Division of Hematology and Oncology, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA 98195, USA.
Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, WA 98101, USA.
Sci Transl Med. 2021 Oct 13;13(615):eaba6006. doi: 10.1126/scitranslmed.aba6006.
Inhibitory signaling in dysfunctional CD8 T cells through the programmed cell death 1 (PD-1) axis is well established in chronic viral infections and cancers. PD-1 is also transiently induced to high concentrations during priming of acute infections and immunizations, yet its impact on the development of long-lived antigen-independent T cell memory remains unclear. In addition to its expected role in restraining clonal effector expansion, here, we show that PD-1 expression on antigen-specific CD8 T cells is required for the development of a durable CD8 T cell memory pool after antigen clearance. Loss of T cell–specific PD-1 signaling led to increased contraction and a defect in antigen-independent renewal of memory CD8 T cells in response to homeostatic cytokine signals, thus resulting in attrition of the memory pool over time. Whereas exhausted CD8 T cells regain function after PD-1 checkpoint blockade during chronic viral infection, the preexisting pool of resting functional bystander memory CD8 T cells established in response to a previously administered immunogen decreased. Metabolically, PD-1 signals were necessary for regulating the critical balance of mTOR-dependent anabolic glycolysis and fatty acid oxidation programs to meet the bioenergetic needs of quiescent CD8 T cell memory. These results define PD-1 as a key metabolic regulator of protective T cell immunity. Furthermore, these results have potential clinical implications for preexisting CD8 T cell memory during PD-1 checkpoint blockade therapy.
在慢性病毒感染和癌症中,通过程序性细胞死亡 1(PD-1)轴的功能失调的 CD8 T 细胞的抑制性信号已得到充分证实。在急性感染和免疫接种的初始阶段,PD-1 也会短暂诱导至高浓度,但它对长期非抗原依赖性 T 细胞记忆的发展的影响仍不清楚。除了其在抑制克隆效应器扩增中的预期作用外,在这里,我们还表明,抗原特异性 CD8 T 细胞上的 PD-1 表达是在清除抗原后形成持久的 CD8 T 细胞记忆池所必需的。T 细胞特异性 PD-1 信号的丧失导致在稳态细胞因子信号的刺激下,抗原非依赖性记忆 CD8 T 细胞的收缩增加和更新缺陷,从而导致记忆池随时间的推移逐渐消耗。虽然在慢性病毒感染期间,耗尽的 CD8 T 细胞在 PD-1 检查点阻断后会恢复功能,但在先前给予免疫原后建立的静息功能性旁观者记忆 CD8 T 细胞的预先存在的池减少了。在代谢方面,PD-1 信号对于调节 mTOR 依赖性合成代谢糖酵解和脂肪酸氧化程序的关键平衡以满足静止 CD8 T 细胞记忆的生物能需求是必需的。这些结果将 PD-1 定义为保护性 T 细胞免疫的关键代谢调节剂。此外,这些结果对于 PD-1 检查点阻断治疗期间的预先存在的 CD8 T 细胞记忆具有潜在的临床意义。