Abstract

Dendritic cells (DCs) are well-established as major players in the regulation of immune responses. They either induce inflammatory or tolerogenic responses, depending on the DC-subtype and stimuli they receive from the local environment. This dual capacity of DCs has raised therapeutic interest for their use to modify immune-activation via the generation of tolerogenic DCs (tolDCs). Several compounds such as vitamin D3, retinoic acid, dexamethasone, or IL-10 and TGF-β have shown potency in the induction of tolDCs. However, an increasing interest exists in defining tolerance inducing receptors on DCs for new targeting strategies aimed to develop tolerance inducing immunotherapies, on which we focus particular in this review. Ligation of specific cell surface molecules on DCs can result in antigen presentation to T cells in the presence of inhibitory costimulatory molecules and tolerogenic cytokines, giving rise to regulatory T cells. The combination of factors such as antigen structure and conformation, delivery method, and receptor specificity is of paramount importance. During the last decades, research provided many tools that can specifically target various receptors on DCs to induce a tolerogenic phenotype. Based on advances in the knowledge of pathogen recognition receptor expression profiles in human DC subsets, the most promising cell surface receptors that are currently being explored as possible targets for the induction of tolerance in DCs will be discussed. We also review the different strategies that are being tested to target DC receptors such as antigen-carbohydrate conjugates, antibody-antigen fusion proteins and antigen-adjuvant conjugates.

Highlights

  • Dendritic cells (DCs) are important antigen presenting cells during the induction of immune responses and are essential in directing immune responses toward either immunity or tolerance

  • There has been an increasing interest in moving toward in vivo targeting strategies where the induction of tolerance is achieved by targeting different receptors on DCs in their natural environment with antigendelivering antibodies and antigen-carbohydrate conjugates

  • The potential for future clinical translation and therapeutic application of in vivo antigen targeting to DCs is very promising, additional research is necessary to decipher the specific molecular mechanisms involved in the anti-disease tolerance promoted by such DCs

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Summary

INTRODUCTION

Dendritic cells (DCs) are important antigen presenting cells during the induction of immune responses and are essential in directing immune responses toward either immunity or tolerance. This decision is of great importance as undesired inflammatory responses could cause autoimmune or allergic diseases. DCs capture antigens and process them while migrating to the draining lymph nodes, where they present antigen-specific peptides to T lymphocytes. This migration process causes a dramatic transformation of the DC phenotype, called maturation

DC Receptors for Tolerogenic Immunotherapy
DENDRITIC CELLS
MODULATING IMMUNE RESPONSES
PGIA mice
Sialyation Sialylation
CONCLUSIONS
AUTHOR CONTRIBUTIONS
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