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25-Hydroxy vitamin D3 modulates dendritic cell phenotype and function in Crohn’s disease

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Abstract

Background

In Crohn’s disease (CrD), vitamin D may help to balance an exaggerated immune response and thereby improve the disease course. The immunomodulating effects depend on the activation of 25-hydroxy vitamin D3 (25-D3), into 1,25-dihydroxy vitamin D3 (1,25-D3). This activation has previously been shown to take place in dendritic cells (DC) from healthy individuals. We hypothesised that DC from CrD patients are able to regulate and control inflammatory responses through 25-D3 activation.

Methods

During differentiation, monocyte-derived DC from 20 CrD patients were cultured with either 25-D3 or 1,25-D3 and matured with lipopolysaccharide (LPS). We examined DC surface marker expression, cytokine production, and the ability to induce cell proliferation in an allogeneic mixed leukocyte reaction.

Results

Following stimulation with LPS, DC exposed to either 25-D3 or 1,25-D3 exhibited lower expression levels of CD80, CD83, CD86, and HLA-DR and diminished TNF-α production compared with DC cultured with LPS alone. In contrast, CD14 expression and IL-6 production were higher following 25-D3 or 1,25-D3 treatment. Compared with LPS alone, both forms of vitamin D3 reduced the ability of DC to activate lymphocytes.

Conclusions

Following stimulation with 25-D3, DC from CrD patients displayed a reduced response to LPS with a diminished capability to activate T cells compared with DC stimulated with LPS alone. These data indicate that intrinsic activation of 25-D3 occurs in DC from CrD patients and show that 25-D3 can modulate DC function in CrD. Our data suggest that vitamin D deficiency may contribute to the uncontrolled inflammatory process seen in CrD.

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Abbreviations

25-D3:

25-hydroxy vitamin D3

1,25-D3:

1,25-dihydroxy vitamin D3

CrD:

Crohn’s disease

CD:

Cluster of differentiation

DC:

Dendritic cells

HLA:

Human leucocyte antigen

IFN:

Interferon

IL:

Interleukin

GM-CSF:

Granulocyte-macrophage colony-stimulating factor

LPS:

Lipopolysaccharide

MLR:

Mixed leucocyte reaction

TNF:

Tumour necrosis factor

References

  • Abraham C, Cho JH (2009) Inflammatory bowel disease. N Engl J Med 361:2066–2078

    Article  PubMed  CAS  Google Scholar 

  • Abreu MT, Kantorovich V, Vasiliauskas EA, Gruntmanis U, Matuk R, Daigle K, Chen S, Zehnder D, Lin YC, Yang H, Hewison M, Adams JS (2004) Measurement of vitamin D levels in inflammatory bowel disease patients reveals a subset of Crohn’s disease patients with elevated 1,25-dihydroxyvitamin D and low bone mineral density. Gut 53:1129–1136

    Article  PubMed  CAS  Google Scholar 

  • Bartels LE, Jorgensen SP, Agnholt J, Kelsen J, Hvas CL, Dahlerup JF (2007) 1,25-dihydroxyvitamin D3 and dexamethasone increase interleukin-10 production in CD4 + T cells from patients with Crohn’s disease. Int Immunopharmacol 7:1755–1764

    Article  PubMed  CAS  Google Scholar 

  • Bartels LE, Hvas CL, Agnholt J, Dahlerup JF, Agger R (2010) Human dendritic cell antigen presentation and chemotaxis are inhibited by intrinsic 25-hydroxy vitamin D activation. Int Immunopharmacol 10:922–928

    Article  PubMed  CAS  Google Scholar 

  • Baumgart DC, Metzke D, Schmitz J, Scheffold A, Sturm A, Wiedenmann B, Dignass AU (2005) Patients with active inflammatory bowel disease lack immature peripheral blood plasmacytoid and myeloid dendritic cells. Gut 54:228–236

    Article  PubMed  CAS  Google Scholar 

  • Bradley JR (2008) TNF-mediated inflammatory disease. J Pathol 214:149–160

    Article  PubMed  CAS  Google Scholar 

  • D’Inca R, Annese V, di Leo V, Latiano A, Quaino V, Abazia C, Vettorato MG, Sturniolo GC (2006) Increased intestinal permeability and NOD2 variants in familial and sporadic Crohn’s disease. Aliment Pharmacol Ther 23:1455–1461

    Article  PubMed  Google Scholar 

  • Fritsche J, Mondal K, Ehrnsperger A, Andreesen R, Kreutz M (2003) Regulation of 25-hydroxyvitamin D3–1 alpha-hydroxylase and production of 1 alpha,25-dihydroxyvitamin D3 by human dendritic cells. Blood 102:3314–3316

    Article  PubMed  CAS  Google Scholar 

  • Hart AL, Al Hassi HO, Rigby RJ, Bell SJ, Emmanuel AV, Knight SC, Kamm MA, Stagg AJ (2005) Characteristics of intestinal dendritic cells in inflammatory bowel diseases. Gastroenterology 129:50–65

    Article  PubMed  CAS  Google Scholar 

  • Hewison M, Freeman L, Hughes SV, Evans KN, Bland R, Eliopoulos AG, Kilby MD, Moss PA, Chakraverty R (2003) Differential regulation of vitamin D receptor and its ligand in human monocyte-derived dendritic cells. J Immunol 170:5382–5390

    PubMed  CAS  Google Scholar 

  • Hewison M, Burke F, Evans KN, Lammas DA, Sansom DM, Liu P, Modlin RL, Adams JS (2007) Extra-renal 25-hydroxyvitamin D3–1alpha-hydroxylase in human health and disease. J Steroid Biochem Mol Biol 103:316–321

    Article  PubMed  CAS  Google Scholar 

  • Hvas CL, Kelsen J, Agnholt J, Hollsberg P, Tvede M, Moller JK, Dahlerup JF (2007) Crohn’s disease intestinal CD4 + T cells have impaired interleukin-10 production which is not restored by probiotic bacteria. Scand J Gastroenterol 42:592–601

    Article  PubMed  CAS  Google Scholar 

  • Janot L, Secher T, Torres D, Maillet I, Pfeilschifter J, Quesniaux VF, Landmann R, Ryffel B, Erard F (2008) CD14 works with toll-like receptor 2 to contribute to recognition and control of Listeria monocytogenes infection. J Infect Dis 198:115–124

    Article  PubMed  CAS  Google Scholar 

  • Jones SA (2005) Directing transition from innate to acquired immunity: defining a role for IL-6. J Immunol 175:3463–3468

    PubMed  CAS  Google Scholar 

  • Jones GW, McLoughlin RM, Hammond VJ, Parker CR, Williams JD, Malhotra R, Scheller J, Williams AS, Rose-John S, Topley N, Jones SA (2010) Loss of CD4 + T Cell IL-6R Expression during inflammation underlines a role for IL-6 Trans Signaling in the local maintenance of Th17 Cells. J Immunol 184:2130–2139

    Article  PubMed  CAS  Google Scholar 

  • Jorgensen SP, Agnholt J, Glerup H, Lyhne S, Villadsen GE, Hvas CL, Bartels LE, Kelsen J, Christensen LA, Dahlerup JF (2010) Clinical trial: vitamin D3 treatment in Crohn’s disease—a randomized double-blind placebo-controlled study. Aliment Pharmacol Ther 32:377–383

    Article  PubMed  CAS  Google Scholar 

  • Joseph AJ, George B, Pulimood AB, Seshadri MS, Chacko A (2009) 25 (OH) vitamin D level in Crohn’s disease: association with sun exposure & disease activity. Indian J Med Res 130:133–137

    PubMed  CAS  Google Scholar 

  • Liu PT, Stenger S, Tang DH, Modlin RL (2007) Cutting edge: vitamin D-mediated human antimicrobial activity against Mycobacterium tuberculosis is dependent on the induction of cathelicidin. J Immunol 179:2060–2063

    PubMed  CAS  Google Scholar 

  • Mahnke K, Johnson TS, Ring S, Enk AH (2007) Tolerogenic dendritic cells and regulatory T cells: a two-way relationship. J Dermatol Sci 46:159–167

    Article  PubMed  CAS  Google Scholar 

  • Middel P, Raddatz D, Gunawan B, Haller F, Radzun HJ (2006) Increased number of mature dendritic cells in Crohn’s disease: evidence for a chemokine mediated retention mechanism. Gut 55:220–227

    Article  PubMed  CAS  Google Scholar 

  • Nerich V, Monnet E, Etienne A, Louafi S, Ramee C, Rican S, Weill A, Vallier N, Vanbockstael V, Auleley GR, Allemand H, Carbonnel F (2006) Geographical variations of inflammatory bowel disease in France: a study based on national health insurance data. Inflamm Bowel Dis 12:218–226

    Article  PubMed  Google Scholar 

  • Niessner M, Volk BA (1995) Altered Th1/Th2 cytokine profiles in the intestinal mucosa of patients with inflammatory bowel disease as assessed by quantitative reversed transcribed polymerase chain reaction (RT-PCR). Clin Exp Immunol 101:428–435

    Article  PubMed  CAS  Google Scholar 

  • Park SJ, Nakagawa T, Kitamura H, Atsumi T, Kamon H, Sawa S, Kamimura D, Ueda N, Iwakura Y, Ishihara K, Murakami M, Hirano T (2004) IL-6 regulates in vivo dendritic cell differentiation through STAT3 activation. J Immunol 173:3844–3854

    PubMed  CAS  Google Scholar 

  • Pasare C, Medzhitov R (2003) Toll pathway-dependent blockade of CD4 + CD25 + T cell-mediated suppression by dendritic cells. Science 299:1033–1036

    Article  PubMed  CAS  Google Scholar 

  • Penna G, Adorini L (2000) 1 Alpha, 25-dihydroxyvitamin D3 inhibits differentiation, maturation, activation, and survival of dendritic cells leading to impaired alloreactive T cell activation. J Immunol 164:2405–2411

    PubMed  CAS  Google Scholar 

  • Penna G, Roncari A, Amuchastegui S, Daniel KC, Berti E, Colonna M, Adorini L (2005) Expression of the inhibitory receptor ILT3 on dendritic cells is dispensable for induction of CD4 + Foxp3 + regulatory T cells by 1,25-dihydroxyvitamin D3. Blood 106:3490–3497

    Article  PubMed  CAS  Google Scholar 

  • Schauber J, Dorschner RA, Coda AB, Buchau AS, Liu PT, Kiken D, Helfrich YR, Kang S, Elalieh HZ, Steinmeyer A, Zugel U, Bikle DD, Modlin RL, Gallo RL (2007) Injury enhances TLR2 function and antimicrobial peptide expression through a vitamin D-dependent mechanism. J Clin Invest 117:803–811

    Article  PubMed  CAS  Google Scholar 

  • Sellge G, Magalhaes JG, Konradt C, Fritz JH, Salgado-Pabon W, Eberl G, Bandeira A, Di Santo JP, Sansonetti PJ, Phalipon A (2010) Th17 Cells are the dominant T Cell Subtype Primed by Shigella flexneri mediating protective immunity. J Immunol 184:2076–2085

    Article  PubMed  CAS  Google Scholar 

  • Shivananda S, Lennard-Jones J, Logan R, Fear N, Price A, Carpenter L, van Blankenstein M (1996) Incidence of inflammatory bowel disease across Europe: is there a difference between north and south? Results of the European collaborative study on inflammatory Bowel disease (EC-IBD). Gut 39:690–697

    Article  PubMed  CAS  Google Scholar 

  • Siffledeen JS, Siminoski K, Steinhart H, Greenberg G, Fedorak RN (2003) The frequency of vitamin D deficiency in adults with Crohn’s disease. Can J Gastroenterol 17:473–478

    PubMed  Google Scholar 

  • Szeles L, Keresztes G, Torocsik D, Balajthy Z, Krenacs L, Poliska S, Steinmeyer A, Zuegel U, Pruenster M, Rot A, Nagy L (2009) 1,25-dihydroxyvitamin D3 is an autonomous regulator of the transcriptional changes leading to a tolerogenic dendritic cell phenotype. J Immunol 182:2074–2083

    Article  PubMed  CAS  Google Scholar 

  • Te Velde AA, Van KY, Braat H, Hommes DW, Dellemijn TA, Slors JF, Van Deventer SJ, Vyth-Dreese FA (2003) Increased expression of DC-SIGN + IL-12 + IL-18 + and CD83 + IL-12-IL-18- dendritic cell populations in the colonic mucosa of patients with Crohn’s disease. Eur J Immunol 33:143–151

    Article  Google Scholar 

  • Zeng L, Anderson FH (1996) Seasonal change in the exacerbations of Crohn’s disease. Scand J Gastroenterol 31:79–82

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We thank laboratory technician Rikke Andersen for her excellent laboratory assistance. Financial support: The A.P. Møller Foundation for the Advancement of Medical Science, Desiree og Niels Ydes Fond, The Danish Medical Association Research Fund/Højmosegård-Legatet, Aase og Ejnar Danielsens Fond, Karen Elise Jensen Foundation, and the Danish Crohn and Colitis Association supported this study.

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None declared.

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Correspondence to Lars E. Bartels.

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Bartels, L.E., Jørgensen, S.P., Bendix, M. et al. 25-Hydroxy vitamin D3 modulates dendritic cell phenotype and function in Crohn’s disease. Inflammopharmacol 21, 177–186 (2013). https://doi.org/10.1007/s10787-012-0168-y

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