Circulating dendritic cells are severely decreased in idiopathic pulmonary fibrosis with a potential value for prognosis prediction

被引:15
作者
Galati, Domenico [1 ]
Zanotta, Serena [1 ]
Polistina, Giorgio Emanuele [2 ]
Coppola, Antonietta [2 ]
Capitelli, Ludovica [2 ]
Bocchino, Marialuisa [2 ]
机构
[1] Ist Nazl Tumori IRCCS Fdn G Pascale, Dept Haematol & Innovat Therapies, Haematol Oncol & Stem Cell Transplantat Unit, Naples, Italy
[2] Univ Naples Federico II, Dept Clin Med & Surg, Resp Med Div, Naples, Italy
关键词
Idiopathic pulmonary fibrosis; Dendritic cells; Oxidative burst; Interleukin-6; Flow cytometry; OXIDATIVE STRESS; IL-6; STAT3; STANDARDIZATION; TUMOR; DIFFERENTIATION; GUIDELINES; STATEMENT; CYTOKINES; ALPHA;
D O I
10.1016/j.clim.2020.108454
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Dendritic cells (DCs) accumulate in the lung of patients affected by idiopathic pulmonary fibrosis (IPF). We measured the frequencies of circulating conventional CD1c + and CD141 + cells (namely, cDC2 and cDC1) and of plasmacytoid CD303 + DCs in a cohort of 60 therapy naive IPF patients by flow cytometry. Peripheral levels of reactive oxygen species (ROS) and of pro-inflammatory and Th1/Th2 polarizing cytokines were also analyzed. All blood DC subtypes were significantly reduced in IPF patients in comparison to age- and sex-matched controls, while ROS and interleukin (IL-6) levels were augmented. IL-6 expression increased along with disease severity, according to the gender-age-physiology index, and correlated with the frequency of cDC2. IL-6 and cDC2 were not influenced by anti-fibrotic therapies but were associated with a reduced survival, the latter being an independent predictive biomarker of worse prognosis. Deciphering the role of DCs in IPF might provide information on disease pathogenesis and clinical behavior.
引用
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页数:10
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