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* Institut National de la Santé et de la Recherche Médicale, Unité 416, Institut Pasteur de Lille, Lille, France;
Department of Pulmonary and Critical Care Medicine, Erasmus University, Rotterdam, The Netherlands; and
Clinique des Maladies Respiratoires, Hôpital Calmette, Centre Hospitalier Régional Universitaire de Lille, Lille, France
In rodents, airway dendritic cells (DCs) capture inhaled Ag,
undergo maturation, and migrate to the draining mediastinal lymph nodes
(MLN) to initiate the Ag-specific T cell response. However, the role of
human DCs in the pathogenesis of the Th2 cell-mediated disease asthma
remains to be clarified. Here, by using SCID mice engrafted with T
cells from either house dust mite (HDM)-allergic patients or healthy
donors, we show that DCs pulsed with Der p 1, one of the major
allergens of HDM, and injected intratracheally into naive animals
migrated into the MLN. In the MLN, Der p 1-pulsed DCs from allergic
patients induced the proliferation of IL-4-producing CD4+ T
cells, whereas those from healthy donors induced IFN-
-secreting
cells. In reconstituted human PBMC-reconstituted SCID mice primed with
pulsed DCs from allergic patients, repeated exposure to aerosols of HDM
induced 1) a strong pulmonary inflammatory reaction rich in T cells and
eosinophils, 2) an increase in IL-4 and IL-5 production in the lung
lavage fluid, and 3) increased IgE production compared with that in
mice primed with unpulsed DCs. All these effects were reduced following
in vivo neutralization of the CCR7 ligand secondary lymphoid tissue
chemokine. These data in human PBMC-reconstituted SCID mice show that
monocyte-derived DCs might play a key role in the pathogenesis of the
pulmonary allergic response by inducing Th2 effector function following
migration to the MLN.
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