PMID- 34276693 OWN - NLM STAT- MEDLINE DCOM- 20211210 LR - 20211214 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - Circulating Plasmacytoid and Conventional Dendritic Cells Are Numerically and Functionally Deficient in Patients With Scrub Typhus. PG - 700755 LID - 10.3389/fimmu.2021.700755 [doi] LID - 700755 AB - BACKGROUND: Dendritic cells (DCs) are specialized antigen-presenting cells known to bridge innate and adaptive immune reactions. However, the relationship between circulating DCs and Orientia tsutsugamushi infection is unclear. Therefore, this study aimed to examine the level and function of plasmacytoid DCs (pDCs) and conventional DCs (cDCs), two subsets of circulating DCs, in scrub typhus patients. METHODS: The study included 35 scrub typhus patients and 35 healthy controls (HCs). pDC and cDC levels, CD86 and CD274 expression, and cytokine levels were measured using flow cytometry. RESULTS: Circulating pDC and cDC levels were found to be significantly reduced in scrub typhus patients, which were correlated with disease severity. The patients displayed increased percentages of CD86(+) pDCs, CD274(+) pDCs, and CD274(+) cDCs in the peripheral blood. The alterations in the levels and surface phenotypes of pDCs and cDCs were recovered in the remission state. In addition, the production of interferon (IFN)-alpha and tumor necrosis factor (TNF)-alpha by circulating pDCs, and interleukin (IL)-12 and TNF-alpha by circulating cDCs was reduced in scrub typhus patients. Interestingly, our in vitro experiments showed that the percentages of CD86(+) pDCs, CD274(+) pDCs, and CD274(+) cDCs were increased in cultures treated with cytokines including IFN-gamma, IL-12, and TNF-alpha. CONCLUSIONS: This study demonstrates that circulating pDCs and cDCs are numerically deficient and functionally impaired in scrub typhus patients. In addition, alterations in the expression levels of surface phenotypes of pDCs and cDCs could be affected by pro-inflammatory cytokines. CI - Copyright (c) 2021 Kang, Park, Jin, Cho, Oh, Kim, Kim, Park, Jung, Kim, Kim, Jo, Ju, Kee and Park. FAU - Kang, Seung-Ji AU - Kang SJ AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Park, Ki-Jeong AU - Park KJ AD - Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Jin, Hye-Mi AU - Jin HM AD - Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Cho, Young-Nan AU - Cho YN AD - Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Oh, Tae Hoon AU - Oh TH AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Kim, Seong Eun AU - Kim SE AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Kim, Uh Jin AU - Kim UJ AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Park, Kyung-Hwa AU - Park KH AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Jung, Sook-In AU - Jung SI AD - Department of Infectious Diseases, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Kim, Tae-Ok AU - Kim TO AD - Department of Pulmonology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Kim, Hyo Shin AU - Kim HS AD - Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Jo, Young-Goun AU - Jo YG AD - Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Ju, Jae Kyun AU - Ju JK AD - Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Kee, Seung-Jung AU - Kee SJ AD - Department of Laboratory Medicine, Chonnam National University Medical School and Hospital, Gwangju, South Korea. FAU - Park, Yong-Wook AU - Park YW AD - Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, South Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210701 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM MH - Adult MH - Aged MH - Cohort Studies MH - Dendritic Cells/*immunology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Scrub Typhus/*immunology PMC - PMC8281928 OTO - NOTNLM OT - Orientia tsutsugamushi OT - conventional dendritic cells. OT - cytokine OT - plasmacytoid dendritic cells OT - scrub typhus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/07/20 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/01/01 CRDT- 2021/07/19 05:52 PHST- 2021/04/26 00:00 [received] PHST- 2021/06/21 00:00 [accepted] PHST- 2021/07/19 05:52 [entrez] PHST- 2021/07/20 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.700755 [doi] PST - epublish SO - Front Immunol. 2021 Jul 1;12:700755. doi: 10.3389/fimmu.2021.700755. eCollection 2021.