- Klebanoff, Christopher A;
- Spencer, Sean P;
- Torabi-Parizi, Parizad;
- Grainger, John R;
- Roychoudhuri, Rahul;
- Ji, Yun;
- Sukumar, Madhusudhanan;
- Muranski, Pawel;
- Scott, Christopher D;
- Hall, Jason A;
- Ferreyra, Gabriela A;
- Leonardi, Anthony J;
- Borman, Zachary A;
- Wang, Jinshan;
- Palmer, Douglas C;
- Wilhelm, Christoph;
- Cai, Rongman;
- Sun, Junfeng;
- Napoli, Joseph L;
- Danner, Robert L;
- Gattinoni, Luca;
- Belkaid, Yasmine;
- Restifo, Nicholas P
Dendritic cells (DCs) comprise distinct populations with specialized immune-regulatory functions. However, the environmental factors that determine the differentiation of these subsets remain poorly defined. Here, we report that retinoic acid (RA), a vitamin A derivative, controls the homeostasis of pre-DC (precursor of DC)-derived splenic CD11b(+)CD8α(-)Esam(high) DCs and the developmentally related CD11b(+)CD103(+) subset within the gut. Whereas mice deprived of RA signaling significantly lost both of these populations, neither pre-DC-derived CD11b(-)CD8α(+) and CD11b(-)CD103(+) nor monocyte-derived CD11b(+)CD8α(-)Esam(low) or CD11b(+)CD103(-) DC populations were deficient. In fate-tracking experiments, transfer of pre-DCs into RA-supplemented hosts resulted in near complete conversion of these cells into the CD11b(+)CD8α(-) subset, whereas transfer into vitamin A-deficient (VAD) hosts caused diversion to the CD11b(-)CD8α(+) lineage. As vitamin A is an essential nutrient, we evaluated retinoid levels in mice and humans after radiation-induced mucosal injury and found this conditioning led to an acute VAD state. Consequently, radiation led to a selective loss of both RA-dependent DC subsets and impaired class II-restricted auto and antitumor immunity that could be rescued by supplemental RA. These findings establish a critical role for RA in regulating the homeostasis of pre-DC-derived DC subsets and have implications for the management of patients with immune deficiencies resulting from malnutrition and irradiation.