Arthritis Res Ther. 2013;15(5):R114. doi: 10.1186/ar4294.
Therapeutic vaccination with antigen-specific tolerogenic dendritic cells (tolDC) might become a future option of individualized therapy for patients with autoimmune diseases. In this study, we tested the possibility of generating monocyte-derived tolDC from patients with primary Sjögren's syndrome (pSS). We analyzed phenotype, cytokine production and ability to suppress Ro/La-specific immune responses.
Monocyte-derived tolDC from patients with pSS were generated in the presence of dexamethasone, vitamin D3 and lipopolysaccharide (DexVD3 DC). The phenotype was analyzed by flow cytometry and the cytokine profile was investigated using a 25-plex Luminex assay and ELISA. The capacity to both stimulate Ro/La-specific T cells and suppress this response was evaluated by autologous mixed lymphocyte reaction (MLR).
DC generated from patients with pSS had a similar phenotype and cytokine profile to those from healthy controls. DexVD3 DC from pSS patients induced little antigen-specific T cell proliferation, but DexVD3 DC-primed lymphocytes successfully suppressed Ro/La-specific T cell responses.
DexVD3 DC presenting Ro/La antigens might be a promising new therapeutic option for patients with pSS.
用抗原特异性耐受原性树突细胞(tolDC)进行治疗性疫苗接种可能成为治疗自身免疫性疾病患者的未来个体化治疗选择。在这项研究中,我们测试了从原发性干燥综合征(pSS)患者中生成单核细胞来源的 tolDC 的可能性。我们分析了表型、细胞因子产生和抑制 Ro/La 特异性免疫反应的能力。
在地塞米松、维生素 D3 和脂多糖(DexVD3 DC)存在的情况下,从 pSS 患者中生成单核细胞来源的 tolDC。通过流式细胞术分析表型,并使用 25 plex Luminex 测定法和 ELISA 研究细胞因子谱。通过自体混合淋巴细胞反应(MLR)评估刺激 Ro/La 特异性 T 细胞和抑制该反应的能力。
从 pSS 患者中生成的 DC 具有与健康对照相似的表型和细胞因子谱。来自 pSS 患者的 DexVD3 DC 诱导的抗原特异性 T 细胞增殖很少,但 DexVD3 DC 致敏的淋巴细胞成功抑制了 Ro/La 特异性 T 细胞反应。
呈现 Ro/La 抗原的 DexVD3 DC 可能成为 pSS 患者有前途的新治疗选择。