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Nephrol Dial Transplant (2004) 19: 553-560
Nephrol Dial Transplant Vol. 19 No. 3 (c) ERA-EDTA 2004; all rights reserved


Original Article

In vitro treatment of dendritic cells with tacrolimus: impaired T-cell activation and IP-10 expression

Martin Tiefenthaler1, Susanne Hofer2, Susanne Ebner2, Lennart Ivarsson2, Susanne Neyer2, Manfred Herold3, Gert Mayer1, Peter Fritsch2 and Christine Heufler2

1Department of Nephrology, 2Department of Dermatology and 3Department of Internal Medicine, University of Innsbruck, Innsbruck, Austria

Correspondence and offprint requests to: Christine Heufler, Dept of Dermatology, University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. Email: christine.heufler{at}uibk.ac.at

Background. High doses (10–6–10–8 M) of tacrolimus (FK506) were reported to induce a type-2 T-helper cell (Th2)-promoting function in developing dendritic cells (DC). We used a therapeutic dose (2.4 x 10–9 M) of tacrolimus to investigate its effect on human monocyte-derived DC.

Methods. Using untreated and treated immature and mature DC we compared T cell-activating capacity, surface marker expression, T cell and DC cytokine profile and transcription of genes coding for a panel of DC function-related molecules.

Results. Tacrolimus-treated mature DC had reduced T-cell stimulatory capacity. Although interleukin (IL)-12 production of DC was impaired, they did not promote Th2 development as T cells activated by tacrolimus-treated DC produced less interferon (IFN)-{gamma}, IL-4 and IL-10. The up-regulation of the T-cell activation marker CD69 and the production of IL-2 were impaired. In addition, tacrolimus-treated DC produced less IP-10 (CXCL10), which is known to be involved in allograft rejection. Other molecules related to DC function remained unchanged.

Conclusions. Tacrolimus treatment reduces the ability of DC to stimulate T cells and the impaired production of DC-derived IP-10 (CXCL10) and IL-12 might play a role in the immunosuppressive action of tacrolimus.

Keywords: chemokines; dendritic cells; immunosuppression; T lymphocytes; transplantation

The authors wish it to be known that, in their opinion, the first two authors contributed equally to this work.


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