PMID- 25173802 OWN - NLM STAT- MEDLINE DCOM- 20150126 LR - 20211021 IS - 1521-7035 (Electronic) IS - 1521-6616 (Print) IS - 1521-6616 (Linking) VI - 155 IP - 1 DP - 2014 Nov TI - Modulation of dendritic cell innate and adaptive immune functions by oral and sublingual immunotherapy. PG - 47-59 LID - S1521-6616(14)00197-1 [pii] LID - 10.1016/j.clim.2014.08.006 [doi] AB - Sublingual (SLIT) and oral immunotherapy (OIT) are promising treatments for food allergy, but underlying mechanisms are poorly understood. Dendritic cells (DCs) induce and maintain Th2-type allergen-specific T cells, and also regulate innate immunity through their expression of Toll-like receptors (TLRs). We examined how SLIT and OIT influenced DC innate and adaptive immune responses in children with IgE-mediated cow's milk (CM) allergy. SLIT, but not OIT, decreased TLR-induced IL-6 secretion by myeloid DCs (mDCs). SLIT and OIT altered mDC IL-10 secretion, a potent inhibitor of FcepsilonRI-dependent pro-inflammatory responses. OIT uniquely augmented IFN-alpha and decreased IL-6 secretion by plasmacytoid DCs (pDCs), which was associated with reduced TLR-induced IL-13 release in pDC-T cell co-cultures. Both SLIT and OIT decreased Th2 cytokine secretion to CM in pDC-T, but not mDC-T, co-cultures. Therefore, SLIT and OIT exert unique effects on DC-driven innate and adaptive immune responses, which may inhibit allergic inflammation and promote tolerance. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Frischmeyer-Guerrerio, Pamela A AU - Frischmeyer-Guerrerio PA AD - Division of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: pguerrerio@jhmi.edu. FAU - Keet, Corinne A AU - Keet CA AD - Division of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: ckeet1@jhmi.edu. FAU - Guerrerio, Anthony L AU - Guerrerio AL AD - Division of Gastroenterology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: aguerrerio@jhmi.edu. FAU - Chichester, Kristin L AU - Chichester KL AD - Division of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: kchiches@jhmi.edu. FAU - Bieneman, Anja P AU - Bieneman AP AD - Division of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: abienema@jhmi.edu. FAU - Hamilton, Robert G AU - Hamilton RG AD - Division of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: rhamilto@jhmi.edu. FAU - Wood, Robert A AU - Wood RA AD - Division of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: rwood@jhmi.edu. FAU - Schroeder, John T AU - Schroeder JT AD - Division of Allergy and Clinical Immunology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: schray@jhmi.edu. LA - eng GR - R21 HD073557/HD/NICHD NIH HHS/United States GR - 101872/PHS HHS/United States GR - K23AI091869/AI/NIAID NIH HHS/United States GR - K23 AI103187/AI/NIAID NIH HHS/United States GR - R21 AI079853/AI/NIAID NIH HHS/United States GR - R21AI079853/AI/NIAID NIH HHS/United States GR - K23 AI091869/AI/NIAID NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140827 PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Allergens) RN - 0 (Cytokines) RN - 0 (Peptidoglycan) RN - 0 (Receptors, IgE) RN - 0 (TLR2 protein, human) RN - 0 (Toll-Like Receptor 2) SB - IM MH - Administration, Oral MH - Administration, Sublingual MH - Adolescent MH - Allergens/*administration & dosage/*therapeutic use MH - Cells, Cultured MH - Child MH - Coculture Techniques MH - Cytokines/genetics/metabolism MH - Dendritic Cells MH - Double-Blind Method MH - Gene Expression Regulation/drug effects/immunology MH - Humans MH - Milk Hypersensitivity/*therapy MH - Peptidoglycan/pharmacology MH - Receptors, IgE/genetics/metabolism MH - T-Lymphocytes/immunology/physiology MH - Toll-Like Receptor 2/genetics/metabolism PMC - PMC4252363 MID - NIHMS624659 OTO - NOTNLM OT - Adaptive immunity; OT - Dendritic cell; OT - Food allergy; OT - Immunotherapy; OT - Innate immunity; OT - Tolerance EDAT- 2014/09/01 06:00 MHDA- 2015/01/27 06:00 PMCR- 2015/11/01 CRDT- 2014/09/01 06:00 PHST- 2014/04/15 00:00 [received] PHST- 2014/08/16 00:00 [revised] PHST- 2014/08/19 00:00 [accepted] PHST- 2014/09/01 06:00 [entrez] PHST- 2014/09/01 06:00 [pubmed] PHST- 2015/01/27 06:00 [medline] PHST- 2015/11/01 00:00 [pmc-release] AID - S1521-6616(14)00197-1 [pii] AID - 10.1016/j.clim.2014.08.006 [doi] PST - ppublish SO - Clin Immunol. 2014 Nov;155(1):47-59. doi: 10.1016/j.clim.2014.08.006. Epub 2014 Aug 27.