Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS). In MS, myeloid dendritic cells (mDCs) secrete elevated amounts of IL-23, a potent pro-inflammatory cytokine, compared to healthy donors. Here, we examined the role of CD46, a complement binding factor, in mDCs by analyzing cytokine and chemokine production in healthy donors and patients with MS. There were striking differences between these groups with increased IL-23p19, CCL2 and CCL5 production, but decreased CCL2 levels in patients. This demonstrates major differences of DC activation upon CD46 activation, with a potential role in the pathogenesis of MS.
KeywordsMultiple sclerosis; human dendritic cells; chemokines; IL-23; CD46
1-IntroductionMultiple sclerosis is a chronic inflammatory demyelinating disease of the CNS (Hafler et al., 2005;Weiner, 2004b) in which both the release of inflammatory mediators and chemotaxis are important (Adorini, 2004;Elhofy et al., 2002). DCs are professional antigen-presenting cells (APC) which secrete cytokines and chemokines upon maturation and play a key role in the induction of immune responses by activating naïve T cells. We previously demonstrated that mDCs from patients with MS secrete elevated amounts of IL-23 compared to healthy controls (Vaknin-Dembinsky et al., 2006). IL-23 is a proinflammatory cytokine that consists of a specific p19 subunit associated with the shared IL-12p40 subunit (also called IL-12 beta1 subunit which associates with IL-12p35 to form IL-12 (p70)) (Frucht, 2002;Oppmann et al., 2000;Trinchieri et al., 2003). IL-23 promotes the expansion of a specific subset of T cells secreting IL-17, a potent inflammatory cytokine (Bettelli et al., 2007) Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Comabella et al., 1998;Soldan et al., 2004). Therefore, production of both IL-12 and IL-23 are dysregulated in patients with MS (Gran et al., 2004).
NIH Public AccessThe engagement of CD46 at the surface of APC has been shown to modulate the production of IL-12 (p70) and/or p40 subunit, either increasing or decreasing their expression depending on the cell type and stimulus used (Karp et al., 1996;Kurita-Taniguchi et al., 2000;Schnorr et al., 1997;Smith et al., 2003). CD46 is a widely expressed transmembrane protein initially identified as a complement regulatory protein (Seya et al., 1986). It has then been described as a 'magnet for pathogens ' (Cattaneo, 2004), acting as a receptor for several virus and bacteria. More recently, it was identified as a co-stimulatory molecule for T cell activation (Astier et al., 2000;Ma...