title: Altered innate immune response of plasmacytoid dendritic cells in multiple sclerosis.
abstract: Plasmacytoid dendritic cells (pDCs) are of crucial importance in immune regulation and response to microbial factors. In multiple sclerosis (MS), pDCs from peripheral blood showed an immature phenotype, but its role in susceptibility to MS is not determined. Because infectious diseases are established triggers of exacerbations in MS, in this study we have characterized the expression of Toll-like receptors (TLR) and the maturation and functional properties of peripheral blood pDCs from clinically stable, untreated MS patients in response to signals of innate immunity. After stimulation of TLR-9, interferon (IFN)-alpha production by pDCs was significantly lower in MS (n = 12) compared to healthy controls (n = 9). In an allogenic two-step co-culture assay we found an impaired effect of TLR-9 stimulation on IFN-gamma expression of autologous naive T cells in MS patients (n = 4). In peripheral blood mononuclear cells, TLR-9 stimulation with type A CpG ODN resulted in a higher expression of TLR-1, -2, -4, -5 and -8 in MS patients (n = 7) compared with healthy controls (n = 11). These findings suggest an altered innate immune response to microbial stimuli in MS patients and may help understanding of why common infectious agents trigger MS attacks.
authors: Department of Neurology, University of Würzburg, Würzburg, Poland. antonios.bayas@klinikum-augsburg.de
authors: A
authors: A
authors: Bayas
authors: M
authors: M
authors: Stasiolek
authors: N
authors: N
authors: Kruse
authors: K V
authors: KV
authors: Toyka
authors: K
authors: K
authors: Selmaj
authors: R
authors: R
authors: Gold
mesh_terms: D000328:Adult; D001424:Bacterial Infections / Q000276:immunology*; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology / Q000378:metabolism; D016022:Case-Control Studies; D003713:Dendritic Cells / Q000276:immunology* / Q000378:metabolism; D005260:Female; D005434:Flow Cytometry; D006801:Humans; D007113:Immunity, Innate; D007114:Immunization; D007371:Interferon-gamma / Q000032:analysis / Q000378:metabolism; D007937:Leukapheresis; D008297:Male; D009103:Multiple Sclerosis / Q000276:immunology* / Q000378:metabolism; D009838:Oligodeoxyribonucleotides / Q000494:pharmacology; D016133:Polymerase Chain Reaction / Q000379:methods; D018709:Statistics, Nonparametric; D051217:Toll-Like Receptor 9 / Q000819:agonists; D051193:Toll-Like Receptors / Q000032:analysis / Q000378:metabolism
chemical_list: C526902:CpG ODN 2216; D009838:Oligodeoxyribonucleotides; D051217:Toll-Like Receptor 9; D051193:Toll-Like Receptors; D007371:Interferon-gamma