Abstract

A controlled inflammatory response is required for protection against infection, but persistent inflammation causes tissue damage. Dendritic cells (DCs) have a unique capacity to promote both inflammatory and anti-inflammatory processes. One key mechanism involved in DC-mediated immunosuppression is the expression of tryptophan-metabolizing enzyme indoleamine 2,3-dioxygenase (IDO). IDO has been implicated in diverse processes in health and disease but its role in endotoxin tolerance in human DCs is still controversial. Here we investigated the role of IDO in shaping DCs phenotype and function under endotoxin tolerance conditions. Our data show that TLR4 ligation in LPS-primed DCs, induced higher levels of both IDO isoforms together with the transcription factor aryl-hydrocarbon receptor (AhR), compared to unprimed controls. Additionally, LPS conditioning induced an anti-inflammatory phenotype in DCs - with an increase in IL-10 and higher expression of programmed death ligand (PD-L)1 and PD-L2 - which were partially dependent on IDO. Furthermore, we demonstrated that the AhR-IDO pathway was responsible for the preferential activation of non-canonical NF-κB pathway in LPS-conditioned DCs. These data provide new insight into the mechanisms of the TLR4-induced tolerogenic phenotype in human DCs, which can help the better understanding of processes involved in induction and resolution of chronic inflammation and tolerance.

Highlights

  • Inflammation is a complex pathophysiological state orchestrated primarily by innate immune cells in response to infection and/or tissue damage

  • It has been previously shown that TLR4 signaling can induce IDO in human DCs5

  • We have recently shown that both IDO1 and IDO2 are induced after single stimulation with LPS in human DCs7

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Summary

Introduction

Inflammation is a complex pathophysiological state orchestrated primarily by innate immune cells in response to infection and/or tissue damage. As we and others have shown, there is an IFN-γ-independent pathway for induction of IDO which is mainly mediated by toll-like receptors (TLRs) such as TLR4 in myeloid DCs5–7 and TLR9 in plasmacytoid DCs8,9. This up-regulation of IDO by TLR ligands involves pathways that converge in non-canonical nuclear factor-kappaB (NF-κB)[7,8,9]. LPS has been shown to induce tolerance after repeated stimulation leading to immune-suppression but the mechanism of such tolerance is still not fully understood[17,18,19,20]

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