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Published in: Respiratory Research 1/2013

Open Access 01-12-2013 | Research

Comparative analysis of circulating dendritic cell subsets in patients with atopic diseases and sarcoidosis

Authors: Yumeko Hayashi, Yoshiki Ishii, Mitsumi Hata-Suzuki, Ryo Arai, Kazuyuki Chibana, Akihiro Takemasa, Takeshi Fukuda

Published in: Respiratory Research | Issue 1/2013

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Abstract

Background

Dendritic cells (DCs) are professional antigen-presenting cells that play a crucial role in the initiation and modulation of immune responses. Human circulating blood DCs are divided into two major subsets: myeloid DCs (mDCs); and plasmacytoid DCs (pDCs). Furthermore, mDCs are subdivided into two subsets: Th1-promoting mDCs (mDC1s); and Th2-promoting mDCs (mDC2s). Although CD1a, CD1c, and CD141 are generally used for classifying mDC subsets, their adequacy as a specific marker remains unclear. We performed this study to compare circulating mDC, pDC, mDC1, and mDC2 subsets between Th1- and Th2-mediated diseases using CD1a and CD141, and to analyze the adequacy of CD1a and CD141 as a marker for mDC1s and mDC2s, respectively.

Methods

Thirty patients with sarcoidosis, 23 patients with atopic diseases, such as atopic bronchial asthma, and 23 healthy subjects as controls were enrolled in this study. Peripheral blood DC subsets were analyzed with flow cytometry according to expressions of CD11c, CD123, CD1a, and CD141. For functional analysis, we measured interleukin (IL) 12p40 levels produced by the sorted mDC subsets.

Results

The sarcoidosis group showed decreased total DC (P < 0.05) and mDC counts (P < 0.05) compared to controls. The atopy group showed decreased CD1a+mDC count (P < 0.05), and increased CD1a-mDC count (P < 0.05) compared to controls. CD141+mDC count in the atopy group was higher than controls (P < 0.05). Sorted CD1a+mDCs produced higher levels of IL-12p40 than CD1a-mDCs (P = 0.025) and CD141+mDCs (P = 0.018).

Conclusions

We conclude that decreased count of CD1a+mDC and increased count of CD141+mDC may reflect the Th2-skewed immunity in atopic diseases. The results of IL-12 levels produced by the sorted mDC subsets suggested the adequacy of CD1a and CD141 as a marker for mDC1 and mDC2, respectively, in vivo.
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Literature
1.
go back to reference Steinman RM: The dendritic cell system and its role in immunogenicity. Annu Rev Immunol. 1991, 9: 271-296. 10.1146/annurev.iy.09.040191.001415.PubMedCrossRef Steinman RM: The dendritic cell system and its role in immunogenicity. Annu Rev Immunol. 1991, 9: 271-296. 10.1146/annurev.iy.09.040191.001415.PubMedCrossRef
2.
go back to reference Banchereau J, Steinman RM: Dendritic cells and the control of immunity. Nature. 1998, 392: 245-252. 10.1038/32588.PubMedCrossRef Banchereau J, Steinman RM: Dendritic cells and the control of immunity. Nature. 1998, 392: 245-252. 10.1038/32588.PubMedCrossRef
3.
go back to reference Sato K, Fujita S: Dendritic cells-nature and classification. Allergol Int. 2007, 56: 183-191. 10.2332/allergolint.R-06-139.PubMedCrossRef Sato K, Fujita S: Dendritic cells-nature and classification. Allergol Int. 2007, 56: 183-191. 10.2332/allergolint.R-06-139.PubMedCrossRef
4.
go back to reference Hart DN: Dendritic cells: unique leukocyte population, which control the primary immune response. Blood. 1997, 90: 3254-3287. Hart DN: Dendritic cells: unique leukocyte population, which control the primary immune response. Blood. 1997, 90: 3254-3287.
5.
go back to reference Ito T, Liu YJ, Kadowaki N: Functional diversity and plasticity of human dendritic cell subsets. Int J Hematol. 2005, 81: 188-196. 10.1532/IJH97.05012.PubMedCrossRef Ito T, Liu YJ, Kadowaki N: Functional diversity and plasticity of human dendritic cell subsets. Int J Hematol. 2005, 81: 188-196. 10.1532/IJH97.05012.PubMedCrossRef
6.
go back to reference Rissoan MC, Soumelis V, Kadowaki N, Grouard G, Briere F, de Waal MR, Liu YJ: Reciprocal control of T helper cell and dendritic cell differentiation. Science. 1999, 283: 1183-1186. 10.1126/science.283.5405.1183.PubMedCrossRef Rissoan MC, Soumelis V, Kadowaki N, Grouard G, Briere F, de Waal MR, Liu YJ: Reciprocal control of T helper cell and dendritic cell differentiation. Science. 1999, 283: 1183-1186. 10.1126/science.283.5405.1183.PubMedCrossRef
7.
go back to reference Moser M, Murphy KM: Dendritic cell regulation of TH1-TH2 development. Nature Immunol. 2000, 3: 199-205.CrossRef Moser M, Murphy KM: Dendritic cell regulation of TH1-TH2 development. Nature Immunol. 2000, 3: 199-205.CrossRef
8.
go back to reference Ebner S, Hofer S, Nguyen VA, Fürhapter C, Herold M, Fritsch P, Heufler C, Romani N: A novel role for IL-3: human monocytes cultured in the presence of IL-3 and IL-4 differentiate into dendritic cells that produce less IL-12 and shift Th cell responses toward a Th2 cytokine pattern. J Immunol. 2002, 168: 6199-6207.PubMedCrossRef Ebner S, Hofer S, Nguyen VA, Fürhapter C, Herold M, Fritsch P, Heufler C, Romani N: A novel role for IL-3: human monocytes cultured in the presence of IL-3 and IL-4 differentiate into dendritic cells that produce less IL-12 and shift Th cell responses toward a Th2 cytokine pattern. J Immunol. 2002, 168: 6199-6207.PubMedCrossRef
9.
go back to reference Hata M, Takahara S, Tsuzaki H, Ishii Y, Nakata K, Akagawa KS, Satoh K: Expression of Th2-skewed pathology mediators in monocyte-derived type 2 of dendritic cells (DC2). Immunol Lett. 2009, 126: 29-36. 10.1016/j.imlet.2009.07.008.PubMedCrossRef Hata M, Takahara S, Tsuzaki H, Ishii Y, Nakata K, Akagawa KS, Satoh K: Expression of Th2-skewed pathology mediators in monocyte-derived type 2 of dendritic cells (DC2). Immunol Lett. 2009, 126: 29-36. 10.1016/j.imlet.2009.07.008.PubMedCrossRef
10.
go back to reference Chang CC, Wright A, Punnonen J: Monocyte-derived CD1a+ and CD1a- DC subsets differ in their cytokine production profiles, susceptibilities to transfection, and capacities to direct Th cell differentiation. J Immunol. 2000, 165: 3584-3591.PubMedCrossRef Chang CC, Wright A, Punnonen J: Monocyte-derived CD1a+ and CD1a- DC subsets differ in their cytokine production profiles, susceptibilities to transfection, and capacities to direct Th cell differentiation. J Immunol. 2000, 165: 3584-3591.PubMedCrossRef
11.
go back to reference Dzionek A, Fuchs A, Schmidt P, Cremer S, Zysk M, Miltenyi S, Buck DW, Schmitz J: BDCA-2, BDCA-3 and BDCA-4: three markers for distinct subsets of dendritic cells in human peripheral blood. J Immunol. 2000, 165: 6037-6046.PubMedCrossRef Dzionek A, Fuchs A, Schmidt P, Cremer S, Zysk M, Miltenyi S, Buck DW, Schmitz J: BDCA-2, BDCA-3 and BDCA-4: three markers for distinct subsets of dendritic cells in human peripheral blood. J Immunol. 2000, 165: 6037-6046.PubMedCrossRef
12.
go back to reference Yerkovich ST, Roponen M, Smith ME, McKenna K, Bosco A, Subrata LS, Mamessier E, Wikström ME, Le Souef P, Sly PD, Holt PG, Upham JW: Allergen-enhanced thrombomodulin (blood dendritic cell antigen 3, CD141) expression on dendritic cells is associated TH2-skewed immune responses. J Allergy Clin Immunol. 2009, 123: 209-216. 10.1016/j.jaci.2008.09.009.PubMedCrossRef Yerkovich ST, Roponen M, Smith ME, McKenna K, Bosco A, Subrata LS, Mamessier E, Wikström ME, Le Souef P, Sly PD, Holt PG, Upham JW: Allergen-enhanced thrombomodulin (blood dendritic cell antigen 3, CD141) expression on dendritic cells is associated TH2-skewed immune responses. J Allergy Clin Immunol. 2009, 123: 209-216. 10.1016/j.jaci.2008.09.009.PubMedCrossRef
13.
go back to reference Jongbloed SL, Kassianos AJ, McDonald KJ, Clark GJ, Ju X, Angel CE, Chen CJ, Dunbar PR, Wadley RB, Jeet V, Vulink AJ, Hart DN, Radford KJ: Human CD141+ (BDCA-3)+ dendritic cells (DCs) represent a unique myeloid DC subset that cross-presents necrotic cell antigens. J Exp Med. 2010, 207: 1247-1260. 10.1084/jem.20092140.PubMedPubMedCentralCrossRef Jongbloed SL, Kassianos AJ, McDonald KJ, Clark GJ, Ju X, Angel CE, Chen CJ, Dunbar PR, Wadley RB, Jeet V, Vulink AJ, Hart DN, Radford KJ: Human CD141+ (BDCA-3)+ dendritic cells (DCs) represent a unique myeloid DC subset that cross-presents necrotic cell antigens. J Exp Med. 2010, 207: 1247-1260. 10.1084/jem.20092140.PubMedPubMedCentralCrossRef
14.
go back to reference Bratke K, Lommatzsch M, Julius P, Kuepper M, Kleine HD, Luttmann W, Christian VJ: Dendritic cell subsets in human bronchoalveolar lavage fluid after segmental allergen challenge. Thorax. 2007, 62 (2): 168-175. 10.1136/thx.2006.067793.PubMedPubMedCentralCrossRef Bratke K, Lommatzsch M, Julius P, Kuepper M, Kleine HD, Luttmann W, Christian VJ: Dendritic cell subsets in human bronchoalveolar lavage fluid after segmental allergen challenge. Thorax. 2007, 62 (2): 168-175. 10.1136/thx.2006.067793.PubMedPubMedCentralCrossRef
15.
go back to reference JASOG criteria, report of research project ‘diffuse lung Diseases’ supported by ministry of public welfare. 1989, 160-162. in Japanese JASOG criteria, report of research project ‘diffuse lung Diseases’ supported by ministry of public welfare. 1989, 160-162. in Japanese
16.
go back to reference Wurm K, Reindell H, Heilmyer L: Der Lun fenboek in Rontgebild. 1958, Stuttgart: George Thieme Wurm K, Reindell H, Heilmyer L: Der Lun fenboek in Rontgebild. 1958, Stuttgart: George Thieme
17.
go back to reference ATS/WASOG: Statement of sarcoidosis. Sarcoid Vasc Diffuse Lung Dis. 1999, 16: 147-173. ATS/WASOG: Statement of sarcoidosis. Sarcoid Vasc Diffuse Lung Dis. 1999, 16: 147-173.
18.
go back to reference Matsuda H, Suda T, Hashizume H, Yokomura K, Asada K, Suzuki K, Chida K, Nakamura H: Alternation of balance between myeloid dendritic cells and plasmacytoid dendritic cells in peripheral blood of patients with asthma. Am J Respir Crit Care Med. 2002, 166: 1050-1054. 10.1164/rccm.2110066.PubMedCrossRef Matsuda H, Suda T, Hashizume H, Yokomura K, Asada K, Suzuki K, Chida K, Nakamura H: Alternation of balance between myeloid dendritic cells and plasmacytoid dendritic cells in peripheral blood of patients with asthma. Am J Respir Crit Care Med. 2002, 166: 1050-1054. 10.1164/rccm.2110066.PubMedCrossRef
19.
go back to reference Perrot I, Blanchard D, Freqymond N, Issac S, Guilbert B, Pacheco Y, Lebecque S: Dendritic cells infiltrating human non-small cell lung cancer are blocked at immature stage. J Immunol. 2007, 178 (5): 2763-2769.PubMedCrossRef Perrot I, Blanchard D, Freqymond N, Issac S, Guilbert B, Pacheco Y, Lebecque S: Dendritic cells infiltrating human non-small cell lung cancer are blocked at immature stage. J Immunol. 2007, 178 (5): 2763-2769.PubMedCrossRef
20.
go back to reference Almeida M, Cordero M, Almeida J, Orfao A: Different subsets of peripheral blood dendritic cells show distinct phenotypic and functional abnormalities in HIV-1 infection. AIDS. 2005, 19 (3): 261-271.PubMed Almeida M, Cordero M, Almeida J, Orfao A: Different subsets of peripheral blood dendritic cells show distinct phenotypic and functional abnormalities in HIV-1 infection. AIDS. 2005, 19 (3): 261-271.PubMed
21.
go back to reference Autissier P, Soulas C, Burdo TH: Evaluation of a 12-color flow cytometry panel to study lymphocyte, monocyte, and dendritic cell subsets in humans. Cytometry A. 010, 77: 410-419. Autissier P, Soulas C, Burdo TH: Evaluation of a 12-color flow cytometry panel to study lymphocyte, monocyte, and dendritic cell subsets in humans. Cytometry A. 010, 77: 410-419.
22.
go back to reference Pinkston P, Bitterman P, Crystal R: Spontaneous release of interleukin-2 by lung T lymphocytes in active pulmonary sarcoidosis. N Engl J Med. 1983, 308: 793-800. 10.1056/NEJM198304073081401.PubMedCrossRef Pinkston P, Bitterman P, Crystal R: Spontaneous release of interleukin-2 by lung T lymphocytes in active pulmonary sarcoidosis. N Engl J Med. 1983, 308: 793-800. 10.1056/NEJM198304073081401.PubMedCrossRef
23.
go back to reference Robinson B, Mclemore T, Crystal R: Gamma interferon is spontaneously released by alveolar macrophage and lung T lymphocytes in patients with pulmonary sarcoidosis. J Clin Invest. 1985, 75: 1488-1495. 10.1172/JCI111852.PubMedPubMedCentralCrossRef Robinson B, Mclemore T, Crystal R: Gamma interferon is spontaneously released by alveolar macrophage and lung T lymphocytes in patients with pulmonary sarcoidosis. J Clin Invest. 1985, 75: 1488-1495. 10.1172/JCI111852.PubMedPubMedCentralCrossRef
24.
go back to reference Prior C, Knight R, Herold M, Ott G, Spiteri M: Pulmonary sarcoidosis: patterns of cytokine release in vitro. Eur Respir J. 1996, 9: 47-53. 10.1183/09031936.96.09010047.PubMedCrossRef Prior C, Knight R, Herold M, Ott G, Spiteri M: Pulmonary sarcoidosis: patterns of cytokine release in vitro. Eur Respir J. 1996, 9: 47-53. 10.1183/09031936.96.09010047.PubMedCrossRef
25.
go back to reference Bümer I, Zissel G, Schlaak M, Müller-Quernheim J: Th1/Th2 cell distribution in pulmonary sarcoidosis. Am J Respir Cell Mol Biol. 1997, 16: 171-177.CrossRef Bümer I, Zissel G, Schlaak M, Müller-Quernheim J: Th1/Th2 cell distribution in pulmonary sarcoidosis. Am J Respir Cell Mol Biol. 1997, 16: 171-177.CrossRef
26.
go back to reference Hoshino T, Itoh K, Gouhara R, Yamada A, Tanaka Y, Ichikawa Y, Azuma M, Mochizuki M, Oizumi K: Spontaneous production of various cytokines except IL-4 from CD4+ T cells in the affected organs of sarcoidosis patients. Clin Exp Immunol. 1995, 102: 399-405.PubMedPubMedCentralCrossRef Hoshino T, Itoh K, Gouhara R, Yamada A, Tanaka Y, Ichikawa Y, Azuma M, Mochizuki M, Oizumi K: Spontaneous production of various cytokines except IL-4 from CD4+ T cells in the affected organs of sarcoidosis patients. Clin Exp Immunol. 1995, 102: 399-405.PubMedPubMedCentralCrossRef
27.
go back to reference Garlepp M, Rose A, Dench J, Robinson B: Clonal analysis of lung and blood T cells in patients with sarcoidosis. Thorax. 1994, 49: 577-585. 10.1136/thx.49.6.577.PubMedPubMedCentralCrossRef Garlepp M, Rose A, Dench J, Robinson B: Clonal analysis of lung and blood T cells in patients with sarcoidosis. Thorax. 1994, 49: 577-585. 10.1136/thx.49.6.577.PubMedPubMedCentralCrossRef
28.
go back to reference Walker V, Braum W, Menz G, Braum P, Schwarz F, Hansel T, Villiger B: Activated T cells and cytokines in bronchoalveolar lavages from patients with various lung diseases associated with eosinophilia. Am J Respir Crit Care Med. 1994, 150: 1038-1048.PubMedCrossRef Walker V, Braum W, Menz G, Braum P, Schwarz F, Hansel T, Villiger B: Activated T cells and cytokines in bronchoalveolar lavages from patients with various lung diseases associated with eosinophilia. Am J Respir Crit Care Med. 1994, 150: 1038-1048.PubMedCrossRef
29.
go back to reference Moller D, Forman J, Liu M, Nobel P, Greenlee B, Vyas P, Holden D, Forrester J, Lazarus A, Wysocka M, Trinchieri G, Karp C: Enhanced expression of IL-12 associated with Th1 cytokine profiles in active pulmonary sarcoidosis. J Immunol. 1996, 156: 4952-4960.PubMed Moller D, Forman J, Liu M, Nobel P, Greenlee B, Vyas P, Holden D, Forrester J, Lazarus A, Wysocka M, Trinchieri G, Karp C: Enhanced expression of IL-12 associated with Th1 cytokine profiles in active pulmonary sarcoidosis. J Immunol. 1996, 156: 4952-4960.PubMed
30.
go back to reference Ota M, Amakawa R, Uehira K, Ito T, Yagi Y, Oshiro A, Date Y, Oyaizu H, Shigeki T, Ozaki Y, Yamaguchi K, Umeura Y, Yonezu S, Fukuhara S: Involvement of DCs in sarcoidosis. Thorax. 2004, 59: 408-413. 10.1136/thx.2003.006049.PubMedPubMedCentralCrossRef Ota M, Amakawa R, Uehira K, Ito T, Yagi Y, Oshiro A, Date Y, Oyaizu H, Shigeki T, Ozaki Y, Yamaguchi K, Umeura Y, Yonezu S, Fukuhara S: Involvement of DCs in sarcoidosis. Thorax. 2004, 59: 408-413. 10.1136/thx.2003.006049.PubMedPubMedCentralCrossRef
31.
go back to reference Mathew S, Bauer KL, Fischoeder A, Bhardwaj N, Oliver SJ: The anergic state in sarcoidosis is associated with diminishied dendritic cell function. J Immunol. 2008, 181: 746-755.PubMedPubMedCentralCrossRef Mathew S, Bauer KL, Fischoeder A, Bhardwaj N, Oliver SJ: The anergic state in sarcoidosis is associated with diminishied dendritic cell function. J Immunol. 2008, 181: 746-755.PubMedPubMedCentralCrossRef
32.
go back to reference Lommatzsch M, Bratke K, Bier A, Julius P, Kuepper M, Luttmann W, Virchow JC: Airway dendritic cell phenotypes in inflammatory diseases of the human lung. Eur Respir J. 2007, 30: 878-886. 10.1183/09031936.00036307.PubMedCrossRef Lommatzsch M, Bratke K, Bier A, Julius P, Kuepper M, Luttmann W, Virchow JC: Airway dendritic cell phenotypes in inflammatory diseases of the human lung. Eur Respir J. 2007, 30: 878-886. 10.1183/09031936.00036307.PubMedCrossRef
33.
go back to reference Tateyama M, Fujihara K, Itoyama Y: Dendritic cells in muscle lesions of sarcoidosis. Hum Pathol. 2011, 42: 340-346. 10.1016/j.humpath.2010.07.011.PubMedCrossRef Tateyama M, Fujihara K, Itoyama Y: Dendritic cells in muscle lesions of sarcoidosis. Hum Pathol. 2011, 42: 340-346. 10.1016/j.humpath.2010.07.011.PubMedCrossRef
34.
go back to reference Spears M, Mcsharry C, Donnelly I, Jolly L, Branningam M, Thomson J, Lafferty J, Chaundhuri R, Shepherd M, Cameron E, Thomson NC: Peripheral blood dendritic cell subtypes are significantly elevated in subjects with asthma. Clin Exp Allergy. 2011, 41: 665-672. 10.1111/j.1365-2222.2010.03692.x.PubMedCrossRef Spears M, Mcsharry C, Donnelly I, Jolly L, Branningam M, Thomson J, Lafferty J, Chaundhuri R, Shepherd M, Cameron E, Thomson NC: Peripheral blood dendritic cell subtypes are significantly elevated in subjects with asthma. Clin Exp Allergy. 2011, 41: 665-672. 10.1111/j.1365-2222.2010.03692.x.PubMedCrossRef
35.
go back to reference Upham JW, Denburg JA, O’Byrne PM: Rapid response of circulating myeloid dendritic cells to inhaled allergen in asthmatic subjects. Clin Exp Allergy. 2002, 32: 818-823. 10.1046/j.1365-2222.2002.01375.x.PubMedCrossRef Upham JW, Denburg JA, O’Byrne PM: Rapid response of circulating myeloid dendritic cells to inhaled allergen in asthmatic subjects. Clin Exp Allergy. 2002, 32: 818-823. 10.1046/j.1365-2222.2002.01375.x.PubMedCrossRef
36.
go back to reference Bellini A, Vittori E, Marini M, Ackerman V, Mattoli S: Intraepithelial dendritic cells and selective activation of Th2-like lymphocytes in patients with atopic asthma. Chest. 1993, 103: 997-1005. 10.1378/chest.103.4.997.PubMedCrossRef Bellini A, Vittori E, Marini M, Ackerman V, Mattoli S: Intraepithelial dendritic cells and selective activation of Th2-like lymphocytes in patients with atopic asthma. Chest. 1993, 103: 997-1005. 10.1378/chest.103.4.997.PubMedCrossRef
37.
go back to reference Jahnsen FL, Moloney ED, Hogan T, Upham JW, Burke CM, Holt PG: Rapid dendritic cell recruitment to the bronchial mucosa of patients with atopic asthma in response to local allergen challenge. Thorax. 2001, 56: 823-826. 10.1136/thorax.56.11.823.PubMedPubMedCentralCrossRef Jahnsen FL, Moloney ED, Hogan T, Upham JW, Burke CM, Holt PG: Rapid dendritic cell recruitment to the bronchial mucosa of patients with atopic asthma in response to local allergen challenge. Thorax. 2001, 56: 823-826. 10.1136/thorax.56.11.823.PubMedPubMedCentralCrossRef
38.
go back to reference Möller GM, Overbeek SE, Van Helden-Meeuwsen CG, Van Haarst JM, Prens EP, Mulder PG, Postma DS, Hoogsteden HC: Increased numbers of dendritic cells in the bronchial mucosa of atopic asthmatic patients: down regulation by inhaled corticosteroids. Clin Exp Allergy. 1996, 26: 517-524. 10.1111/j.1365-2222.1996.tb00571.x.PubMedCrossRef Möller GM, Overbeek SE, Van Helden-Meeuwsen CG, Van Haarst JM, Prens EP, Mulder PG, Postma DS, Hoogsteden HC: Increased numbers of dendritic cells in the bronchial mucosa of atopic asthmatic patients: down regulation by inhaled corticosteroids. Clin Exp Allergy. 1996, 26: 517-524. 10.1111/j.1365-2222.1996.tb00571.x.PubMedCrossRef
39.
go back to reference Bratke K, Klug M, Bier A, Julius P, Kuepper M, Virchow C, Lammatzsch M: Function- associated surface molecules on airway dendritic cells in cigarette smokers. Am J Respir Cell Mol Biol. 2008, 38: 655-660. 10.1165/rcmb.2007-0400OC.PubMedCrossRef Bratke K, Klug M, Bier A, Julius P, Kuepper M, Virchow C, Lammatzsch M: Function- associated surface molecules on airway dendritic cells in cigarette smokers. Am J Respir Cell Mol Biol. 2008, 38: 655-660. 10.1165/rcmb.2007-0400OC.PubMedCrossRef
Metadata
Title
Comparative analysis of circulating dendritic cell subsets in patients with atopic diseases and sarcoidosis
Authors
Yumeko Hayashi
Yoshiki Ishii
Mitsumi Hata-Suzuki
Ryo Arai
Kazuyuki Chibana
Akihiro Takemasa
Takeshi Fukuda
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2013
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/1465-9921-14-29

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