4.4 Article

Factor VIII bypasses CD91/LRP for endocytosis by dendritic cells leading to T-cell activation

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HAEMATOLOGICA
卷 93, 期 1, 页码 83-89

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FERRATA STORTI FOUNDATION
DOI: 10.3324/haematol.11535

关键词

hemophilia; factor VIII; inhibitors; dendritic cells; T-cell clone; CD91/LRP

资金

  1. Institut National de la Sante et de la Recherche Medicale
  2. Centre National de la Recherche Scientifique
  3. Universite Pierre et Marie Curie
  4. Indo-French Center for Promotion of Advanced Research (CEFIPRA)
  5. Agence Nationale de la Recherche [ANR-05-MRAR-030, ANR-07-JCJC-0100-01]
  6. Fondation de la Recherche Medicale
  7. LFB (Les Ulis, France)
  8. Agence Nationale de la Recherche (ANR) [ANR-07-JCJC-0100] Funding Source: Agence Nationale de la Recherche (ANR)

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Background The development of factor VIII (FVIII) inhibitors remains the major hurdle in the clinical management of patients with hemophilia A. FVIII uptake by professional antigen-presenting cells (APC) is the first step involved in initiation of immune responses to FVIII. Studies on FVIII catabolism have highlighted the role played by CD91/LRP as a potential target for increasing FVIII half-life in patients and prolonging treatment efficiency. We investigated the involvement of CD91 in FVIII endocytosis by human dendritic cells (DC), a model of professional APC. Design and Methods Immature DC were generated from circulating monocytes from healthy donors. Surface expression of CD91 was assessed by flow cytometry. Uptake of fluoroscein isothiocyanate-conjugated ligands by immature DC was studied in the presence of various blocking agents. Results CD91 was expressed on approximately 20% of DC and mediated the internalization of its model ligand, alpha 2-macroglobulin. DC internalized FVIII and activated a human FVIII-specific T-cell clone in a dose-dependent manner. FVIII uptake by DC and subsequent T-cell activation were not inhibited by receptor-associated protein. Conclusions Our results indicate that CD91 and other members of the LDL receptor family are not strongly implicated in FVIII internalization by monocyte-derived DC, and suggest the involvement of alternative divalent ion-dependent endocytic receptors.

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