[HTML][HTML] Overexpression of PD-1 on T cells promotes tolerance in cardiac transplantation via ICOS-dependent mechanisms

TJ Borges, N Murakami, IT Lape, RB Gassen, K Liu… - JCI insight, 2021 - ncbi.nlm.nih.gov
TJ Borges, N Murakami, IT Lape, RB Gassen, K Liu, S Cai, J Daccache, K Safa, T Shimizu…
JCI insight, 2021ncbi.nlm.nih.gov
The programmed death 1/programmed death ligand 1 (PD-1/PD-L1) pathway is a potent
inhibitory pathway involved in immune regulation and is a potential therapeutic target in
transplantation. In this study, we show that overexpression of PD-1 on T cells (PD-1 Tg)
promotes allograft tolerance in a fully MHC-mismatched cardiac transplant model when
combined with costimulation blockade with CTLA-4–Ig. PD-1 overexpression on T cells also
protected against chronic rejection in a single MHC II–mismatched cardiac transplant model …
Abstract
The programmed death 1/programmed death ligand 1 (PD-1/PD-L1) pathway is a potent inhibitory pathway involved in immune regulation and is a potential therapeutic target in transplantation. In this study, we show that overexpression of PD-1 on T cells (PD-1 Tg) promotes allograft tolerance in a fully MHC-mismatched cardiac transplant model when combined with costimulation blockade with CTLA-4–Ig. PD-1 overexpression on T cells also protected against chronic rejection in a single MHC II–mismatched cardiac transplant model, whereas the overexpression still allowed the generation of an effective immune response against an influenza A virus. Notably, Tregs from PD-1 Tg mice were required for tolerance induction and presented greater ICOS expression than those from WT mice. The survival benefit of PD-1 Tg recipients required ICOS signaling and donor PD-L1 expression. These results indicate that modulation of PD-1 expression, in combination with a costimulation blockade, is a promising therapeutic target to promote transplant tolerance.
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