PMID- 33162996 OWN - NLM STAT- MEDLINE DCOM- 20210622 LR - 20210622 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 11 DP - 2020 TI - Manipulation of Regulatory Dendritic Cells for Induction Transplantation Tolerance. PG - 582658 LID - 10.3389/fimmu.2020.582658 [doi] LID - 582658 AB - Current organ transplantation therapy is life-saving but accompanied by well-recognized side effects due to post-transplantation systematic immunosuppressive treatment. Dendritic cells (DCs) are central instigators and regulators of transplantation immunity and are responsible for balancing allograft rejection and tolerance. They are derived from monocyte-macrophage DC progenitors originating in the bone marrow and are classified into different subsets based on their developmental, phenotypical, and functional criteria. Functionally, DCs instigate allograft immunity by presenting donor antigens to alloreactive T cells via direct, indirect, and semidirect recognition pathways and provide essential signaling for alloreactive T cell activation via costimulatory molecules and pro-inflammatory cytokines. Regulatory DCs (DCregs) are characterized by a relatively low expression of major histocompatibility complex, costimulatory molecules, and altered cytokine production and exert their regulatory function through T cell anergy, T cell deletion, and regulatory T cell induction. In rodent transplantation studies, DCreg-based therapy, by in situ targeting or infusion of ex vivo generated DCregs, exhibits promising potential as a natural, well-tolerated, organ-specific therapeutic strategy for promoting lasting organ-specific transplantation tolerance. Recent early-phase studies of DCregs have begun to examine the safety and efficacy of DCreg-induced allograft tolerance in living-donor renal or liver transplantations. The present review summarizes the basic characteristics, function, and translation of DCregs in transplantation tolerance induction. CI - Copyright (c) 2020 Que, Guo and Li. FAU - Que, Weitao AU - Que W AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. AD - Division of Transplantation Immunology, National Research Institute for Child Health and Development, Tokyo, Japan. FAU - Guo, Wen-Zhi AU - Guo WZ AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Li, Xiao-Kang AU - Li XK AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. AD - Division of Transplantation Immunology, National Research Institute for Child Health and Development, Tokyo, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20201014 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM MH - Allografts/immunology MH - Animals MH - Cell Differentiation MH - Dendritic Cells/*immunology MH - Graft Rejection/*immunology MH - Graft Survival MH - Humans MH - Immunomodulation MH - Lymphocyte Activation MH - *Organ Transplantation MH - T-Lymphocytes/*immunology MH - Transplantation Tolerance PMC - PMC7591396 OTO - NOTNLM OT - T cell OT - allograft OT - dendritic cell OT - tolerance OT - transplantation EDAT- 2020/11/10 06:00 MHDA- 2021/06/23 06:00 PMCR- 2020/01/01 CRDT- 2020/11/09 05:31 PHST- 2020/07/13 00:00 [received] PHST- 2020/08/31 00:00 [accepted] PHST- 2020/11/09 05:31 [entrez] PHST- 2020/11/10 06:00 [pubmed] PHST- 2021/06/23 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2020.582658 [doi] PST - epublish SO - Front Immunol. 2020 Oct 14;11:582658. doi: 10.3389/fimmu.2020.582658. eCollection 2020.