Tolerogenic dendritic cells: all present and correct?

Am J Transplant. 2010 Feb;10(2):214-9. doi: 10.1111/j.1600-6143.2009.02955.x. Epub 2010 Jan 5.

Abstract

Although well-recognized for their sentinel role and, when activated, their immunostimulatory function, bone marrow-derived dendritic cells (DC) possess inherent tolerogenic (tol) ability. Under quiescent conditions, these cells maintain central and peripheral self tolerance. When appropriately conditioned, in vitro or in vivo, they inhibit innate and adaptive immunity to foreign antigens, including memory T-cell responses. This suppressive function is mediated by various mechanisms, including the expansion and induction of antigen-specific regulatory T cells. Extensive experience in rodent models and recent work in nonhuman primates, indicate the potential of pharmacologically-modified, tol DC (tolDC) to regulate alloimmunity in vivo and to promote lasting, alloantigen-specific T-cell unresponsiveness and transplant survival. While there are many questions yet to be addressed concerning the functional biology of tolDC in humans, these cells offer considerable potential as natural, safe and antigen-specific regulators for long-term control of the outcome of organ and hematopoietic cell transplantation. This minireview surveys recent findings that enhance understanding of the functional biology and therapeutic application of tolDC, with special reference to transplantation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adaptive Immunity
  • Animals
  • Bone Marrow Cells / drug effects
  • Bone Marrow Cells / immunology
  • Cell Differentiation / drug effects
  • Cell Differentiation / immunology
  • Cell Transplantation
  • Dendritic Cells / immunology*
  • Dendritic Cells / physiology
  • Dendritic Cells / transplantation
  • Humans
  • Isoantigens / immunology
  • Male
  • Mice
  • Organic Chemicals
  • Self Tolerance / drug effects
  • Self Tolerance / immunology
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • T-Lymphocytes / transplantation
  • T-Lymphocytes, Regulatory / drug effects
  • T-Lymphocytes, Regulatory / immunology*
  • T-Lymphocytes, Regulatory / transplantation

Substances

  • Isoantigens
  • Organic Chemicals
  • Tolerogen