PMID- 22787171 OWN - NLM STAT- MEDLINE DCOM- 20130417 LR - 20211021 IS - 1935-5548 (Electronic) IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 35 IP - 11 DP - 2012 Nov TI - Altered phenotype of peripheral blood dendritic cells in pediatric type 1 diabetes. PG - 2303-10 LID - 10.2337/dc11-2460 [doi] AB - OBJECTIVE: Dendritic cells (DCs) are largely responsible for the activation and fine-tuning of T-cell responses. Altered numbers of blood DCs have been reported in type 1 diabetes (T1D). We aimed at characterizing the less well-known phenotypic properties of DCs in T1D. RESEARCH DESIGN AND METHODS: In a case-control setting, samples from a total of 90 children were studied by flow cytometry or by quantitative real-time PCR (qPCR). RESULTS: We found decreased numbers of myeloid DCs (mDCs) (8.97 vs. 13.4 cells/muL, P = 0.009, n = 31) and plasmacytoid DCs (pDCs) (9.47 vs. 14.6 cells/muL, P = 0.018, n = 30) in recent-onset T1D. Using a panel of antibodies against functionally important DC markers, we detected a decreased expression of CC chemokine receptor 2 (CCR2) on mDCs (percentage above negative control, P = 0.002, n = 29) and pDCs (median intensity, P = 0.003, n = 30) from T1D patients. In an independent series of children, the reduced expression of CCR2 was confirmed by qPCR in isolated mDCs (P = 0.043, n = 20). Serum concentrations of CCR2 ligands monocyte chemotactic protein-1 and -3 did not differ between the groups. A trend for an enhanced responsiveness of the nuclear factor-kappaB pathway (P = 0.063, n = 39) was seen in mDCs from children with beta-cell autoantibodies, which is possibly related to the reduced CCR2 expression, since CCR2 on mDCs was downregulated by nuclear factor-kappaB-activating agents. CONCLUSIONS: Given the role of CCR2 in DC chemotaxis and in DC-elicited Th1 differentiation, our results may indicate a functionally important DC abnormality in T1D affecting the initiation and quality of immune responses. FAU - Nieminen, Janne K AU - Nieminen JK AD - Immune Response Unit, Department of Vaccination and Immune Protection, National Institute for Health and Welfare, Helsinki, Finland. janne.nieminen@thl.fi FAU - Vakkila, Jukka AU - Vakkila J FAU - Salo, Harri M AU - Salo HM FAU - Ekstrom, Nina AU - Ekstrom N FAU - Harkonen, Taina AU - Harkonen T FAU - Ilonen, Jorma AU - Ilonen J FAU - Knip, Mikael AU - Knip M FAU - Vaarala, Outi AU - Vaarala O LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120711 PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 SB - IM MH - Chemotaxis/genetics/physiology MH - Child MH - Child, Preschool MH - Dendritic Cells/*cytology/*immunology/metabolism MH - Diabetes Mellitus, Type 1/genetics/*immunology MH - Female MH - Humans MH - Male MH - Myeloid Cells/cytology/immunology/metabolism MH - Real-Time Polymerase Chain Reaction PMC - PMC3476907 EDAT- 2012/07/13 06:00 MHDA- 2013/04/18 06:00 PMCR- 2013/11/01 CRDT- 2012/07/13 06:00 PHST- 2012/07/13 06:00 [entrez] PHST- 2012/07/13 06:00 [pubmed] PHST- 2013/04/18 06:00 [medline] PHST- 2013/11/01 00:00 [pmc-release] AID - dc11-2460 [pii] AID - 2460 [pii] AID - 10.2337/dc11-2460 [doi] PST - ppublish SO - Diabetes Care. 2012 Nov;35(11):2303-10. doi: 10.2337/dc11-2460. Epub 2012 Jul 11.