Ding Yanli, Chung Chun-Shiang, Newton Sarah, Chen Yaping, Carlton Stacey, Albina Jorge E, Ayala Alfred
Division of Surgical Research, Department of Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, Rhode Island 02903, USA.
Shock. 2004 Aug;22(2):137-44. doi: 10.1097/01.shk.0000131194.80038.3f.
Dendritic cells (DCs) are professional antigen-presenting cells that act as sentinels in the cell-mediated response against invading pathogens associated with septic challenge. The purpose of the present study was to determine whether there is a loss of dendritic cells and/or changes in function of these cells in septic mice. Here we report that the number of DCs, in both spleen and peritoneum, decreased over 24 h postsepsis [cecal ligation and puncture (CLP)] when compared with sham. The most dramatic change was seen in the peritoneal cavity. This decrease appeared to be caused mainly by the depletion of immature DCs rather than mature DCs. This change was LPS independent and minimally affected by FasL; however, overexpression of human Bcl-2 gene provides protection of the septic peritoneal DCs. Moreover, although the level of IL-12 release decreased significantly in splenic DCs obtained from CLP mice, IL-12 secretion was markedly elevated by peritoneal DCs as well as in both plasma and peritoneal fluid at 24 h post-CLP. In peritoneal cells, the expression of CD40, CD80, and CD86 was unchanged, but their respective ligands CD40L, CD28, and CD152 all increased in mice 24 h after CLP, although no such change was observed in splenocytes. Regardless of the presence or absence of antigen, peritoneal DCs from CLP mice showed higher capacity to stimulate T-cell proliferation than those cells from the sham control. However, splenic DCs from CLP mice only showed augmented capacity to induce antigen-dependent stimulation of T-cell proliferation. Together, these data indicate that sepsis produces divergent functional changes in splenic and peritoneal DC populations.
树突状细胞(DCs)是专业的抗原呈递细胞,在针对与脓毒症挑战相关的入侵病原体的细胞介导反应中充当哨兵。本研究的目的是确定脓毒症小鼠中是否存在树突状细胞数量减少和/或这些细胞功能的变化。在此我们报告,与假手术组相比,脓毒症[盲肠结扎和穿刺(CLP)]后24小时内,脾脏和腹膜中的DCs数量均减少。最显著的变化出现在腹腔。这种减少似乎主要是由未成熟DCs的耗竭而非成熟DCs引起的。这种变化与脂多糖无关,且受FasL的影响最小;然而,人Bcl-2基因的过表达可保护脓毒症腹膜DCs。此外,尽管从CLP小鼠获得的脾脏DCs中IL-12释放水平显著降低,但CLP后24小时,腹膜DCs以及血浆和腹膜液中的IL-12分泌均明显升高。在腹膜细胞中,CD40、CD80和CD86的表达未发生变化,但在CLP后24小时的小鼠中,它们各自的配体CD40L、CD28和CD152均增加,尽管在脾细胞中未观察到这种变化。无论有无抗原,CLP小鼠的腹膜DCs刺激T细胞增殖的能力均高于假手术对照组的细胞。然而,CLP小鼠的脾脏DCs仅在诱导抗原依赖性T细胞增殖刺激方面能力增强。总之,这些数据表明脓毒症会在脾脏和腹膜DC群体中产生不同的功能变化。