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*
Laboratory for Immunohistochemistry and Immunopathology, Institute of Pathology, and
Ear, Nose and Throat Department, University of Oslo, Rikshospitalet, Oslo, Norway; and
Becton Dickinson Immunocytometry Systems, San Jose, CA 95131
<. >
Recent evidence suggests that the previously enigmatic cell
type designated plasmacytoid monocytes can function as dendritic cells
and contribute substantially to both innate and adaptive immunity. This
cell type has previously been described only in bone marrow, blood, and
organized lymphoid tissue, but not at effector sites with direct Ag
exposure such as the mucosae. Plasmacytoid dendritic cells (P-DCs)
matured in vitro can induce T cells to produce allergy-promoting Th2
cytokines; therefore, their possible occurrence in nasal mucosa during
experimentally elicited allergic rhinitis was examined. Patients with
silent nasal allergy were challenged topically with relevant allergen
daily for 7 days. Biopsy specimens as well as blood samples were
obtained before and during such provocation, and P-DCs were identified
by their high expression of CD123 (IL-3R
-chain), together with
CD45RA. Our results showed that P-DCs were present in low and variable
numbers in normal nasal mucosa but increased dramatically during the
allergic reaction. This accumulation concurred with the expression of
the L-selectin ligand peripheral lymph node addressin on the mucosal
vascular endothelium. The latter observation was particularly
interesting in view of the high levels of L-selectin on circulating
P-DC precursors and of previous reports suggesting that these cells can
enter organized lymphoid tissue via high endothelial venules (which
express peripheral lymph node addressin constitutively). Together, our
findings suggested that P-DCs are involved in the triggering of airway
allergy and that they are directed to allergic lesions by adhesion
molecules that normally mediate leukocyte extravasation in organized
lymphoid tissue.
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