PMID- 28774715 OWN - NLM STAT- MEDLINE DCOM- 20180205 LR - 20180205 IS - 1095-9157 (Electronic) IS - 0896-8411 (Linking) VI - 85 DP - 2017 Dec TI - Dendritic cell recruitment and activation in autoimmunity. PG - 126-140 LID - S0896-8411(17)30502-4 [pii] LID - 10.1016/j.jaut.2017.07.012 [doi] AB - Dendritic cells (DCs) are professional antigen presenting cells displaying the unique capability to activate naive T cells. DCs react to pathogen encounter also by the production of mediators of inflammation, including pro-inflammatory cytokines. Because of this complex role, any imbalance in DC function reflects into defective or exaggerated immune response and tissue damage. DCs comprise two main subsets, namely conventional or classical DCs (cDCs), that are dedicated antigen presenting cells, and plasmacytoid DCs (pDCs), that respond to nucleic acids by releasing high amounts of type I interferons (IFNs). Since the formal demonstration that DC can prime autoreactive naive T cells, a full body of evidence has implicated DCs in virtually all manifestations of autoimmunity, although their exact pathogenic role often remains poorly characterized. The recent availability of progressively more refined strategies of constitutive and inducible DC ablation is contributing in defining the precise role of DCs at least in some autoimmune disease models. This review aims at critically summarizing the current literature concerning selected aspects of DC biology that, when altered, facilitate autoimmunity. These aspects include: i) mechanisms of tissue entry and accumulation, ii) mechanisms of activation and iii) orchestration of the immune balance by cytokine production. A special focus will be on inappropriate DC activation by signals released by damaged tissues via innate immune receptors, such as Toll-like receptors. These signals are responsible, in pDCs, for exaggerated type I IFN production, the hallmark of a set of apparently distant autoimmune conditions such as systemic lupus erythematosus and type 1 diabetes; whereas in cDCs, they trigger DC rapid maturation and Th1/Th17 cytokine secretion. Tissue-derived molecules also contribute to further promote tissue damage and autoantigen spreading, possibly through pDC-derived Granzyme B secretion. Finally, the therapeutic possibilities based on DC targeting in human autoimmune diseases will be briefly summarized. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Sozzani, Silvano AU - Sozzani S AD - Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy; Humanitas Clinical and Research Institute, Rozzano-Milano, Italy. Electronic address: silvano.sozzani@unibs.it. FAU - Del Prete, Annalisa AU - Del Prete A AD - Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy; Humanitas Clinical and Research Institute, Rozzano-Milano, Italy. FAU - Bosisio, Daniela AU - Bosisio D AD - Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy. LA - eng PT - Journal Article PT - Review DEP - 20170801 PL - England TA - J Autoimmun JT - Journal of autoimmunity JID - 8812164 RN - 0 (Cytokines) SB - IM MH - Animals MH - Autoimmune Diseases/immunology MH - Autoimmunity/*immunology MH - Cytokines/immunology MH - Dendritic Cells/*immunology MH - Humans MH - Immunity, Innate/immunology EDAT- 2017/08/05 06:00 MHDA- 2018/02/06 06:00 CRDT- 2017/08/05 06:00 PHST- 2017/07/24 00:00 [received] PHST- 2017/07/26 00:00 [accepted] PHST- 2017/08/05 06:00 [pubmed] PHST- 2018/02/06 06:00 [medline] PHST- 2017/08/05 06:00 [entrez] AID - S0896-8411(17)30502-4 [pii] AID - 10.1016/j.jaut.2017.07.012 [doi] PST - ppublish SO - J Autoimmun. 2017 Dec;85:126-140. doi: 10.1016/j.jaut.2017.07.012. Epub 2017 Aug 1.