PMID- 24194771 OWN - NLM STAT- MEDLINE DCOM- 20140609 LR - 20220318 IS - 1740-2530 (Electronic) IS - 1740-2522 (Print) IS - 1740-2522 (Linking) VI - 2013 DP - 2013 TI - Combination with methotrexate and cyclophosphamide attenuated maturation of dendritic cells: inducing Treg skewing and Th17 suppression in vivo. PG - 238035 LID - 10.1155/2013/238035 [doi] LID - 238035 AB - Immune disorder is considered the main pathogenesis of autoimmune diseases, such as rheumatoid arthritis (RA). The balance of the two special subsets of CD4(+)T cells, T helper cell 17 (Th17), and Regulator T cell (Treg) is the key factor of maintaining a normal immune response. Dendritic cells (DCs), which are the most powerful antigen-presenting cells, play an important role in regulating the balance of Th17 and Treg. The combination of disease modifying antirheumatic drugs (DMARDs) is an important strategy of RA therapy. In this study, we investigated the effect of MTX and CTX on DC maturation in ovalbumin (OVA) immunized mice. Th17 inflammatory response is stronger, while the level of DCs maturity is higher. In contrast, the immunosuppression of Treg is stronger. We found that MTX combined with CTX significantly inhibited the DCs maturity and downregulated the antigen presenting capacity of DCs. As a result, it reestablished a balance of Th17 and Treg. Our study adds a novel mechanism and therapeutic target of MTX combined with CTX for autoimmune disease treatment. FAU - Yu, Xiaoyang AU - Yu X AD - Department of Rheumatology, The Second Hospital of Shanxi Medical University, 382 Wu Yi Road, Taiyuan 030001, China. FAU - Wang, Caihong AU - Wang C FAU - Luo, Jing AU - Luo J FAU - Zhao, Xiangcong AU - Zhao X FAU - Wang, Lixing AU - Wang L FAU - Li, Xiaofeng AU - Li X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130930 PL - Egypt TA - Clin Dev Immunol JT - Clinical & developmental immunology JID - 101183692 RN - 0 (Antigens, Surface) RN - 8N3DW7272P (Cyclophosphamide) RN - 9006-59-1 (Ovalbumin) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Animals MH - Antigens, Surface/metabolism MH - Cell Differentiation/*drug effects MH - Cyclophosphamide/*pharmacology MH - Dendritic Cells/*cytology/*drug effects/immunology/metabolism MH - Immunophenotyping MH - Lymphocyte Activation MH - Lymphocyte Culture Test, Mixed MH - Male MH - Methotrexate/*pharmacology MH - Mice MH - Ovalbumin/immunology MH - Phenotype MH - T-Lymphocytes, Regulatory/drug effects/immunology/metabolism MH - Th17 Cells/drug effects/immunology/metabolism PMC - PMC3806152 EDAT- 2013/11/07 06:00 MHDA- 2014/06/10 06:00 PMCR- 2013/09/30 CRDT- 2013/11/07 06:00 PHST- 2013/05/05 00:00 [received] PHST- 2013/08/01 00:00 [revised] PHST- 2013/08/15 00:00 [accepted] PHST- 2013/11/07 06:00 [entrez] PHST- 2013/11/07 06:00 [pubmed] PHST- 2014/06/10 06:00 [medline] PHST- 2013/09/30 00:00 [pmc-release] AID - 10.1155/2013/238035 [doi] PST - ppublish SO - Clin Dev Immunol. 2013;2013:238035. doi: 10.1155/2013/238035. Epub 2013 Sep 30.