PMID- 24435103 OWN - NLM STAT- MEDLINE DCOM- 20141031 LR - 20231213 IS - 1423-0356 (Electronic) IS - 0025-7931 (Linking) VI - 87 IP - 3 DP - 2014 TI - Decreased maturation of dendritic cells in the central airways of COPD patients is associated with VEGF, TGF-beta and vascularity. PG - 234-42 LID - 10.1159/000356749 [doi] AB - BACKGROUND: Dendritic cells (DCs) have a pivotal role in the onset and regulation of innate and adaptive immune responses. Moreover, DCs can interact with angiogenic modulators, resulting in modification of their biology and participation in angiogenesis. OBJECTIVES: This study was designed to evaluate the relationship between the density of DCs, vascularity and expression of angiogenic factors [vascular endothelial growth factor (VEGF), transforming growth factor (TGF)-beta and basic fibroblast growth factor (bFGF)] in the central airways of chronic obstructive pulmonary disease (COPD) patients. METHODS: The study included 20 patients with moderate/severe COPD and 8 healthy control subjects. Bronchial biopsies were evaluated by immunohistochemistry. Specimens were examined for CD83 and CD207 to mark mature and immature DCs, respectively, for collagen IV to evaluate vascularity, and for VEGF, TGF-beta and bFGF. RESULTS: Compared to controls, COPD patients had a significant reduction of CD83+ cells and an increased CD207/CD83 ratio (p < 0.05). Vascularity, VEGF, TGF-beta and bFGF were also significantly increased in COPD patients as compared to controls (p < 0.01). In COPD patients, CD83+ cells were inversely related to VEGF and TGF-beta expression (p < 0.05). Moreover, the CD207/CD83 ratio was positively related to VEGF, TGF-beta and vascularity (p < 0.05). Finally, CD207+ cells were inversely related to FEV1 (p < 0.05). CONCLUSION: Our results show a reduced maturation of DCs in COPD that was related to airway vascularity and angiogenic factors (VEGF and TGF-beta). Additionally, immature DCs were significantly related to disease severity. We propose that the interplay between airway vascular changes, on one hand, and DCs maturation on the other, may play a key role in the pathogenetic mechanisms of COPD. CI - (c) 2013 S. Karger AG, Basel. FAU - Zanini, Andrea AU - Zanini A AD - Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy. FAU - Spanevello, Antonio AU - Spanevello A FAU - Baraldo, Simonetta AU - Baraldo S FAU - Majori, Maria AU - Majori M FAU - Della Patrona, Sabrina AU - Della Patrona S FAU - Gumiero, Federico AU - Gumiero F FAU - Aiello, Marina AU - Aiello M FAU - Olivieri, Dario AU - Olivieri D FAU - Saetta, Marina AU - Saetta M FAU - Chetta, Alfredo AU - Chetta A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140114 PL - Switzerland TA - Respiration JT - Respiration; international review of thoracic diseases JID - 0137356 RN - 0 (Antigens, CD) RN - 0 (CD207 protein, human) RN - 0 (Immunoglobulins) RN - 0 (Lectins, C-Type) RN - 0 (Mannose-Binding Lectins) RN - 0 (Membrane Glycoproteins) RN - 0 (Transforming Growth Factor beta) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 103107-01-3 (Fibroblast Growth Factor 2) SB - IM MH - Aged MH - Aged, 80 and over MH - Antigens, CD/*metabolism MH - Bronchi/immunology/*metabolism MH - Case-Control Studies MH - Dendritic Cells/immunology/*metabolism MH - Female MH - Fibroblast Growth Factor 2/immunology/*metabolism MH - Humans MH - Immunoglobulins/*metabolism MH - Immunohistochemistry MH - Lectins, C-Type/*metabolism MH - Male MH - Mannose-Binding Lectins/*metabolism MH - Membrane Glycoproteins/*metabolism MH - Middle Aged MH - Neovascularization, Pathologic/metabolism MH - Pulmonary Disease, Chronic Obstructive/immunology/*metabolism MH - Severity of Illness Index MH - Transforming Growth Factor beta/immunology/*metabolism MH - Vascular Endothelial Growth Factor A/immunology/*metabolism MH - CD83 Antigen EDAT- 2014/01/18 06:00 MHDA- 2014/11/02 06:00 CRDT- 2014/01/18 06:00 PHST- 2013/08/08 00:00 [received] PHST- 2013/10/10 00:00 [accepted] PHST- 2014/01/18 06:00 [entrez] PHST- 2014/01/18 06:00 [pubmed] PHST- 2014/11/02 06:00 [medline] AID - 000356749 [pii] AID - 10.1159/000356749 [doi] PST - ppublish SO - Respiration. 2014;87(3):234-42. doi: 10.1159/000356749. Epub 2014 Jan 14.