The investigators found that myelin peptides applied transdermally to people with MS activated dendritic Langerhans cells in the skin at the site of immunisation and induced a unique population of granular dendritic cells in local lymph nodes. In the periphery, type 1 and interleukin-10-producing regulatory T cells were produced, with suppression of specific autoreactive proliferative responses, and suppression of interferon-γ and transforming growth factor-β production. The results suggest that modulation of the immune system with transdermal immunisation with myelin peptides might be possible.
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