PMID- 25174446 OWN - NLM STAT- MEDLINE DCOM- 20150518 LR - 20231213 IS - 1471-2172 (Electronic) IS - 1471-2172 (Linking) VI - 15 DP - 2014 Aug 31 TI - An increase of CD83+ dendritic cells ex vivo correlates with increased regulatory T cells in patients with active eosinophilic granulomatosis and polyangiitis. PG - 32 LID - 10.1186/s12865-014-0032-5 [doi] LID - 32 AB - BACKGROUND: Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare disease characterized by the presence of allergic granulomatosis and necrotizing vasculitis with eosinophilic infiltration. The etiology of EGPA is unknown. Dendritic cells (DCs) are not only critical for the induction of primary immune responses; they may also be important for the induction of immunological tolerance and the regulation of the type of T-cell-mediated immune response. To investigate whether DC maturation is associated with EGPA disease status, we examined the relationship between the maturation of DCs and the differentiation of regulatory T (Treg) cells in EGPA patients. We exposed the CD14+ blood monocytes of 19 patients with EGPA in remission or relapse to stimulation with GM-CSF and IL-4 for 6 d and lipopolysaccharide for 24 h to obtain mature CD83+ DCs and immature CD206+ DCs. Using immunohistochemistry, we examined four patients for the presence of CD83+ and CD206+ DCs in the lung at the onset of EGPA. RESULTS: The percentage of CD83+ cells among DCs differentiated from CD14+ monocytes was lower for EGPA patients in relapse than in remission. The percentage of CD83+ DCs was inversely correlated with the percentage of CD206+ DCs and was significantly correlated with the numbers of naturally occurring CD4+ regulatory Treg (nTreg; FOXP3+CD4+) cells and inducible Treg (iTreg; CD4+CD25+ T cells producing IL-10 or TGF-beta) cells but not the number of eosinophils. The percentage of CD206+ DCs was significantly inversely correlated with the percentages of nTreg and iTreg cells but not the number of eosinophils. Immunohistochemistry revealed both CD206+ DCs and CD83+ DCs in alveoli and interstitial spaces at the onset of EGPA. CONCLUSION: The maturation of DCs from monocytes was related to disease activity in patients with EGPA. Increased CD83+ DCs in EGPA patients may induce the differentiation of iTreg and nTreg cells, thereby suppressing inflammation and disease activity. FAU - Tsurikisawa, Naomi AU - Tsurikisawa N AD - Departments of Allergy and Respirology, 18-1 Sakuradai, Minami-ku Sagamihara 252-0392, Kanagawa, Japan. n-tsurikisawa@sagamihara-hosp.gr.jp. FAU - Saito, Hiroshi AU - Saito H FAU - Oshikata, Chiyako AU - Oshikata C FAU - Tsuburai, Takahiro AU - Tsuburai T FAU - Ishiyama, Miyako AU - Ishiyama M FAU - Mitomi, Hiroyuki AU - Mitomi H FAU - Akiyama, Kazuo AU - Akiyama K LA - eng PT - Journal Article DEP - 20140831 PL - England TA - BMC Immunol JT - BMC immunology JID - 100966980 RN - 0 (Antigens, CD) RN - 0 (Immunoglobulins) RN - 0 (Membrane Glycoproteins) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Antigens, CD/*metabolism MH - Biopsy MH - Cell Count MH - Cell Differentiation/immunology MH - Churg-Strauss Syndrome/*immunology/pathology MH - Dendritic Cells/*pathology MH - Eosinophilic Granuloma/*immunology/pathology MH - Female MH - Humans MH - Immunoglobulins/*metabolism MH - Immunohistochemistry MH - Interleukin-10/biosynthesis MH - Lung/immunology/pathology MH - Male MH - Membrane Glycoproteins/*metabolism MH - Middle Aged MH - Monocytes/cytology MH - Recurrence MH - Remission Induction MH - T-Lymphocytes, Regulatory/*immunology/pathology MH - CD83 Antigen PMC - PMC4159546 EDAT- 2014/09/02 06:00 MHDA- 2015/05/20 06:00 PMCR- 2014/08/31 CRDT- 2014/09/02 06:00 PHST- 2014/03/10 00:00 [received] PHST- 2014/08/08 00:00 [accepted] PHST- 2014/09/02 06:00 [entrez] PHST- 2014/09/02 06:00 [pubmed] PHST- 2015/05/20 06:00 [medline] PHST- 2014/08/31 00:00 [pmc-release] AID - s12865-014-0032-5 [pii] AID - 32 [pii] AID - 10.1186/s12865-014-0032-5 [doi] PST - epublish SO - BMC Immunol. 2014 Aug 31;15:32. doi: 10.1186/s12865-014-0032-5.