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Department of Dermatology, Kansai Medical University, Moriguchi, Osaka 570-8507, Japan
Correspondence: Hiroyuki Okamoto, MD, Department of Dermatology, Kansai Medical University, 10-15 Fumizono, Moriguchi, Osaka 570-8507, Japan. E-mail: hokamoto{at}takii.kmu.ac.jp
Muramyl dipeptide (MDP) in bacterial cell walls reportedly evokes
epithelioid cell granulomas. We examined its effects on
multinucleated-giant-cell (MGC) formation from monocytes. Supernatant
of concanavalin A-stimulated peripheral blood mononuclear cells
(conditioned medium) generated MGCs from monocytes. MDP significantly
increased the fusion index of Langhans-type MGCs (LGCs) but did not
affect total MGCs.
N-Acetylmuramyl-L-alanyl-L-isoglutamine,
an MDP analogue, had no effect on MGC formation. MGCs were produced by
conditioned medium from CD14++/CD16-
monocytes. MDP enhanced the LGC fusion index from
CD14++/CD16- monocytes. MGCs were not produced
from CD14+/CD16+ monocytes or immature
dendritic cells induced by granulocyte macrophage-colony stimulating
factor (GM-CSF) and interleukin (IL) 4 and only weakly produced from
macrophage (M)-CSF- or GM-CSF-induced macrophages. Added MDP did not
generate MGCs from CD14+/CD16+ monocytes or
dendritic cells but enhanced LGC formation from macrophages. Because
IFN-
, IL-3, and GM-CSF reportedly are important in LGC induction, we
added anti-IFN-
, anti-IL-3, or anti-GM-CSF monoclonal antibody (mAb)
concomitantly to the monocyte culture treated with conditioned medium
alone or plus MDP. Anti-IFN-
mAb completely abrogated MGC
generation, whereas anti-GM-CSF and anti-IL-3 mAbs significantly
inhibited LGCs. These findings suggest that
CD14++/CD16- monocytes are fused to form LGCs
by MDP derived from granulomatous-disease-causing pathogens with
inflammatory mediators such as IFN-
, IL-3, and GM-CSF.
Key Words: CD14++/CD16- monocytes granuloma macrophages dendritic cells
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