PMID- 37958886 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231117 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 21 DP - 2023 Nov 2 TI - The Tolerogenic Influence of Dexamethasone on Dendritic Cells Is Accompanied by the Induction of Efferocytosis, Promoted by MERTK. LID - 10.3390/ijms242115903 [doi] LID - 15903 AB - Many treatments for autoimmune diseases, caused by the loss of immune self-tolerance, are broadly immunosuppressive. Dendritic cells (DCs) can be induced to develop anti-inflammatory/tolerogenic properties to suppress aberrant self-directed immunity by promoting immune tolerance in an antigen-specific manner. Dexamethasone can generate tolerogenic DCs and upregulates MERTK expression. As MERTK can inhibit inflammation, we investigated whether dexamethasone's tolerogenic effects are mediated via MERTK, potentially providing a novel therapeutic approach. Monocyte-derived DCs were treated with dexamethasone, and with and without MERTK ligands or MERTK inhibitors. Flow cytometry was used to assess effects of MERTK modulation on co-stimulatory molecule expression, efferocytosis, cytokine secretion and T cell proliferation. The influence on expression of Rab17, which coordinates the diversion of efferocytosed material away from cell surface presentation, was assessed. Dexamethasone-treated DCs had upregulated MERTK expression, decreased expression of co-stimulatory molecules, maturation and proliferation of co-cultured T cells and increased uptake of myelin debris. MERTK ligands did not potentiate these properties, whilst specific MERTK inhibition only reversed dexamethasone's effect on myelin uptake. Cells undergoing efferocytosis had higher Rab17 expression. Dexamethasone-enhanced efferocytosis in DCs is MERTK-dependent and could exert its tolerogenic effects by increasing Rab17 expression to prevent the presentation of efferocytosed material on the cell surface to activate adaptive immune responses. FAU - Li, Vivien AU - Li V AUID- ORCID: 0000-0001-9889-971X AD - The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC 3010, Australia. FAU - Binder, Michele D AU - Binder MD AD - The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC 3010, Australia. AD - Department of Anatomy and Physiology, University of Melbourne, Parkville, VIC 3010, Australia. FAU - Kilpatrick, Trevor J AU - Kilpatrick TJ AD - The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC 3010, Australia. LA - eng GR - GNT1191292/National Health and Medical Research Council/ GR - Education and Research Foundation/Australian and New Zealand Association of Neurologists/ GR - 19-0720/Multiple Sclerosis Research Australia/ GR - 19-0720/Trish Multiple Sclerosis Research Foundation/ GR - N/A/Australian Rotary Health/ GR - APP1175775/National Health and Medical Research Council/ PT - Journal Article DEP - 20231102 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - EC 2.7.10.1 (c-Mer Tyrosine Kinase) RN - 0 (Immunosuppressive Agents) RN - 7S5I7G3JQL (Dexamethasone) SB - IM MH - c-Mer Tyrosine Kinase/genetics/metabolism MH - *Dendritic Cells MH - *T-Lymphocytes MH - Immunosuppressive Agents/pharmacology MH - Immune Tolerance MH - Dexamethasone/pharmacology/metabolism PMC - PMC10650502 OTO - NOTNLM OT - MERTK OT - dendritic cells OT - dexamethasone OT - efferocytosis OT - immune tolerance COIS- The authors declare no conflict of interest. EDAT- 2023/11/14 06:43 MHDA- 2023/11/15 06:42 PMCR- 2023/11/02 CRDT- 2023/11/14 02:10 PHST- 2023/09/28 00:00 [received] PHST- 2023/10/26 00:00 [revised] PHST- 2023/10/31 00:00 [accepted] PHST- 2023/11/15 06:42 [medline] PHST- 2023/11/14 06:43 [pubmed] PHST- 2023/11/14 02:10 [entrez] PHST- 2023/11/02 00:00 [pmc-release] AID - ijms242115903 [pii] AID - ijms-24-15903 [pii] AID - 10.3390/ijms242115903 [doi] PST - epublish SO - Int J Mol Sci. 2023 Nov 2;24(21):15903. doi: 10.3390/ijms242115903.