Monocytes and T helper (T H ) cells rapidly infiltrate inflamed tissues where monocytes differentiate into inflammatory dendritic cells (DCs
IntroductionDCs are phenotypically and functionally divergent antigen presenting cells that originate from bone marrow precursors such as monocytes. [1][2][3][4][5][6] Encompassing a broad anatomical distribution, DCs continuously sample the microenvironment in search of danger signals recognized by a wide spectrum of pattern recognition receptors (PRRs). 1,2,6 Depending on the cytokine milieu and the pathogen encountered, DCs differentially up-regulate costimulatory molecules and secrete a variety of cytokines that dictate the nature of the T cell response. 7-10 DC exposure to particular intracellular pathogens or their products, including lipopolysaccharide (LPS) and double-stranded RNA, leads to DC-driven T H 1 differentiation primarily through IL-12 secretion. 11 Conversely, DCs mediate T H 2 differentiation in response to extracellular parasites, such as S mansoni, which likely results from diminished IL-12 secretion and increased OX40L expression. 7,8 Several reports have implicated DC-derived IL-1â€, IL-6, IL-23, and TGF-†in the polarization of T H 17 cells, 9,12-17 which mediate defense against extracellular bacteria and various fungal infections. 15 Psoriasis and atopic dermatitis are common inflammatory skin diseases characterized by the rapid accumulation of T H cells and DCs. [18][19][20][21][22] While both diseases share several pathologic features, 18,22 the T H cells implicated in the pathogenesis of each disease are distinct. 19,20,23 Infiltration of T H 1 and T H 17 cells is commonly observed in psoriatic lesions, 19 which is accompanied by elevated levels of the T H 1 cytokine, IFN-â„, and the T H 17 cytokines, Conversely, acute atopic dermatitis lesions contain elevated levels of T H 2 cells and their associated effector cytokines, 23 Not surprisingly, DCs that accumulate in each of these diseases exhibit markedly different phenotypes. 21,24,25 DCs present in psoriatic lesions express IL-12p40, IL-23, and TNF-⣠25-27 while DCs present in atopic dermatitis lesions express low or undetectable levels of these cytokines. 25 DCs from each of these diseases also differentially express cell surface molecules such as DC-SIGN. 21 However, the cell types and/or factors that influence the generation of these DC subsets remain elusive.Given that memory T H cells and monocytes rapidly infiltrate inflamed tissues 2 and that activated T H cells secrete high levels of GM-CSF, 28 a cytokine that mediates DC differentiation from monocytes, 29,30 we hypothesized that T H cells instruct monocytes to differentiate into DCs. Our data demonstrate that not only do T H cells direct monocytes to differentiate into DCs, but that each T H cell subset drives the formation of phenotypically and functionally distinct DC subsets that resemble DCs previously identified in atopic dermatitis and psoriatic lesions. 21,24,25 These data support the hypothesis that memory T H cells influence t...