PMID- 23439322 OWN - NLM STAT- MEDLINE DCOM- 20140716 LR - 20231213 IS - 1476-5497 (Electronic) IS - 0307-0565 (Linking) VI - 37 IP - 11 DP - 2013 Nov TI - Changes in human dendritic cell number and function in severe obesity may contribute to increased susceptibility to viral infection. PG - 1510-3 LID - 10.1038/ijo.2013.16 [doi] AB - Dendritic cells (DCs) are key immune sentinels linking the innate and adaptive immune systems. DCs recognise danger signals and initiate T-cell tolerance, memory and polarisation. They are critical cells in responding to a viral illness. Obese individuals have been shown to have an impaired response to vaccinations against virally mediated conditions and to have an increased susceptibility to multi-organ failure in response to viral illness. We investigated if DCs are altered in an obese cohort (mean body mass index 51.7+/-7.3 kg m(-2)), ultimately resulting in differential T-cell responses. Circulating DCs were found to be significantly decreased in the obese compared with the lean cohort (0.82% vs 2.53%). Following Toll-like receptor stimulation, compared with lean controls, DCs generated from the obese cohort upregulated significantly less CD83 (40% vs 17% mean fluorescence intensity), a molecule implicated in the elicitation of T-cell responses, particularly viral responses. Obese DCs produced twofold more of the immunosuppressive cytokine interleukin (IL)-10 than lean controls, and in turn stimulated fourfold more IL-4-production from allogenic naive T cells. We conclude that obesity negatively impacts the ability of DCs to mature and elicit appropriate T-cell responses to a general stimulus. This may contribute to the increased susceptibility to viral infection observed in severe obesity. FAU - O'Shea, D AU - O'Shea D AD - 1] Obesity Immunology Group, Education and Research Centre, St Vincent's University Hospital, University College Dublin, Dublin, Ireland [2] Department of Endocrinology, St Columcille's Hospital, Health Service Executive, Loughlinstown, Dublin, Ireland. FAU - Corrigan, M AU - Corrigan M FAU - Dunne, M R AU - Dunne MR FAU - Jackson, R AU - Jackson R FAU - Woods, C AU - Woods C FAU - Gaoatswe, G AU - Gaoatswe G FAU - Moynagh, P N AU - Moynagh PN FAU - O'Connell, J AU - O'Connell J FAU - Hogan, A E AU - Hogan AE LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130226 PL - England TA - Int J Obes (Lond) JT - International journal of obesity (2005) JID - 101256108 RN - 0 (Antigens, CD) RN - 0 (Hepatitis B Antibodies) RN - 0 (Hepatitis B Vaccines) RN - 0 (Immunoglobulins) RN - 0 (Membrane Glycoproteins) RN - 0 (Tetanus Toxoid) SB - IM MH - Adult MH - Antigens, CD/*metabolism MH - Dendritic Cells/*immunology MH - Disease Susceptibility MH - Female MH - Flow Cytometry MH - Hepatitis B Antibodies/blood MH - Hepatitis B Vaccines/immunology MH - Humans MH - Immunity, Innate/*genetics MH - Immunoglobulins/*metabolism MH - Male MH - Membrane Glycoproteins/*metabolism MH - Obesity, Morbid/complications/*immunology MH - T-Lymphocytes/*immunology MH - Tetanus Toxoid/immunology MH - CD83 Antigen EDAT- 2013/02/27 06:00 MHDA- 2014/07/17 06:00 CRDT- 2013/02/27 06:00 PHST- 2012/08/20 00:00 [received] PHST- 2013/01/04 00:00 [revised] PHST- 2013/01/09 00:00 [accepted] PHST- 2013/02/27 06:00 [entrez] PHST- 2013/02/27 06:00 [pubmed] PHST- 2014/07/17 06:00 [medline] AID - ijo201316 [pii] AID - 10.1038/ijo.2013.16 [doi] PST - ppublish SO - Int J Obes (Lond). 2013 Nov;37(11):1510-3. doi: 10.1038/ijo.2013.16. Epub 2013 Feb 26.