Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential
Type 1 diabetes (T1D) is prompted by defective immunological tolerance, an event in which dendritic cells (DCs) are crucial as immune response orchestrators. In fact, they contribute to maintaining tolerance to self-antigens, but they can also prompt an immunogenic response against them, leading to...
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Frontiers Media S.A.
2019-11-01
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Online Access: | https://www.frontiersin.org/article/10.3389/fimmu.2019.02811/full |
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author | Silvia Rodriguez-Fernandez Marta Murillo Adrian Villalba David Perna-Barrull Mary Cano-Sarabia Laia Gomez-Muñoz Eva Aguilera Daniel Maspoch Daniel Maspoch Federico Vazquez Joan Bel Marta Vives-Pi Marta Vives-Pi |
author_facet | Silvia Rodriguez-Fernandez Marta Murillo Adrian Villalba David Perna-Barrull Mary Cano-Sarabia Laia Gomez-Muñoz Eva Aguilera Daniel Maspoch Daniel Maspoch Federico Vazquez Joan Bel Marta Vives-Pi Marta Vives-Pi |
author_sort | Silvia Rodriguez-Fernandez |
collection | DOAJ |
description | Type 1 diabetes (T1D) is prompted by defective immunological tolerance, an event in which dendritic cells (DCs) are crucial as immune response orchestrators. In fact, they contribute to maintaining tolerance to self-antigens, but they can also prompt an immunogenic response against them, leading to autoimmunity. Countless factors can potentially impact on the proper functionality of the DCs, which range from altered subset distribution, impaired phagocytic function to abnormal gene expression. Moreover, in T1D, metabolic dysregulation could impair DC functions as well. Indeed, since T1D clinical course is likely to be more aggressive in children and adolescents and entails severe dysglycemia, the aim of this study was to analyze circulating DCs subpopulations in pediatric T1D at different stages, as well as to characterize their phagocytosis ability and tolerance induction potential. Thus, pediatric patients newly diagnosed with T1D, with established disease and control subjects were recruited. Firstly, DCs subsets from peripheral blood were found quantitatively altered during the first year of disease, but recovered in the second year of progression. Secondly, to study the tolerogenic functionality of DCs, liposomes with phosphatidylserine (PS) were designed to mimic apoptotic beta cells, which are able to induce tolerance, as previously demonstrated by our group in DCs from adult patients with T1D. In this study, monocyte-derived DCs from pediatric patients with T1D and control subjects were assessed in terms of PS-liposomes capture kinetics, and transcriptional and phenotypic changes. DCs from pediatric patients with T1D were found to phagocyte PS-liposomes more slowly and less efficiently than DCs from control subjects, inversely correlating with disease evolution. Nonetheless, the transcription of PS receptors and immunoregulatory genes, cytokine profile, and membrane expression of immunological markers in DCs was consistent with tolerogenic potential after PS-liposomes phagocytosis. In conclusion, T1D progression in childhood entails altered peripheral blood DCs subsets, as well as impaired DCs phagocytosis, although tolerance induction could still function optimally. Therefore, this study provides useful data for patient follow-up and stratification in immunotherapy clinical trials. |
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issn | 1664-3224 |
language | English |
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spelling | doaj.art-19af0f58ed9f4b98a4e3dcd3fcc6abe02022-12-22T01:14:38ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-11-011010.3389/fimmu.2019.02811494483Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic PotentialSilvia Rodriguez-Fernandez0Marta Murillo1Adrian Villalba2David Perna-Barrull3Mary Cano-Sarabia4Laia Gomez-Muñoz5Eva Aguilera6Daniel Maspoch7Daniel Maspoch8Federico Vazquez9Joan Bel10Marta Vives-Pi11Marta Vives-Pi12Immunology Section, Germans Trias i Pujol Research Institute, Autonomous University of Barcelona, Badalona, SpainPediatrics Section, Germans Trias i Pujol University Hospital, Badalona, SpainImmunology Section, Germans Trias i Pujol Research Institute, Autonomous University of Barcelona, Badalona, SpainImmunology Section, Germans Trias i Pujol Research Institute, Autonomous University of Barcelona, Badalona, SpainCatalan Institute of Nanoscience and Nanotechnology, CSIC and the Barcelona Institute of Science and Technology, Bellaterra, SpainImmunology Section, Germans Trias i Pujol Research Institute, Autonomous University of Barcelona, Badalona, SpainEndocrinology Section, Germans Trias i Pujol University Hospital, Badalona, SpainCatalan Institute of Nanoscience and Nanotechnology, CSIC and the Barcelona Institute of Science and Technology, Bellaterra, SpainCatalan Institution for Research and Advanced Studies (ICREA), Barcelona, SpainEndocrinology Section, Germans Trias i Pujol University Hospital, Badalona, SpainPediatrics Section, Germans Trias i Pujol University Hospital, Badalona, SpainImmunology Section, Germans Trias i Pujol Research Institute, Autonomous University of Barcelona, Badalona, SpainBiomedical Research Center in Diabetes Network and Associated Metabolic Diseases (CIBERDEM), Carlos III Health Institute (ISCiii), Madrid, SpainType 1 diabetes (T1D) is prompted by defective immunological tolerance, an event in which dendritic cells (DCs) are crucial as immune response orchestrators. In fact, they contribute to maintaining tolerance to self-antigens, but they can also prompt an immunogenic response against them, leading to autoimmunity. Countless factors can potentially impact on the proper functionality of the DCs, which range from altered subset distribution, impaired phagocytic function to abnormal gene expression. Moreover, in T1D, metabolic dysregulation could impair DC functions as well. Indeed, since T1D clinical course is likely to be more aggressive in children and adolescents and entails severe dysglycemia, the aim of this study was to analyze circulating DCs subpopulations in pediatric T1D at different stages, as well as to characterize their phagocytosis ability and tolerance induction potential. Thus, pediatric patients newly diagnosed with T1D, with established disease and control subjects were recruited. Firstly, DCs subsets from peripheral blood were found quantitatively altered during the first year of disease, but recovered in the second year of progression. Secondly, to study the tolerogenic functionality of DCs, liposomes with phosphatidylserine (PS) were designed to mimic apoptotic beta cells, which are able to induce tolerance, as previously demonstrated by our group in DCs from adult patients with T1D. In this study, monocyte-derived DCs from pediatric patients with T1D and control subjects were assessed in terms of PS-liposomes capture kinetics, and transcriptional and phenotypic changes. DCs from pediatric patients with T1D were found to phagocyte PS-liposomes more slowly and less efficiently than DCs from control subjects, inversely correlating with disease evolution. Nonetheless, the transcription of PS receptors and immunoregulatory genes, cytokine profile, and membrane expression of immunological markers in DCs was consistent with tolerogenic potential after PS-liposomes phagocytosis. In conclusion, T1D progression in childhood entails altered peripheral blood DCs subsets, as well as impaired DCs phagocytosis, although tolerance induction could still function optimally. Therefore, this study provides useful data for patient follow-up and stratification in immunotherapy clinical trials.https://www.frontiersin.org/article/10.3389/fimmu.2019.02811/fulldendritic cellsimmune tolerancetype 1 diabetesphagocytosisautoimmunity |
spellingShingle | Silvia Rodriguez-Fernandez Marta Murillo Adrian Villalba David Perna-Barrull Mary Cano-Sarabia Laia Gomez-Muñoz Eva Aguilera Daniel Maspoch Daniel Maspoch Federico Vazquez Joan Bel Marta Vives-Pi Marta Vives-Pi Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential Frontiers in Immunology dendritic cells immune tolerance type 1 diabetes phagocytosis autoimmunity |
title | Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential |
title_full | Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential |
title_fullStr | Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential |
title_full_unstemmed | Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential |
title_short | Impaired Phagocytosis in Dendritic Cells From Pediatric Patients With Type 1 Diabetes Does Not Hamper Their Tolerogenic Potential |
title_sort | impaired phagocytosis in dendritic cells from pediatric patients with type 1 diabetes does not hamper their tolerogenic potential |
topic | dendritic cells immune tolerance type 1 diabetes phagocytosis autoimmunity |
url | https://www.frontiersin.org/article/10.3389/fimmu.2019.02811/full |
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