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ABSTRACT: Objectives
SSc is a devastating autoimmune disease characterized by fibrosis and obliterative vasculopathy affecting the skin and visceral organs. While the processes mediating excessive extracellular matrix deposition and fibroblast proliferation are clear, the exact link between autoimmunity and fibrosis remains elusive. Th17 cells have been proposed as critical drivers of profibrotic inflammation during SSc, but little is known about the immune components supporting their pathogenic role. Our aim was to determine cytokine responses of stimulated monocyte-derived dendritic cells (Mo-DCs) and to determine how they influence T-cell cytokine production in SSc.Material and methods
Dendritic cells (DCs) activate and shape T cell differentiation by producing polarizing cytokines. Hence, we investigated the cytokine responses of monocyte-derived DCs (Mo-DCs) from patients with limited cutaneous SSc (lcSSc), diffuse cutaneous SSc (dcSSc) and healthy controls (HCs) after stimulation with toll-like receptor (TLR) agonists. Also, using co-culture assays, we analysed T cell subpopulations after contact with autologous TLR-activated Mo-DCs.Results
In general, we observed an increased production of Th17-related cytokines like IL-1β, IL-17F, IL-21 and IL-22 by SSc compared with HC Mo-DCs, with variations between lcSSc vs dcSSc and early- vs late-stage subgroups. Noticeably, we found a significant increment in IL-33 production by Mo-DCs in all SSc cases regardless of their clinical phenotype. Strikingly, T cells displayed Th2, Th17 and dual Th2-Th17 phenotypes after exposure to autologous TLR-stimulated Mo-DCs from SSc patients but not HCs. These changes were pronounced in individuals with early-stage dcSSc and less significant in the late-stage lcSSc subgroup.Conclusions
Our findings suggest that functional alterations of DCs promote immune mechanisms favouring the aberrant T cell polarization and profibrotic inflammation behind clinical SSc heterogeneity.
SUBMITTER: Choreno-Parra JA
PROVIDER: S-EPMC10070068 | biostudies-literature | 2023 Apr
REPOSITORIES: biostudies-literature
Choreño-Parra José Alberto JA Cervantes-Rosete Diana D Jiménez-Álvarez Luis Armando LA Ramírez-Martínez Gustavo G Márquez-García José Eduardo JE Cruz-Lagunas Alfredo A Magaña-Sánchez Ana Yelli AY Lima Guadalupe G López-Maldonado Humberto H Gaytán-Guzmán Emanuel E Caballero Adrian A Fernández-Plata Rosario R Furuzawa-Carballeda Janette J Mendoza-Milla Criselda C Navarro-González Maria Del Carmen MDC Llorente Luis L Zúñiga Joaquín J Rodríguez-Reyna Tatiana Sofía TS
Rheumatology (Oxford, England) 20230401 4
<h4>Objectives</h4>SSc is a devastating autoimmune disease characterized by fibrosis and obliterative vasculopathy affecting the skin and visceral organs. While the processes mediating excessive extracellular matrix deposition and fibroblast proliferation are clear, the exact link between autoimmunity and fibrosis remains elusive. Th17 cells have been proposed as critical drivers of profibrotic inflammation during SSc, but little is known about the immune components supporting their pathogenic r ...[more]