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Blood, 1 February 2006, Vol. 107, No. 3, pp. 1010-1017.
Prepublished online as a Blood First Edition Paper on October 13, 2005; DOI 10.1182/blood-2005-07-2903.
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Submitted July 20, 2005
Accepted September 21, 2005
A novel form of immune signaling revealed by transmission of the inflammatory mediator serotonin between dendritic cells and T cells
Peta J O'Connell, Xiangbin Wang, Matilde Leon-Ponte, Corrie Griffiths, Sandeep C Pingle, and Gerard P Ahern*
Robarts Research Institute, London, ON, Canada; Departments of Surgery, Microbiology and Immunology, University of Western Ontario, London, ON, Canada
Department of Pharmacology, Georgetown University, Washington, DC, USA
* Corresponding author; email: gpa3{at}georgetown.edu.
Adaptive immunity is triggered at the immune synapse where peptide-MHC complexes and co-stimulatory molecules expressed by dendritic cells (DC) are physically presented to T cells. Here we describe transmission of the inflammatory monoamine serotonin (5-HT), between these cells. DC take-up 5-HT from the microenvironment and from activated T cells (that synthesize 5-HT)and this uptake is inhibited by the anti-depressant, fluoxetine. Expression of 5-HT transporters (SERT) is regulated by DC maturation, exposure to microbial stimuli and physical interactions with T cells. Significantly, 5-HT sequestered by DC is stored within LAMP-1+ vesicles and subsequently released via Ca2+-dependent exocytosis which was confirmed by amperometric recordings. In turn, extracellular 5-HT can reduce T cell levels of cAMP, a modulator of T cell activation. Thus, through the uptake of 5-HT at sites of inflammation, and from activated T cells, DC may shuttle 5-HT to naive T cells and thereby modulate T cell proliferation and differentiation. These data constitute the first direct measurement of triggered exocytosis by DC and reveal a new and rapid type of signaling that may be optimized by the intimate synaptic environment between DC and T cells. Moreover, these results highlight an important role for 5-HT signaling in immune function and the potential consequences of commonly used drugs which target 5-HT uptake and release.

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