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INTRODUCTION

SUMMARY

Dendritic cells (DCs) are a multifunctional group of cells that serve as sentinels of the immune system and thus regulate many immune functions. DCs play a central role in initiating adaptive immune responses to pathogens and initiating antitumor immune responses. DC receptors sense environmental stimuli and can respond rapidly to both foreign pathogens and danger signals derived from tissue damage or immune complexes. Through their capacity to present antigen to T cells in immune-activating or immune-dampening contexts, DCs can both induce T-cell proliferation (activation) or lack of activation (tolerance). In this way, DCs help regulate immune responses mediated by T cells and B cells of the adaptive immune system. This chapter describes the varied types and functions of this important class of cells.

FUNCTIONS OF DENDRITIC CELLS

Host defence is mediated by innate and adaptive immune responses, and dendritic cells (DCs) play essential roles in linking together innate and adaptive immunity.1–4 The innate immune response provides rapid resistance to pathogens, but the potency of innate responses does not increase after initial exposure (Table 21–1). Adaptive responses, mediated by B and T lymphocytes, generate immune memory, resulting in more rapid and more potent responses following antigen reexposure (Table 21–2).

TABLE 21–1.Some Innate Mechanisms of Host Resistance
TABLE 21–2.Some Features of Adaptive Immunity by B and T Lymphocytes

DENDRITIC CELLS AND INNATE IMMUNITY

DCs provide innate immune resistance through production of cytokines, including interleukin (IL)-12 and type I interferons (INFs), and by activating other innate lymphocytes such as natural killer (NK) cells, NKT cells, and γδ T cells (Table 21–3).3 Innate responses are most often initiated by “pattern recognition receptors,” which respond to evolutionarily conserved molecules found in microbes, parasites, and viruses. Pattern recognition receptors include Toll-like receptors (TLRs), nucleotide-binding oligomerization domain-like receptors, retinoic acid–inducible gene 1-like receptors, and numerous C-type lectins. Pattern recognition receptors recognize a wide array of ligands, such as single- or double-stranded RNA, lipopolysaccharides, and other microbial constituents. DCs express pattern recognition receptors and respond to pattern recognition receptor agonists by becoming potent immune-stimulatory cells and by presenting captured ...

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