Flow cytometric analysis of peripheral blood dendritic cells in patients with severe sepsis

Francesca Riccardi, G. D P Matteo, Bianca Rovati, Alberto Casazza, Danila Radolovich, Mara De Amici, Marco Danova, Martin Langer

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: Dendritic cells (DC) play a key role in cell mediated immunity. We aimed to analyse the number and function of peripheral blood (PB) myeloid and plasmacytoid DC (mDC/pDC) in patients with severe sepsis. Methods: Twenty six septic patients, 20 surgical patients (abdominal aortic aneurysm) and 20 healthy controls were enrolled in this prospective study. Results: At day 1 (enrollment in the study), septic patients showed in comparison with healthy controls, decreased mDC (P <0.001) and increased pDC (P = 0.03), resulting in a reduction of the mDC/pDC ratio (P <0.001). Surgery induced a decrease in both mDCs and pDCs level, without modification of mDC/pDC ratio. Septic patients included 15 survivors and 11 nonsurvivors. At day 1 no significant difference was found in mDC between the two groups, while pDCs were significantly higher in nonsurvivors (P = 0.03). At the outcome, mDC were selectively increased with respect to day 1 in survivors (P = 0.001), while no significant differences were observed as far as pDC count is concerned in both groups. Sorted DC from septic patients showed in comparison with healthy controls, reduced levels of HLA DR (P <0.001), CD11c (P <0.001), CD83 (P = 0.006) and of costimulatory molecule CD86 (P = 0.003); an up regulation of chemokine receptor CXCR4 (P = 0.031) and increased apoptosis (P <0.001). Conclusions: Sepsis has a profound effect on PB DC compartment. These alterations appear to be sepsis specific. Increased apoptosis and alteration of migration and trafficking mechanism may be involved in DC compartment modification. DC alterations could contribute to sepsis mediated immunoparalysis.

Original languageEnglish
Pages (from-to)14-21
Number of pages8
JournalCytometry Part B - Clinical Cytometry
Volume80 B
Issue number1
DOIs
Publication statusPublished - Jan 2011

Fingerprint

Dendritic Cells
Blood Cells
Sepsis
Survivors
Apoptosis
Chemokine Receptors
Abdominal Aortic Aneurysm
HLA-DR Antigens
Cellular Immunity
Up-Regulation
Prospective Studies

Keywords

  • Dendritic cells
  • Flow cytometry
  • sepsis

ASJC Scopus subject areas

  • Cell Biology
  • Histology
  • Pathology and Forensic Medicine

Cite this

Flow cytometric analysis of peripheral blood dendritic cells in patients with severe sepsis. / Riccardi, Francesca; Matteo, G. D P; Rovati, Bianca; Casazza, Alberto; Radolovich, Danila; De Amici, Mara; Danova, Marco; Langer, Martin.

In: Cytometry Part B - Clinical Cytometry, Vol. 80 B, No. 1, 01.2011, p. 14-21.

Research output: Contribution to journalArticle

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abstract = "Background: Dendritic cells (DC) play a key role in cell mediated immunity. We aimed to analyse the number and function of peripheral blood (PB) myeloid and plasmacytoid DC (mDC/pDC) in patients with severe sepsis. Methods: Twenty six septic patients, 20 surgical patients (abdominal aortic aneurysm) and 20 healthy controls were enrolled in this prospective study. Results: At day 1 (enrollment in the study), septic patients showed in comparison with healthy controls, decreased mDC (P <0.001) and increased pDC (P = 0.03), resulting in a reduction of the mDC/pDC ratio (P <0.001). Surgery induced a decrease in both mDCs and pDCs level, without modification of mDC/pDC ratio. Septic patients included 15 survivors and 11 nonsurvivors. At day 1 no significant difference was found in mDC between the two groups, while pDCs were significantly higher in nonsurvivors (P = 0.03). At the outcome, mDC were selectively increased with respect to day 1 in survivors (P = 0.001), while no significant differences were observed as far as pDC count is concerned in both groups. Sorted DC from septic patients showed in comparison with healthy controls, reduced levels of HLA DR (P <0.001), CD11c (P <0.001), CD83 (P = 0.006) and of costimulatory molecule CD86 (P = 0.003); an up regulation of chemokine receptor CXCR4 (P = 0.031) and increased apoptosis (P <0.001). Conclusions: Sepsis has a profound effect on PB DC compartment. These alterations appear to be sepsis specific. Increased apoptosis and alteration of migration and trafficking mechanism may be involved in DC compartment modification. DC alterations could contribute to sepsis mediated immunoparalysis.",
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