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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2005-11-23
pubmed:abstractText
Evidence from in vitro studies suggests that immunosuppressive drugs interfere with key functions of dendritic cells (DCs), but the in vivo relevance of these findings is elusive. We prospectively analyzed the major DC precursor subsets in the blood of kidney transplant recipients on long-term immunosuppression (> or =1 year). A total of 87 patients were compared to 87 age- and sex-matched controls. Total DC numbers and the precursor subsets, myeloid type 1 DCs, myeloid type 2 DCs (mDC1, mDC2) and plasmacytoid DCs (pDCs) were identified by four color flow cytometry. Long-term immunosuppression was associated with significant reduction of all major DC subsets in comparison to healthy controls (mDC1 p < 0.001; mDC2 p < 0.0001; two-tailed Mann-Whitney U-test) with the strongest negative impact on pDCs (p < 0.00001). In contrast, total leukocyte numbers were not significantly affected. Analysis of the relative impact of different agents revealed a significant impact of prednisolone on pDCs (p = 0.009) and mDCs2 (p = 0.006). The functional relevance of pDC deficiency was confirmed independently by Interferon-alpha analysis after Toll-like receptor 7 (p < or = 0.001) and 9 (p < 0.05) stimulation. These results indicate for the first time a profound negative impact of long-term immunosuppression on major DC subsets in kidney transplant recipients. DC deficiency may have important implications with respect to viral infections and tumor development.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1600-6135
pubmed:author
pubmed:issnType
Print
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2945-53
pubmed:dateRevised
2007-2-14
pubmed:meshHeading
pubmed-meshheading:16303009-Adrenal Cortex Hormones, pubmed-meshheading:16303009-Adult, pubmed-meshheading:16303009-Antigen Presentation, pubmed-meshheading:16303009-Cells, Cultured, pubmed-meshheading:16303009-Cohort Studies, pubmed-meshheading:16303009-Dendritic Cells, pubmed-meshheading:16303009-Female, pubmed-meshheading:16303009-Graft Rejection, pubmed-meshheading:16303009-Humans, pubmed-meshheading:16303009-Immunosuppressive Agents, pubmed-meshheading:16303009-Kidney Transplantation, pubmed-meshheading:16303009-Male, pubmed-meshheading:16303009-Middle Aged, pubmed-meshheading:16303009-Prednisolone, pubmed-meshheading:16303009-Prospective Studies, pubmed-meshheading:16303009-Stem Cells, pubmed-meshheading:16303009-Time Factors, pubmed-meshheading:16303009-Toll-Like Receptor 7, pubmed-meshheading:16303009-Toll-Like Receptor 9
pubmed:year
2005
pubmed:articleTitle
Dendritic cell deficiency in the blood of kidney transplant patients on long-term immunosuppression: results of a prospective matched-cohort study.
pubmed:affiliation
Department for Internal Medicine, Justus-Liebig University, Giessen, Germany. Holger.Hackstein@immunologie.med.uni-giessen.de
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't