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Intraocular dendritic cells characterize HLA-B27-associated acute anterior uveitis
Maren Kasper1, Michael Heming2, David Schafflick2
1Ophtha-Lab, Department of Ophthalmology, and Uveitis Centre at St. Franziskus Hospital, Münster, Germany.
Elife
|November 16, 2021
Summary
Human leukocyte antigen B27 (HLA-B27) positive uveitis shows unique dendritic cell infiltration. This study reveals distinct immune cell patterns in this common inflammatory eye disease, offering new insights into its mechanisms.
Area of Science:
- Ophthalmology
- Immunology
- Genetics
Background:
- Uveitis is a group of inflammatory eye diseases involving leukocyte infiltration.
- Uveitis associated with human leukocyte antigen B27 (HLA-B27) is a common subtype and a model immune-mediated ocular disease.
- Local immune mechanisms in human uveitis are poorly understood due to limited biomaterial and technical challenges.
Purpose of the Study:
- To provide a high-resolution characterization of intraocular leukocytes in HLA-B27-positive and -negative anterior uveitis.
- To compare these findings with infectious endophthalmitis.
- To elucidate the role of specific immune cells, particularly dendritic cells (DCs), in HLA-B27-positive uveitis.
Main Methods:
- Single-cell RNA-sequencing combined with flow cytometry and protein analysis.
- Characterization of intraocular leukocytes in patients with HLA-B27-positive anterior uveitis (n=4), HLA-B27-negative anterior uveitis (n=2), and infectious endophthalmitis (n=1).
Main Results:
- Ocular cell infiltrates were primarily lymphocytes in both uveitis subtypes and myeloid cells in infectious endophthalmitis.
- HLA-B27-positive uveitis uniquely showed an infiltrate of plasmacytoid and classical dendritic cells (cDCs).
- Classical DCs were predicted to be central in local cell-cell communication within HLA-B27-positive uveitis.
Conclusions:
- HLA-B27-positive uveitis exhibits a distinct pattern of ocular leukocyte infiltration compared to other forms of uveitis and infectious endophthalmitis.
- Dendritic cells, particularly cDCs, play a significant role in the immune response in HLA-B27-positive uveitis.
- These findings highlight the importance of DCs in the pathogenesis of this specific subtype of uveitis.
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