PMID- 25449681 OWN - NLM STAT- MEDLINE DCOM- 20150518 LR - 20181202 IS - 1873-0183 (Electronic) IS - 1568-9972 (Linking) VI - 14 IP - 2 DP - 2015 Feb TI - Role of dendritic cells in the initiation, progress and modulation of systemic autoimmune diseases. PG - 127-39 LID - S1568-9972(14)00222-5 [pii] LID - 10.1016/j.autrev.2014.10.010 [doi] AB - Dendritic cells (DCs) play a key role in the activation of the immune response against pathogens, as well as in the modulation of peripheral tolerance to self-antigens (Ags). Furthermore, an imbalance in the activating/inhibitory receptors expressed on the surface of DCs has been linked to increased susceptibility to develop autoimmune diseases underscoring their immunogenicity potential. It has been described that modulation of activating or inhibitory molecules expressed by DCs, such as CD86, TLRs, PDL-1 and FcgammaRs, can define the immunogenic phenotype. On the other hand, T cell tolerance can be achieved by tolerogenic DCs, which have the capacity of blocking undesired autoimmune responses in several experimental models, mainly by inducing T cell anergy, expansion of regulatory T cells and limiting B cell responses. Due to the lack of specific therapies to treat autoimmune disorders and the tolerogenic capacity of DCs shown in experimental autoimmune disease models, autologous tolDCs are a potential therapeutic strategy for fine-tuning the immune system and reestablishing tolerance in human autoimmune diseases. New advances in the role of DCs in systemic lupus erythematosus (SLE) pathogenesis and the identification of pathogenic self-Ags may favor the development of novel tolDC based therapies with a major clinical impact. In this review, we discuss recent data relative to the role of DCs in systemic autoimmune pathogenesis and their use as a therapy to restore tolerance. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Mackern-Oberti, Juan Pablo AU - Mackern-Oberti JP AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Chile. FAU - Llanos, Carolina AU - Llanos C AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Inmunologia Clinica y Reumatologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Chile. FAU - Vega, Fabian AU - Vega F AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Inmunologia Clinica y Reumatologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Chile. FAU - Salazar-Onfray, Flavio AU - Salazar-Onfray F AD - Millennium Institute on Immunology and Immunotherapy, Instituto de Ciencias Biomedicas, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile. FAU - Riedel, Claudia A AU - Riedel CA AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Ciencias Biologicas, Facultad de Ciencias Biologicas y Facultad de Medicina, Universidad Andres Bello, Santiago, Chile; INSERM U1064, Nantes, France. FAU - Bueno, Susan M AU - Bueno SM AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Chile; INSERM U1064, Nantes, France. FAU - Kalergis, Alexis M AU - Kalergis AM AD - Millennium Institute on Immunology and Immunotherapy, Departamento de Genetica Molecular y Microbiologia, Facultad de Ciencias Biologicas, Pontificia Universidad Catolica de Chile, Chile; Millennium Institute on Immunology and Immunotherapy, Departamento de Inmunologia Clinica y Reumatologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Chile; INSERM U1064, Nantes, France. Electronic address: akalergis@bio.puc.cl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20141014 PL - Netherlands TA - Autoimmun Rev JT - Autoimmunity reviews JID - 101128967 RN - 0 (Autoantigens) RN - 0 (Toll-Like Receptors) SB - IM MH - Animals MH - Autoantigens/immunology MH - Autoimmune Diseases/*immunology MH - B-Lymphocytes/immunology MH - Dendritic Cells/*immunology MH - Humans MH - Immune Tolerance/immunology MH - Toll-Like Receptors/immunology OTO - NOTNLM OT - Dendritic cells OT - Immune tolerance OT - Immunotherapy OT - Lupus OT - Systemic autoimmunity EDAT- 2014/12/03 06:00 MHDA- 2015/05/20 06:00 CRDT- 2014/12/03 06:00 PHST- 2014/09/19 00:00 [received] PHST- 2014/09/30 00:00 [accepted] PHST- 2014/12/03 06:00 [entrez] PHST- 2014/12/03 06:00 [pubmed] PHST- 2015/05/20 06:00 [medline] AID - S1568-9972(14)00222-5 [pii] AID - 10.1016/j.autrev.2014.10.010 [doi] PST - ppublish SO - Autoimmun Rev. 2015 Feb;14(2):127-39. doi: 10.1016/j.autrev.2014.10.010. Epub 2014 Oct 14.