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Blood, 26 February 2009, Vol. 113, No. 9, pp. 2088-2095. Prepublished online as a Blood First Edition Paper on January 14, 2009; DOI 10.1182/blood-2008-07-168609.
TRANSPLANTATION Plasmacytoid dendritic cells prime alloreactive T cells to mediate graft-versus-host disease as antigen-presenting cells1 Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Science, Fukuoka; 2 Biopathological Science, Okayama University Graduate School of Medicine and Dentistry, Okayama; 3 Center for Cellular and Molecular Medicine, Kyushu University Hospital, Fukuoka; and 4 Department of Pathology, School of Medicine, Kurume University, Kurume, Japan Dendritic cells (DCs) can be classified into 2 distinct subsets: conventional DCs (cDCs) and plasmacytoid DCs (pDCs). cDCs can prime antigen-specific T-cell immunity, whereas in vivo function of pDCs as antigen-presenting cells remains controversial. We evaluated the contribution of pDCs to allogeneic T-cell responses in vivo in mouse models of graft-versus-host disease (GVHD) after allogeneic hematopoietic stem cell transplantation by an add-back study of MHC-expressing pDCs into major histocompatibility complex-deficient mice that were resistant to GVHD. Alloantigen expression on pDCs alone was sufficient to prime alloreactive T cells and cause GVHD. An inflammatory environment created by host irradiation has the decisive role in maturing pDCs for T-cell priming but this process does not require Toll-like receptor signaling. Thus, functional outcomes of pDC–T-cell interactions depend on the immunologic context of encounter. To our knowledge, these results are the first to directly demonstrate an in vivo pathogenic role of pDCs as antigen-presenting cells in an antigen-specific T cell–mediated disease in the absence of other DC subsets and to provide important insight into developing strategies for tolerance induction in transplantation.
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