Selective expansion of a subset of exhausted CD8 T cells by alphaPD-L1 blockade

Proc Natl Acad Sci U S A. 2008 Sep 30;105(39):15016-21. doi: 10.1073/pnas.0801497105. Epub 2008 Sep 22.

Abstract

Programmed death-1 (PD-1) regulates T cell exhaustion during chronic infections. Blocking the PD-1:PD-ligand (PD-L) pathway reinvigorates exhausted CD8 T cells. Exactly how blocking PD-1:PD-L interactions improves T cell immunity, however, remains unclear. PD-1:PD-L blockade could reprogram all exhausted T cells to become antiviral effectors. Alternatively, this blockade might selectively expand a subset of exhausted T cells. We have identified two subpopulations of exhausted CD8 T cells during chronic viral infection in mice. One subset of exhausted CD8 T cells is rescued by alphaPD-L1 blockade, whereas the other subset appears more terminally differentiated and responds poorly to PD-1:PD-L blockade. Blocking PD-1:PD-L interactions reduces spontaneous apoptosis and enhances expansion and protective immunity of the rescuable subset, but not the more terminally differentiated subset of exhausted CD8 T cells. These results have implications for predicting clinical responses to PD-1-based therapeutic interventions and for understanding T cell dynamics during persisting infections.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Apoptosis / immunology*
  • Arenaviridae Infections / immunology*
  • B7-1 Antigen / physiology*
  • B7-H1 Antigen
  • CD8-Positive T-Lymphocytes / immunology*
  • CD8-Positive T-Lymphocytes / virology
  • Chronic Disease
  • Lymphocyte Activation
  • Lymphocytic choriomeningitis virus / immunology*
  • Membrane Glycoproteins / antagonists & inhibitors
  • Membrane Glycoproteins / physiology*
  • Mice
  • Peptides / antagonists & inhibitors
  • Peptides / physiology*
  • T-Lymphocyte Subsets / immunology*
  • T-Lymphocyte Subsets / virology

Substances

  • B7-1 Antigen
  • B7-H1 Antigen
  • Cd274 protein, mouse
  • Membrane Glycoproteins
  • Peptides