Myeloid dendritic cells in inclusion-body myositis and polymyositis
β Scribed by Steven A. Greenberg; Geraldine S. Pinkus; Anthony A. Amato; Jack L. Pinkus
- Book ID
- 102953255
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 702 KB
- Volume
- 35
- Category
- Article
- ISSN
- 0148-639X
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β¦ Synopsis
Abstract
Dendritic cells (DCs), immune system cells central to the development of immunity, have not previously been reported in muscle in inclusionβbody myositis (IBM). We performed immunohistochemical studies on muscle biopsy specimens from 50 patients using monoclonal antibodies that distinguish two classes of DCs, myeloid DC and plasmacytoid DC. In 17 of 20 IBM and 9 of 10 polymyositis (PM) specimens, myeloid DCs were present in substantial numbers, frequently surrounded and sometimes invading otherwise intact myofibers, and were part of dense collections of cells that included T cells. Dermatomyositis muscle had more plasmacytoid DCs than myeloid DCs, whereas IBM and PM had greater numbers of myeloid DCs. The stellate morphology of myeloid DCs in dense collections of cells that included T cells suggests local intramuscular antigen presentation in IBM and PM. Muscle Nerve, 2006
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A patient with inclusion body niyositis was treated with a course of 22 leukocytaphereses combined with prednisone and azathioprine therapy. He improved clinically during an induction phase of frequent cytapheresis, which reduced the circulating levels of T lymphocytes and monocytes and decreased th