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Blood, 15 December 2001, Vol. 98, No. 13, pp. 3733-3738
IMMUNOBIOLOGY
The normal cellular prion protein is strongly expressed by
myeloid dendritic cells
John Burthem,
Britta Urban,
Arnab Pain, and
David J. Roberts
From the Nuffield Department of Biochemistry and
Cellular Science, University of Oxford, and National Blood Service,
John Radcliffe Hospital, Oxford, United Kingdom; and Department of
Biomedical Sciences, UMIST, Manchester, United Kingdom.
Abnormal isoforms of the prion protein (PrPSc) that
cause prion diseases are propagated and spread within the body by
"carrier" cell(s). Cells of the immune system have been strongly
implicated in this process. In particular, PrPSc is known
to accumulate on follicular dendritic cells (FDCs) in individuals
affected by variant Creutzfeld-Jakob disease. However, FDCs do not
migrate widely and the natural history of prion disorders suggests
other cells may be required for the transport of PrPSc from
the site of ingestion to lymphoid organs and the central nervous
system. Substantial evidence suggests that the spread of
PrPSc requires bone marrow-derived cells that express
normal cellular prion protein (PrPC). This study examined
the expression of PrPC on bone marrow-derived cells that
interact with lymphoid follicles. High levels of PrPC are
present on myeloid dendritic cells (DCs) that surround the splenic
white pulp. These myeloid DCs are ontologically and functionally distinct from the FDCs. Consistent with these observations, expression of PrPC was strongly induced during the generation of
mature myeloid DCs in vitro. In these cells PrPC
colocalized with major histocompatibility complex class II molecules at
the level of light microscopy. Furthermore, given the close anatomic
and functional connection of myeloid DCs with lymphoid follicles, these
results raise the possibility that myeloid DCs may play a role in the
propagation of PrPSc in humans.

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