F.38. Kinetics of Dendritic Cells Reconstitution and Costimulatory Molecules Expression After...
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N1/10,000. Thus the sensitivity for NMO was 88%. There washigh concordance with established detection assays. Thereactivity appeared to be predominantly of the IgG1 isotypeand was restricted to native epitopes as probing of blottedcell lysates by NMO sera was negative. This novel assay ishighly sensitive and specific for NMO. It is easy to use andallows for high-throughput screening. The restricted im-mune response against native epitopes warrants furtherexploration.
doi:10.1016/j.clim.2008.03.148
F.37. Retinoic Acid Increases Foxp3+ Regulatory TCells and Inhibits Development of Th17 Cells byEnhancing TGF-b-driven Smad3 Signaling andInhibiting IL-6 and IL-23 Receptor ExpressionSheng Xiao,1 Hulin Jin,2 Sue Liu,1 Thomas Korn,1 MohamedOukka,1 Bing Lim,2 Vijay Kuchroo.1 1Brigham and Women'sHospital and Harvard Medical School, Boston, MA; 2BethIsrael Deaconess Medical Center and Harvard MedicalSchool, Boston, MA
The de novo generation of Foxp3+ regulatory T (Treg)cells in the peripheral immune compartment and thedifferentiation of Th17 cells both require TGF-b, and IL-6and IL-21 are switch factors that drive the development ofTh17 cells at the expense of Treg generation. The majorvitamin A metabolite all-trans retinoic acid (RA) not onlyenforces the generation of Treg but also inhibits thedifferentiation of Th17 cells. Here we show that RAenhances TGF-b signaling by increasing the expressionand posphorylation of Smad3 and this results in increasedFoxp3 expression even in the presence of IL-6 or IL-21.However, RA also inhibits the expression of IL-6Ra, IRF-4and IL-23R and thus inhibits Th17 differentiation. AlthoughRA decreases expression of IL-17 and IL-23R, it has minimaleffect on the RORgt expression. In vitro, RA significantlypromotes Treg conversion but in vivo during the develop-ment of experimental autoimmune encephalomyelitis itdoes not increase the frequency of Treg cells. However, RAsuppresses the disease very efficiently by decreasingproinflammatory T cell responses, especially pathogenicTh17 responses. These data identify the signaling mechan-isms by which RA can affect both Treg and Th17differentiation but also highlight that in vivo during anautoimmune reaction, RA suppresses autoimmunity mainlyby inhibiting the generation of effector Th17 cells.
doi:10.1016/j.clim.2008.03.149
Bone Marrow or Stem Cell Transplantation
F.38. Kinetics of Dendritic Cells Reconstitutionand Costimulatory Molecules Expression AfterMyeloablative Allogeneic HaematopoeticStem Cell Transplantation: Implicationsfor the Development of AcuteGraft-versus-host Disease
Rudolf Horvath, Vit Budinsky, Jana Kayserova, RenataFormankova, Tomas Kalina, Jan Stary, Petr Sedlacek, JirinaBartunkova, Radek Spisek. Charles University, 2nd MedicalSchool and Faculty Hospital Motol, Prague, Czech Republic
Allogeneic hematopoetic stem cell transplantation(allo-HSCT) with myeloablative conditioning represents aunique opportunity to monitor the kinetics of hematopoe-tic cells reconstitution. Dendritic cells (DCs) are the mostefficient antigen presenting cells. Two distinct subsets ofDCs have been identified - myeloid (mDCs) and plasmacy-toid (pDCs) that have different roles in the regulation ofimmunity. In this study, we analyzed the kinetics of DCssubsets reconstitution in 13 pediatric patients undergoingallo-HSCT. Myeloid DCs were defined as lineage -, CD11c+,HLA-DR+ and pDCs as lineage -, CD123+ and HLA-DR+. Wefurther evaluated activation status of circulating DCs bysimultaneous monitoring of costimulatory moleculesexpression (CD80, CD83 and CD86). Peripheral blood DCswere monitored from the earliest phase of hematopoeticreconstitution until day 365 after HSCT. Both mDCs andpDCs appeared at earliest stages after engraftment andrelative numbers within white blood cells compartmentpeaked between days 19-25 after HSCT. Their proportionthen gradually declined and absolute levels of both DCssubsets remained lower for the whole follow-up periodwhen compared to controls. Expression of costimulatorymolecules, especially CD83 and CD86 transiently increasedbetween days 15 and 35 and then went back to low steadystate levels. Interestingly, patients who developed acutegraft-versus-host disease (aGVHD) had significantly lowernumbers of circulating DCs. Detailed analysis of DCs inpatients with aGVHD revealed that the decline in DCscounts preceded development of clinical symptoms by atleast 24 h. This study provides further inside into thebiology of DCs in the settings of allo-HSCT and revealsquantification of DCs counts as potential biomarker for theprediction of aGVHD development.
doi:10.1016/j.clim.2008.03.150
F.39. Alloimmunogenicity of Pericytes Isolated fromHuman PlacentaCheryl Maier, Benjamin Shepherd, Jordan Pober. YaleUniversity School of Medicine, New Haven, CT
Microvascular pericytes are contractile stromal cells thatstabilize blood capillaries and have great potential for use intissue engineering. Other stromal cell types, like mesench-ymal stem cells (MSC) and smooth muscle cells (SMC),reportedly inhibit T lymphocyte responses. Here we inves-tigate the immunologic functions of microvascular pericytes(PC) isolated from human placenta, comparing these cells tohuman umbilical vein endothelial cells (EC), to human aorticSMC and to human bone marrow-derived MSC. PC wereisolated and cultured by explant outgrowth from collage-nase-digested placental microvessel fragments in M199medium containing 20% fetal calf serum on tissue cultureplastic. Cultured PC are spindle-like with prominent actinfilaments and retract to form postconfluent multicellular
S55Abstracts