Poly(trimethylene carbonate) and poly(D,L-lactic acid) modify human dendritic cell responses to staphylococci but do not affect Th1 and Th2 cell development
1 Department of Medical Microbiology, Amsterdam Infection and Immunity Institute, Academic Medical Centre, University of Amsterdam, 1105 AZ, Amsterdam, the Netherlands
2 Department of Cell Biology and Histology, Academic Medical Centre, University of Amsterdam, 1105 AZ, Amsterdam, the Netherlands
3 Department Experimental Immunology, Academic Medical Centre, University of Amsterdam, 1105 AZ, Amsterdam, the Netherlands
4 Institute for Biomedical Technology and Technical Medicine (MIRA), Department of Biomaterials Science and Technology, Faculty of Science and Technology, University of Twente, 7500 AE, Enschede, the Netherlands
5 Department of Biomedical Engineering, University Medical Centre Groningen and University of Groningen, W.J. Kolff Institute, 9713 AV, Groningen, the Netherlands
6 Department Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Centre, University of Amsterdam, 1105 AZ, Amsterdam, the Netherlands
Abstract
Biomaterial-associated infections (BAIs) are frequent complications in the use of medical devices (biomaterials) correlated with considerable patient discomfort and high treatment costs. The presence of a biomaterial in the host causes derangement of local immune responses increasing susceptibility to infection. Dendritic cells (DCs) have an important role in directing the nature of immune responses by activating and controlling CD4+ T helper (Th) cell responses. To assess the immunomodulatory effect of the combined presence of biomaterials and Staphylococcus aureus (S. aureus) or Staphylococcus epidermidis (S. epidermidis), DC-mediated T cell proliferation and Th1/Th2 cell development were measured using an in vitro human cell system. Poly(trimethylene carbonate) (PTMC) and poly(D,L-lactic acid) (PDLLA) modified the production of the DC pro-inflammatory cytokines TNF-α, IL-6 and IL-23 in response to S. aureus and S. epidermidis. However, this modified cytokine production did not cause differences in Th1/Th2 cell polarisation, showing a Th1 cell predominance. In the absence of staphylococci, neither of the biomaterials induced DC-mediated T cell proliferation or Th1/Th2 cell polarisation. Moreover, either in the absence or presence of the biomaterials, S. aureus was a more potent inducer of DC cytokine secretion, T cell proliferation and Th1 cell development than S. epidermidis. In conclusion, although PTMC and PDLLA modulated DC cytokine responses to staphylococci, this did not alter the resulting Th cell development. This result suggested that, in this human cell model, Th1/Th2 cell responses were mainly determined by the species of bacteria and that PTMC or PDLLA did not detectably influence these responses.
Graphical Abstract

Keywords
- Biomaterial-associated infection
- Staphylococcus aureus
- Staphylococcus epidermidis
- dendritic cell
- T cell
- immune response
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