Programmed death-1 pathway in host tissues ameliorates Th17/Th1-mediated experimental chronic graft-versus-host disease

H Fujiwara, Y Maeda, K Kobayashi… - The Journal of …, 2014 - journals.aai.org
H Fujiwara, Y Maeda, K Kobayashi, H Nishimori, K Matsuoka, N Fujii, E Kondo, T Tanaka…
The Journal of Immunology, 2014journals.aai.org
Chronic graft-versus-host disease (GVHD) is a major cause of late death and morbidity after
allogeneic hematopoietic cell transplantation, but its pathogenesis remains unclear. We
investigated the role of the programmed death-1 (PD-1) pathway in chronic GVHD using a
well-defined mouse model of B10. D2 (H-2 d) donor to BALB/c (H-2 d) recipients. PD-1
expression on allogeneic donor T cells was upregulated continuously in chronic GVHD
development, whereas PD-L1 expression in host tissues was transiently upregulated and …
Abstract
Chronic graft-versus-host disease (GVHD) is a major cause of late death and morbidity after allogeneic hematopoietic cell transplantation, but its pathogenesis remains unclear. We investigated the role of the programmed death-1 (PD-1) pathway in chronic GVHD using a well-defined mouse model of B10. D2 (H-2 d) donor to BALB/c (H-2 d) recipients. PD-1 expression on allogeneic donor T cells was upregulated continuously in chronic GVHD development, whereas PD-L1 expression in host tissues was transiently upregulated and declined to basal levels in the late posttransplant period. Blockade of the PD-1 pathway by anti–PD-1, anti–PD-L1, or anti–PD-L2 mAbs exacerbated clinical and pathologic chronic GVHD. Chimeric mice revealed that PD-L1 expression in host tissues suppressed expansion of IL-17+ IFN-γ+ T cells, and that PD-L1 expression on hematopoietic cells plays a role in the development of regulatory T cells only during the early transplantation period but does not affect the severity of chronic GVHD. Administration of the synthetic retinoid Am80 overcame the IL-17+ IFN-γ+ T cell expansion caused by PD-L1 deficiency, resulting in reduced chronic GVHD damage in PD-L1−/− recipients. Stimulation of the PD-1 pathway also alleviated chronic GVHD. These results suggest that the PD-1 pathway contributes to the suppression of Th17/Th1-mediated chronic GVHD and may represent a new target for the prevention or treatment of chronic GVHD.
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