Repeated antigen painting and sublingual immunotherapy convert sublingual dendritic cell subsets and induce antigen-specific tolerance

[Purpose] The sublingual mucosa (SLM) is utilized as the site for sublingual immunotherapy (SLIT) to induce tolerance against allergens. The contribution of SLM-dendritic cells (SLM-DCs) has not been clarified. The aim of this study was to examine the dynamics and phenotype of SLM-DCs after topical antigen (Ag) painting and SLIT. SLM-DCs were histologically evaluated after FITC painting. A novel murine Japanese cedar pollinosis (JCP) model was generated and change in SLM-DCs after SLIT was examined. [Results] The density of SLM-DCs was clearly lower compared with the buccal mucosa and dorsal surface of the tongue. Topical FITC painting on the SLM induced maximal recruitment of submucosal DCs (smDCs) at 6 h, but most smDCs had vanished at 24 h. Repeated painting on the SLM induced exhaustion and conversion of the smDC phenotype. CD206^highCD11c^low round-type cells with fewer dendrites and less lymph node migration capacity became dominant. In the murine model of JCP, SLIT efficiently inhibited clinical symptoms and allergen-mediated immunological responses. SLIT markedly reduced the number of SLM-DCs, converted to the round-type dominant phenotype and inhibited the activation of regional lymph node DCs. [Discussion] Topical antigen painting on the SLM induced rapid exhaustion and conversion of smDCs and the unique dynamics of SLM-DCs may contribute to tolerance induction in SLIT. We will further report Ag-specific T cell tolerance by repeated antigen painting using a DO11.10 T cell transfer model.