The discovery of in vitro culture systems yielding mouse 3 and human [4][5][6] DCs accelerated studies on their biology and led us to understand their complexity. Indeed, DCs have different functions at different stages of maturation. While immature (nonactivated) DCs that capture self-antigens (eg, apoptotic cells) induce tolerance, 7,8 mature antigen-loaded DCs induce antigen-specific immunity. Furthermore, several DC subsets exist that have different functions. 1 In humans, 2 major DC pathways have been described. A myeloid pathway includes Langerhans cells (LCs), found in stratified epithelia such as skin, and interstitial DCs (intDCs), found in all other tissues. While both subsets produce interleukin-12 (IL-12), only intDCs make IL-10 and induce B-cell proliferation and differentiation. 9 The other pathway includes the plasmacytoid DCs (pDCs), 10 which secrete large amounts of type I interferons within a few hours following viral encounter. 11,12 Depending on the maturation signal that they receive, pDCs modulate T-cell differentiation into either interferon-␥ (IFN-␥) or IL-4-producing CD4 T cells 13 or into regulatory CD8 T cells. 14 Thus, distinct human DC subsets differentially control lymphocytes in vitro.The in vitro generation of human DCs prompted their use in immunotherapy, particularly for the treatment of cancer. Early trials in humans have shown the safety of tumor-associated antigens (TAA)-loaded DCs as well as some clinical and immune responses (reviewed in Banchereau et al 15 ). We also are beginning to unravel the role of DCs in pathogenesis of human diseases, for example, thymic stroma lymphopoietin (TSLP)-triggered mDCs may play a key role in the initiation of allergic inflammation, 16 while IFN-␣-triggered mDCs appear as a major factor driving the autoimmune reaction in systemic lupus erythematosus. 17 Thus, DCs can be considered both as vectors and targets for immunomodulation.Understanding the specific functions of DC subsets and their interplay in vivo will be critical to understand the launching and modulation of immune responses. Hence, the need for preclinical models of the human immune system. Indeed, conclusions from studies in mice cannot be directly extrapolated to humans because of biologic differences as exemplified by the CD1 antigen presentation system that is different between species. 18 SCID mice reconstituted with human cells represent interesting candidates for human disease models [19][20][21] For personal use only. on May 12, 2018. by guest www.bloodjournal.org From Many of the difficulties encountered in these models could be due to insufficient reconstitution of human DCs, a parameter that has not been extensively studied. Given the key role that DCs play in T-cell homeostasis, 36 DC reconstitution might facilitate human T-lymphocyte reconstitution. Indeed, recent studies with ex vivogenerated monocyte-derived DCs suggest their capacity to support CD4 T-cell differentiation as well as humoral responses in vivo. 37,38 However, these adoptive transfer models do not p...