Experimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Sci Transl Med. 2011 Nov 30;3(111):111ra120. doi: 10.1126/scitranslmed.3003130.
Immune surveillance by T helper type 1 (T(H)1) cells is not only critical for the host response to tumors and infection, but also contributes to autoimmunity and graft-versus-host disease (GVHD) after transplantation. The inhibitory molecule programmed death ligand 1 (PDL1) has been shown to anergize human T(H)1 cells, but other mechanisms of PDL1-mediated T(H)1 inhibition such as the conversion of T(H)1 cells to a regulatory phenotype have not been well characterized. We hypothesized that PDL1 may cause T(H)1 cells to manifest differentiation plasticity. Conventional T cells or irradiated K562 myeloid tumor cells overexpressing PDL1 converted TBET(+) T(H)1 cells into FOXP3(+) regulatory T (T(reg)) cells in vivo, thereby preventing human-into-mouse xenogeneic GVHD (xGVHD). Either blocking PD1 expression on T(H)1 cells by small interfering RNA targeting or abrogation of PD1 signaling by SHP1/2 pharmacologic inhibition stabilized T(H)1 cell differentiation during PDL1 challenge and restored the capacity of T(H)1 cells to mediate lethal xGVHD. PD1 signaling therefore induces human T(H)1 cells to manifest in vivo plasticity, resulting in a T(reg) phenotype that severely impairs cell-mediated immunity. Converting human T(H)1 cells to a regulatory phenotype with PD1 signaling provides a potential way to block GVHD after transplantation. Moreover, because this conversion can be prevented by blocking PD1 expression or pharmacologically inhibiting SHP1/2, this pathway provides a new therapeutic direction for enhancing T cell immunity to cancer and infection.
辅助性 T 细胞 1(T(H)1)细胞的免疫监视不仅对宿主对肿瘤和感染的反应至关重要,而且有助于移植后自身免疫和移植物抗宿主病(GVHD)。抑制分子程序性死亡配体 1(PDL1)已被证明可使人类 T(H)1 细胞失能,但 PDL1 介导的 T(H)1 抑制的其他机制,如 T(H)1 细胞向调节表型的转化,尚未得到很好的描述。我们假设 PDL1 可能导致 T(H)1 细胞表现出分化可塑性。在体内,常规 T 细胞或过表达 PDL1 的辐照 K562 髓样肿瘤细胞将 TBET(+)T(H)1 细胞转化为 FOXP3(+)调节性 T(T(reg))细胞,从而防止人源到鼠源的异种移植物抗宿主病(xGVHD)。通过靶向 PD1 的小干扰 RNA 阻断 T(H)1 细胞上的 PD1 表达或通过 SHP1/2 药理学抑制破坏 PD1 信号,可在 PDL1 挑战过程中稳定 T(H)1 细胞分化,并恢复 T(H)1 细胞介导致死性 xGVHD 的能力。因此,PD1 信号诱导人类 T(H)1 细胞表现出体内可塑性,导致 T(reg)表型严重损害细胞介导的免疫。通过 PD1 信号将人类 T(H)1 细胞转化为调节表型为移植后阻断 GVHD 提供了一种潜在的方法。此外,由于这种转化可以通过阻断 PD1 表达或药理学抑制 SHP1/2 来预防,因此该途径为增强 T 细胞对癌症和感染的免疫提供了一个新的治疗方向。
Sci Transl Med. 2011-11-30
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