PT - JOURNAL ARTICLE AU - Owaja, Claire AU - Roback-Navarro, Evelyn AU - Iwai, Naomi AU - Lerret, Nadine TI - Hyperglycemia Activates the CD27-CD70 Axis on Human Peripheral Blood Mononuclear Cells AID - 10.29074/ascls.2019002089 DP - 2019 Oct 01 TA - American Society for Clinical Laboratory Science PG - 131--137 VI - 32 IP - 4 4099 - http://hwmaint.clsjournal.ascls.org/content/32/4/131.short 4100 - http://hwmaint.clsjournal.ascls.org/content/32/4/131.full SO - Clin Lab Sci2019 Oct 01; 32 AB - Obesity is now strongly associated with chronic low-grade inflammation that, without intervention, contributes to the development of prediabetes and eventually type 2 diabetes. Although the exact mechanism that inflammation plays in the pathogenesis from obesity to type 2 diabetes is unclear, activated immune cells and proinflammatory cytokines have been found in the adipose tissue of people with type 2 diabetes, implicating their role in the disease process. The CD27-CD70 pathway provides a crucial inflammatory costimulatory signal, with CD70 being expressed on activated antigen-presenting cells and CD27 expressed on lymphocytes. Although the CD27-CD70 axis is being explored in other models of chronic inflammation, such as rheumatoid arthritis and colitis, the role played in type 2 diabetes remains unknown. This article reports the downregulation of CD27 on CD4 T cells when cocultured with dendritic cells primed in increasing concentrations of glucose, indicating an effector phenotype of these T cells. Importantly, it is also highlighted that CD70 is concurrently upregulated on dendritic cells primed in high concentrations of glucose, which results in increased production of interferon-γ and tumor necrosis factor α by the CD70 expressing dendritic cells when compared with dendritic cells primed in a lower concentration of glucose. These results reveal a novel role for CD27-CD70 interactions in the pathogenesis of type 2 diabetes and provide support for future investigations into this pathway. Additionally, CD27 could be analyzed to further stratify patients with prediabetes and guide diagnosticians towards the most efficient therapy.