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Blood, 11 June 2009, Vol. 113, No. 24, pp. 6112-6119.
Prepublished online as a Blood First Edition Paper on April 14, 2009; DOI 10.1182/blood-2008-07-170803.


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Submitted July 28, 2008
Accepted March 25, 2009

Plasmacytoid dendritic cells accumulate in spleens from chronically HIV-infected patients, but barely participate in interferon alpha expression

Michelina Nascimbeni, Leila Perie, Laurent Chorro, Seckou Diocou, Louis Kreitmann, Stephanie Louis, Laurent Garderet, Bettina Fabiani, Anne Berger, Jurgen Schmitz, Jean-Pierre Marie, Thierry Jo Molina, Jerome Pacanowski, Jean-Paul Viard, Eric Oksenhendler, Stephanie Beq, Orly Abehsira-Amar, Remi Cheynier, and Anne Hosmalin*

Departement d'Immunologie, Institut Cochin, Paris, France
Institut National de la Sante et de la Recherche Medicale, Unite 567, Paris, France
Centre National de la Recherche Scientifique, UMR 8104, Paris, France
Universite Paris Descartes, Paris, France
Hematologie, Anatomie pathologique, Hopital Saint-Antoine, Paris, France
Chirurgie Generale et Digestive, Hopital Europeen Georges Pompidou, Paris, France
Miltenyi Biotech GmbH, Bergisch Gladbach, Germany
AP-HP, Hotel-Dieu, Departement d'hematologie et d'oncologie medicale, Paris, France
AP-HP, Hotel-Dieu, Service d'Anatomie et Cytologie Pathologiques, Paris, France
Service des Maladies Infectieuses, Hopital Necker, Paris, France
Service d'Immunologie Clinique, Hopital Saint-Louis, Paris, France
Institut Pasteur, Departement de Virologie, Paris, France

* Corresponding author; email: anne.hosmalin{at}inserm.fr.

We characterized the localization, phenotype and some functions of plasmacytoid dendritic cells (pDC) in the human spleen. pDC were localized in the marginal zone and the peri-arteriolar region. Some were also found in the red pulp. pDC were immature by phenotypic labeling, consistently with their capacity to internalize Dextran in a functional assay. In spleens from human immunodeficiency virus (HIV)-infected patients with thrombocytopenic purpura, these characteristics were unaffected. However, an accumulation of pDC, but not mDC, was observed in some HIV+ patients, correlating with high proviral loads. Moreover, while undetectable in most HIV- patients, IFN-{alpha} production was evidenced in situ and by flow cytometry in most HIV+ patients. IFN-{alpha} was located in the marginal zone. Surprisingly, IFN-{alpha} colocalized only with few pDC, but rather with other cells, including T and B lymphocytes, mDC and macrophages. Therefore pDC accumulated in spleens from HIV+ patients with high proviral loads, but they did not seem to be the main IFN-{alpha} producers.


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