PMID- 21677425 OWN - NLM STAT- MEDLINE DCOM- 20120614 LR - 20151119 IS - 1423-0356 (Electronic) IS - 0025-7931 (Linking) VI - 83 IP - 3 DP - 2012 TI - Altered phenotype of blood dendritic cells in patients with acute pneumonia. PG - 209-17 LID - 10.1159/000328406 [doi] AB - BACKGROUND: Dendritic cells (DCs) play a key role in the host defence against inhaled pathogens. However, the phenotype of blood DCs in patients with acute respiratory infections is unknown. OBJECTIVE: To investigate the number and the expression of function-associated molecules of blood DCs in patients with acute infectious pneumonia. METHODS: Sixteen patients with acute pneumonia and 19 controls without pneumonia were included in the study. The number as well as the expression of function-associated molecules of myeloid DCs (mDCs) and plasmacytoid DCs (pDCs) were analysed in peripheral blood using four-colour flow cytometry. RESULTS: Elevated concentrations of procalcitonin (median: 0.55 ng/ml) and the rapid response to antibiotic treatment suggested a bacterial origin of the pneumonia in the patients. Total mDC (median: 27% of the controls) and pDC counts (median: 53% of the controls) were markedly reduced in patients with pneumonia, as compared to the controls. Percentages of blood mDCs, but not pDCs, were negatively correlated with serum concentrations of C-reactive protein. Patients with pneumonia were characterised by a significantly increased expression of Fc gamma receptors (CD32 and CD64) on mDCs and the Toll-like receptor 9 (TLR9) on pDCs. CONCLUSIONS: Circulating DCs are markedly reduced in patients with pneumonia, and characterised by an up-regulation of molecules recognising pathogen-associated molecular patterns and opsonised antigens. CI - Copyright (c) 2011 S. Karger AG, Basel. FAU - Dreschler, Katharina AU - Dreschler K AD - Department of Pneumology, University of Rostock, Rostock, Germany. FAU - Bratke, Kai AU - Bratke K FAU - Petermann, Sebastian AU - Petermann S FAU - Thamm, Petra AU - Thamm P FAU - Kuepper, Michael AU - Kuepper M FAU - Virchow, J Christian AU - Virchow JC FAU - Lommatzsch, Marek AU - Lommatzsch M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110616 PL - Switzerland TA - Respiration JT - Respiration; international review of thoracic diseases JID - 0137356 RN - 0 (Biomarkers) RN - 670-65-5 (Neopterin) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Case-Control Studies MH - Dendritic Cells/*pathology MH - Female MH - Humans MH - Interferon-gamma/blood MH - Male MH - Middle Aged MH - Neopterin/blood MH - Phenotype MH - Pilot Projects MH - Pneumonia/blood/*immunology MH - Young Adult EDAT- 2011/06/17 06:00 MHDA- 2012/06/15 06:00 CRDT- 2011/06/17 06:00 PHST- 2010/10/28 00:00 [received] PHST- 2011/03/29 00:00 [accepted] PHST- 2011/06/17 06:00 [entrez] PHST- 2011/06/17 06:00 [pubmed] PHST- 2012/06/15 06:00 [medline] AID - 000328406 [pii] AID - 10.1159/000328406 [doi] PST - ppublish SO - Respiration. 2012;83(3):209-17. doi: 10.1159/000328406. Epub 2011 Jun 16.