PMID- 25469646 OWN - NLM STAT- MEDLINE DCOM- 20150924 LR - 20220330 IS - 1365-2222 (Electronic) IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 45 IP - 2 DP - 2015 Feb TI - Elevated presence of myeloid dendritic cells in nasal polyps of patients with chronic rhinosinusitis. PG - 384-93 LID - 10.1111/cea.12471 [doi] AB - BACKGROUND: Although chronic rhinosinusitis with nasal polyps (CRSwNP) is characterized by Th2 inflammation, the mechanism underlying the onset and amplification of this inflammation has not been fully elucidated. Dendritic cells (DCs) are major antigen-presenting cells, central inducers of adaptive immunity and critical regulators of many inflammatory diseases. However, the presence of DCs in CRS, especially in nasal polyps (NPs), has not been extensively studied. OBJECTIVE: The objective of this study was to characterize DC subsets in CRS. METHODS: We used real-time PCR to assess the expression of mRNA for markers of myeloid DCs (mDCs; CD1c), plasmacytoid DCs (pDCs; CD303) and Langerhans cells (LCs; CD1a, CD207) in uncinate tissue (UT) from controls and patients with CRS as well as in NP. We assayed the presence of DCs by immunohistochemistry and flow cytometry. RESULTS: Compared to UT from control subjects (n = 15) and patients with CRS without NP (CRSsNP) (n = 16) and CRSwNP (n = 17), mRNAs for CD1a and CD1c were significantly elevated in NPs (n = 29). In contrast, CD207 mRNA was not elevated in NPs. Immunohistochemistry showed that CD1c(+) cells but not CD303(+) cells were significantly elevated in NPs compared to control subjects or patients with CRSsNP. Flow cytometric analysis showed that CD1a(+) cells in NPs might be a subset of mDC1s and that CD45(+) CD19(-) CD1c(+) CD11c(+) CD141(-) CD303(-) HLA-DR(+) mDC1s and CD45(+) CD19(-) CD11c(+) CD1c(-) CD141(high) HLA-DR(+) mDC2s were significantly elevated in NPs compared to UT from controls and CRSsNP, but CD45(+) CD11c(-) CD303(+) HLA-DR(+) pDCs were only elevated in NPs compared to control UT. CONCLUSION AND CLINICAL RELEVANCE: Myeloid DCs are elevated in CRSwNP, especially in NPs. Myeloid DCs thus may indirectly contribute to the inflammation observed in CRSwNP. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Poposki, J A AU - Poposki JA AD - Division of Allergy-Immunology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. FAU - Peterson, S AU - Peterson S FAU - Welch, K AU - Welch K FAU - Schleimer, R P AU - Schleimer RP FAU - Hulse, K E AU - Hulse KE FAU - Peters, A T AU - Peters AT FAU - Norton, J AU - Norton J FAU - Suh, L A AU - Suh LA FAU - Carter, R AU - Carter R FAU - Harris, K E AU - Harris KE FAU - Grammer, L C AU - Grammer LC FAU - Tan, B K AU - Tan BK FAU - Chandra, R K AU - Chandra RK FAU - Conley, D B AU - Conley DB FAU - Kern, R C AU - Kern RC FAU - Kato, A AU - Kato A LA - eng GR - R01 HL078860/HL/NHLBI NIH HHS/United States GR - U19 AI106683/AI/NIAID NIH HHS/United States GR - R21 HL113913/HL/NHLBI NIH HHS/United States GR - K12 HD055884/HD/NICHD NIH HHS/United States GR - R37 HL068546/HL/NHLBI NIH HHS/United States GR - R01 AI104733/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Antigens, Surface) RN - 0 (Biomarkers) SB - IM MH - Adult MH - Aged MH - Antigens, Surface/genetics/metabolism MH - Biomarkers MH - Chronic Disease MH - Dendritic Cells/*immunology/metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - Immunophenotyping MH - Male MH - Middle Aged MH - Myeloid Cells/*immunology/metabolism MH - Nasal Polyps/complications/*immunology/metabolism MH - Real-Time Polymerase Chain Reaction MH - Rhinitis/complications/*immunology/metabolism MH - Sinusitis/complications/*immunology/metabolism MH - Th2 Cells/immunology/metabolism MH - Young Adult PMC - PMC4467201 MID - NIHMS698131 OTO - NOTNLM OT - chronic rhinosinusitis OT - myeloid dendritic cells OT - nasal polyps OT - plasmacytoid dendritic cells COIS- Conflict of interest The authors declare no conflict of interest as to the interpretation and presentation of this manuscript. EDAT- 2014/12/04 06:00 MHDA- 2015/09/25 06:00 PMCR- 2016/02/01 CRDT- 2014/12/04 06:00 PHST- 2014/08/09 00:00 [received] PHST- 2014/11/23 00:00 [revised] PHST- 2014/11/28 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/09/25 06:00 [medline] PHST- 2016/02/01 00:00 [pmc-release] AID - 10.1111/cea.12471 [doi] PST - ppublish SO - Clin Exp Allergy. 2015 Feb;45(2):384-93. doi: 10.1111/cea.12471.