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Published ahead of print on August 13, 2009, doi:10.1164/rccm.200905-0761OC

Am. J. Respir. Crit. Care Med., Volume 180, Number 9, November 2009, 823-833

A more recent version of this article appeared on November 1, 2009
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Submitted on May 21, 2009
Accepted on August 7, 2009

Impaired IL-10-dependent Induction of Tolerogenic Dendritic Cells by CD4+CD25hiCD127lo/- Natural Regulatory T Cells In Human Allergic Asthma

Khoa D Nguyen1, Christopher Vanichsarn1, and Kari C Nadeau1*

1 Department of Pediatrics, Stanford University, Stanford, California, United States

* To whom correspondence should be addressed. E-mail: knadeau{at}stanford.edu.

Rationale: Tolerogenic dendritic cells and natural regulatory T cells have been implicated in the process of infectious tolerance in human allergic asthma. However, the significance of the influence of natural regulatory T cells on tolerogenic dendritic cells in the disease has not been investigated. Objectives: We aimed to characterize the mechanism of induction of the tolerogenic phenotype in circulating blood dendritic cells by allergic asthmatic natural regulatory T cells. Methods: The study was performed in a cohort of 21 allergic asthmatic, 21 healthy control, and 21 non-allergic asthmatic subjects. We cultured blood dendritic cells with natural regulatory T cells to study the induction of tolerogenic dendritic cells. Flow cytometry and proliferation assays were employed to analyze phenotype and function of dendritic cells as well as IL-10 production from natural regulatory T cells. Measurements and Main Results: Dendritic cells cultured with natural regulatory T cells upregulated IL-10, downregulated costimulatory molecules, and stimulated the proliferation of CD4+CD25- effector T cells less potently. Allergic asthmatic natural regulatory T cells were significantly less efficient in inducing this tolerogenic phenotype of dendritic cells compared to healthy control and non-allergic asthmatic counterparts. Furthermore, this defective function of natural regulatory T cells was associated with their decreased IL-10 expression, disease severity, and could be reversed by oral corticosteroid therapy. Conclusions: These results provided the first evidences of impaired induction of tolerogenic dendritic cells mediated by natural regulatory T cells in human allergic asthma.


Key words: asthma • natural regulatory T cells • dendritic cells • IL-10 • infectious tolerance







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