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Conventional Type 1 Dendritic Cells (cDC1) in Human Kidney Diseases: Clinico-Pathological Correlations
Titi Chen1,2,3, Qi Cao1,2, Ruifeng Wang2
1School of Medicine, The University of Sydney, Camperdown, NSW, Australia.
Frontiers in Immunology
|May 31, 2021
Summary
Type 1 conventional dendritic cells (cDC1s) increase in various kidney diseases and correlate with disease severity and CD8+ T cell presence. This suggests cDC1s play a role in kidney pathology and immune responses.
Area of Science:
- Immunology
- Nephrology
- Cell Biology
Background:
- Conventional dendritic cell type 1 (cDC1) are crucial for cross-presentation to CD8+ T cells.
- The role and distribution of cDC1s in human kidney diseases remain incompletely understood.
Purpose of the Study:
- To investigate the quantity and location of cDC1s in diverse human kidney diseases.
- To explore the correlation between cDC1s, clinico-pathological features, and CD8+ T cells.
Main Methods:
- Analysis of 135 kidney biopsy samples representing various kidney diseases.
- Indirect immunofluorescence staining to quantify cDC1s, CD1c+ DCs, and CD8+ T cells.
Main Results:
- cDC1 numbers were elevated in acute tubular necrosis and proliferative glomerulonephritis, exceeding CD1c+ DC increases.
- cDC1s were predominantly interstitial, with notable glomerular presence in specific conditions like lupus nephritis and pauci-immune GN.
- cDC1 counts correlated with disease severity, interstitial fibrosis, crescent formation, and prognosis, and were associated with CD8+ T cell numbers and co-localization.
Conclusions:
- cDC1s are implicated in the pathogenesis of various kidney diseases, correlating with clinical and pathological outcomes.
- The association of cDC1s with CD8+ T cells suggests a coordinated immune mechanism in kidney disease progression.
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