ABSTRACTand CD8 low suppressor T cells, 25 interleukin-10 (IL-10)-producing T regulatory type 1 (Tr1) cells, DC-10 are a subset of human tolerogenic DC that are present in vivo [27][28][29] and can be differentiated in vitro by culturing monocytes in the presence of IL-10. DC-10 secrete IL-10, are CD11c + , express CD14, CD16, HLA-G and ILT4 and, although not activated, display a mature phenotype, being CD86+ and HLA-DR + . The secretion of IL-10 and the expression of membrane-bound HLA-G and ILT4 are critical factors involved in DC-10-mediated induction of Tr1 cells. 27 In the present study, we investigated the role of HLA-G in DC-10-mediated Tr1 cell induction and whether polymorphisms present at the 3'UTR of the gene influence the expression of membrane-bound HLA-G on DC-10.
MethodsThe methods are described in full in the Online Supplementary Appendix. Peripheral blood was obtained after informed consent in accordance with the Declaration of Helsinki under protocols approved by the ethical committee of the San Raffaele Telethon Institute for Gene Therapy.
Dendritic cell differentiation
CD14+ monocytes were isolated from peripheral blood mononuclear cells by positive selection using CD14 MicroBeads (Miltenyi Biotech, Germany) according to the manufacturer's instructions. Cells were cultured in RPMI 1640 (Lonza, Italy) supplemented with 10% fetal bovine serum (FBS) (Lonza, Italy) or with 5% human serum (HS) (EuroClone, Italy), 100 U/mL penicillin/streptomycin (Lonza, Italy), 2 mM L-glutamine (Lonza, Italy), (DC medium) at 37°C in the presence of 10 ng/mL recombinant human (rh)IL-4 (R&D Systems, Minneapolis MN, USA) and 100 ng/mL rhGM-CSF (Genzyme, Seattle, WA, USA) with 10 ng/mL of rhIL-10 (BD, Bioscience, CA, USA) for 7 days to differentiate DC-10. Cells cultured with rhIL-4 and rhGM-CSF on day 5 were matured with 1 mg/mL of lipopolysaccharide (Sigma, CA, USA) for 2 more days to generate mature dendritic cells (mDC). At day 7, DC were collected, phenotypically analyzed, and used to stimulate T cells.
Statistical analysisSample mean results were compared using the non-parametric Mann-Whitney U test for continuous variables. HLA-G 3'UTR allele and genotype frequencies were obtained by direct counting. Allele and genotype frequencies between populations were compared using the χ 2 test. The correlation between membranebound HLA-G and ILT4 expression was determined using the Spearman correlation test. FBS and DC-10 HS were compared using a paired t-test. All results are presented as mean values ± standard error of mean (SEM). Differences were regarded as statistically significant at *P<0.05, **P<0.01, and ***P<0.001. The results were analyzed using GraphPad Prism 5.0 (GraphPad Software, Inc. La Jolla, CA, USA).
Results
In vitro differentiated DC-10 express variable levels of membrane-bound HLA-GIndependently of the donor, DC-10 differentiated in vitro as described in the Methods section were Figure 1A,B). High variability in the expression of membrane-bound HLA-G (ranging from 3.5% to 97.7%) and of ILT4 (rangin...