PMID- 32376503 OWN - NLM STAT- MEDLINE DCOM- 20210129 LR - 20210129 IS - 1521-7035 (Electronic) IS - 1521-6616 (Linking) VI - 215 DP - 2020 Jun TI - Circulating dendritic cells are severely decreased in idiopathic pulmonary fibrosis with a potential value for prognosis prediction. PG - 108454 LID - S1521-6616(19)30676-X [pii] LID - 10.1016/j.clim.2020.108454 [doi] AB - Dendritic cells (DCs) accumulate in the lung of patients affected by idiopathic pulmonary fibrosis (IPF). We measured the frequencies of circulating conventional CD1c + and CD141+ cells (namely, cDC2 and cDC1) and of plasmacytoid CD303+ DCs in a cohort of 60 therapy naive IPF patients by flow cytometry. Peripheral levels of reactive oxygen species (ROS) and of pro-inflammatory and Th1/Th2 polarizing cytokines were also analyzed. All blood DC subtypes were significantly reduced in IPF patients in comparison to age- and sex-matched controls, while ROS and interleukin (IL-6) levels were augmented. IL-6 expression increased along with disease severity, according to the gender-age-physiology index, and correlated with the frequency of cDC2. IL-6 and cDC2 were not influenced by anti-fibrotic therapies but were associated with a reduced survival, the latter being an independent predictive biomarker of worse prognosis. Deciphering the role of DCs in IPF might provide information on disease pathogenesis and clinical behavior. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Galati, Domenico AU - Galati D AD - Haematology-Oncology and Stem Cell Transplantation Unit, Department of Haematology and Innovative Therapies, Istituto Nazionale Tumori- IRCCS- Fondazione G. Pascale, Napoli, Italy. Electronic address: d.galati@istitutotumori.na.it. FAU - Zanotta, Serena AU - Zanotta S AD - Haematology-Oncology and Stem Cell Transplantation Unit, Department of Haematology and Innovative Therapies, Istituto Nazionale Tumori- IRCCS- Fondazione G. Pascale, Napoli, Italy. FAU - Polistina, Giorgio Emanuele AU - Polistina GE AD - Respiratory Medicine Division, Department of Clinical Medicine and Surgery, Federico II University, Napoli, Italy. FAU - Coppola, Antonietta AU - Coppola A AD - Respiratory Medicine Division, Department of Clinical Medicine and Surgery, Federico II University, Napoli, Italy. FAU - Capitelli, Ludovica AU - Capitelli L AD - Respiratory Medicine Division, Department of Clinical Medicine and Surgery, Federico II University, Napoli, Italy. FAU - Bocchino, Marialuisa AU - Bocchino M AD - Respiratory Medicine Division, Department of Clinical Medicine and Surgery, Federico II University, Napoli, Italy. Electronic address: marialuisa.bocchino@unina.it. LA - eng PT - Journal Article DEP - 20200505 PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM MH - Aged MH - Biomarkers/metabolism MH - Cytokines/metabolism MH - Dendritic Cells/*metabolism/*pathology MH - Female MH - Humans MH - Idiopathic Pulmonary Fibrosis/*metabolism/*pathology MH - Male MH - Middle Aged MH - Prognosis OTO - NOTNLM OT - Dendritic cells OT - Flow cytometry OT - Idiopathic pulmonary fibrosis OT - Interleukin-6 OT - Oxidative burst COIS- Declaration of Competing Interest All authors declare they have no conflicting interests for this study. EDAT- 2020/05/08 06:00 MHDA- 2021/01/30 06:00 CRDT- 2020/05/08 06:00 PHST- 2019/12/06 00:00 [received] PHST- 2020/04/15 00:00 [revised] PHST- 2020/04/29 00:00 [accepted] PHST- 2020/05/08 06:00 [pubmed] PHST- 2021/01/30 06:00 [medline] PHST- 2020/05/08 06:00 [entrez] AID - S1521-6616(19)30676-X [pii] AID - 10.1016/j.clim.2020.108454 [doi] PST - ppublish SO - Clin Immunol. 2020 Jun;215:108454. doi: 10.1016/j.clim.2020.108454. Epub 2020 May 5.