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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Main Authors: Silvia Rodriguez-Fernandez, Marta Murillo, Adrian Villalba, David Perna-Barrull, Mary Cano-Sarabia, Laia Gomez-Muñoz, Eva Aguilera, Daniel Maspoch, Federico Vazquez, Joan Bel, Marta Vives-Pi
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Immunology
Subjects:
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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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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