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TNF/iNOS-producing dendritic cells are the necessary evil of lethal influenza virus infection Export

Proceedings of the National Academy of Sciences, Vol. 106, No. 13. (31 March 2009), pp. 5306-5311.

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dendritic influenza innate

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10.1073/pnas.0900655106 Respiratory infection with highly pathogenic influenza A viruses is characterized by the exuberant production of cytokines and chemokines and the enhanced recruitment of innate inflammatory cells. Here, we show that challenging mice with virulent influenza A viruses, including currently circulating H5N1 strains, causes the increased selective accumulation of a particular dendritic cell subset, the tipDCs, in the pneumonic airways. These tipDCs are required for the further proliferation of influenza-specific CD8 T cells in the infected lung, because blocking their recruitment in CCR2 mice decreases the numbers of CD8 effectors and ultimately compromises virus clearance. However, diminution rather than total elimination of tipDC trafficking by treatment with the peroxisome proliferator-activated receptor-γ agonist pioglitazone moderates the potentially lethal consequences of excessive tipDC recruitment without abrogating CD8 T cell expansion or compromising virus control. Targeting the tipDCs in this way thus offers possibilities for therapeutic intervention in the face of a catastrophic pandemic.


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