Choi HM AD - Division of Nephrology, Department of Internal Medicine, Korea University Medical College, Seoul, Korea. FAU - Woo, Young Seok AU - Woo YS FAU - Kim, Myung Gyu AU - Kim MG FAU - Jo, Sang-Kyung AU - Jo SK FAU - Cho, Won Yong AU - Cho WY FAU - Kim, Hyoung Kyu AU - Kim HK LA - eng PT - Journal Article DEP - 20110301 PL - Japan TA - Clin Exp Nephrol JT - Clinical and experimental nephrology JID - 9709923 RN - 0 (Cytokines) RN - 0 (Interleukin-6) SB - IM MH - Adult MH - Cell Differentiation MH - Cell Proliferation MH - Cell Survival MH - Cytokines MH - Dendritic Cells/*immunology MH - Humans MH - Interleukin-6/biosynthesis MH - Kidney Failure, Chronic/*immunology/physiopathology/therapy MH - Middle Aged MH - Monocytes/*immunology MH - Renal Dialysis/*adverse effects MH - T-Lymphocytes/cytology EDAT- 2011/03/02 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/03/02 06:00 PHST- 2010/10/03 00:00 [received] PHST- 2011/02/07 00:00 [accepted] PHST- 2011/03/02 06:00 [entrez] PHST- 2011/03/02 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - 10.1007/s10157-011-0424-2 [doi] PST - ppublish SO - Clin Exp Nephrol. 2011 Aug;15(4):546-53. doi: 10.1007/s10157-011-0424-2. Epub 2011 Mar 1.