PMID- 33530368 OWN - NLM STAT- MEDLINE DCOM- 20210726 LR - 20210726 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 12 IP - 2 DP - 2021 Jan 26 TI - Evaluating the Role of Circulating Dendritic Cells in Methimazole-Treated Pediatric Graves' Disease Patients. LID - 10.3390/genes12020164 [doi] LID - 164 AB - Graves' disease (GD) is hyperthyroidism associated with organ-specific autoimmune inflammation. GD occurs more frequently in adults than in children; however, pediatric patients are a therapeutic challenge due to cycles of remissions and relapses requiring constant monitoring at every stage of treatment administered. Dendritic cells (DCs) are considered to be a link between innate and adaptive immunity. DCs, as antigen-presenting cells (APCs), are involved in antigen presentation to T lymphocytes, thereby initiating a shift towards effector cells. In accordance, DCs also participate in the modulation of tolerance to specific antigens. To date, the data on DCs' role in Graves' pathological processes are scarce. Therefore, here, we evaluated the frequencies and role of circulating DCs in GD pediatric patients treated with methimazole. Flow cytometric analysis was implemented to evaluate three subsets of dendritic cells and their correlation with clinical GD-related parameters. We found significantly higher levels of DC subsets in patients at diagnosis. Furthermore, methimazole treatment seemed to effectively reduce subsets of DCs, which, in addition, were found to differentially correlate with thyroid function. Our study shed new light on DCs' role in the pediatric GD pathomechanism. Further studies are required for the mechanistic assessment of DCs' exact role in disease progression and influence on thyroid function. FAU - Starosz, Aleksandra AU - Starosz A AUID- ORCID: 0000-0003-1084-5747 AD - Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, 15-269 Bialystok, Poland. FAU - Stozek, Karolina AU - Stozek K AD - Cardiology Unit, Department of Pediatrics, Endocrinology and Diabetes, Medical University of Bialystok, 15-274 Bialystok, Poland. FAU - Moniuszko, Marcin AU - Moniuszko M AD - Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, 15-269 Bialystok, Poland. FAU - Grubczak, Kamil AU - Grubczak K AD - Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, 15-269 Bialystok, Poland. FAU - Bossowski, Artur AU - Bossowski A AUID- ORCID: 0000-0002-6316-5342 AD - Cardiology Unit, Department of Pediatrics, Endocrinology and Diabetes, Medical University of Bialystok, 15-274 Bialystok, Poland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210126 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - 0 (Antithyroid Agents) RN - 554Z48XN5E (Methimazole) SB - IM MH - Age Factors MH - Antithyroid Agents/therapeutic use MH - Case-Control Studies MH - *Cell Count MH - Dendritic Cells/*immunology/metabolism MH - *Disease Susceptibility MH - Graves Disease/*blood/diagnosis/drug therapy/*etiology MH - Humans MH - Immunophenotyping MH - Methimazole/therapeutic use MH - Treatment Outcome PMC - PMC7911035 OTO - NOTNLM OT - Graves' disease OT - autoimmunity OT - dendritic cells OT - methimazole COIS- The authors declare no conflict of interest. EDAT- 2021/02/04 06:00 MHDA- 2021/07/27 06:00 PMCR- 2021/01/26 CRDT- 2021/02/03 01:01 PHST- 2020/12/13 00:00 [received] PHST- 2021/01/14 00:00 [revised] PHST- 2021/01/22 00:00 [accepted] PHST- 2021/02/03 01:01 [entrez] PHST- 2021/02/04 06:00 [pubmed] PHST- 2021/07/27 06:00 [medline] PHST- 2021/01/26 00:00 [pmc-release] AID - genes12020164 [pii] AID - genes-12-00164 [pii] AID - 10.3390/genes12020164 [doi] PST - epublish SO - Genes (Basel). 2021 Jan 26;12(2):164. doi: 10.3390/genes12020164.