PDL1 is required for peripheral transplantation tolerance and protection from chronic allograft rejection

J Immunol. 2007 Oct 15;179(8):5204-10. doi: 10.4049/jimmunol.179.8.5204.

Abstract

The PD-1:PDL pathway plays an important role in regulating alloimmune responses but its role in transplantation tolerance is unknown. We investigated the role of PD-1:PDL costimulatory pathway in peripheral and a well established model of central transplantation tolerance. Early as well as delayed blockade of PDL1 but not PDL2 abrogated tolerance induced by CTLA4Ig in a fully MHC-mismatched cardiac allograft model. Accelerated rejection was associated with a significant increase in the frequency of IFN-gamma-producing alloreactive T cells and expansion of effector CD8(+) T cells in the periphery, and a decline in the percentage of Foxp3(+) graft infiltrating cells. Similarly, studies using PDL1/L2-deficient recipients confirmed the results with Ab blockade. Interestingly, while PDL1-deficient donor allografts were accepted by wild-type recipients treated with CTLA4Ig, the grafts developed severe chronic rejection and vasculopathy when compared with wild-type grafts. Finally, in a model of central tolerance induced by mixed allogeneic chimerism, engraftment was not abrogated by PDL1/L2 blockade. These novel data demonstrate the critical role of PDL1 for induction and maintenance of peripheral transplantation tolerance by its ability to alter the balance between pathogenic and regulatory T cells. Expression of PDL1 in donor tissue is critical for prevention of in situ graft pathology and chronic rejection.

Publication types

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

MeSH terms

  • Abatacept
  • Animals
  • B7-1 Antigen / genetics
  • B7-1 Antigen / physiology*
  • B7-H1 Antigen
  • Chronic Disease
  • Graft Rejection / immunology*
  • Graft Rejection / pathology
  • Graft Rejection / prevention & control
  • H-2 Antigens / genetics
  • H-2 Antigens / immunology
  • Heart Transplantation / immunology
  • Heart Transplantation / pathology
  • Immunoconjugates / therapeutic use
  • Lymphocyte Culture Test, Mixed
  • Membrane Glycoproteins / antagonists & inhibitors
  • Membrane Glycoproteins / deficiency
  • Membrane Glycoproteins / genetics
  • Membrane Glycoproteins / physiology*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Peptides / antagonists & inhibitors
  • Peptides / deficiency
  • Peptides / genetics
  • Peptides / physiology*
  • Programmed Cell Death 1 Ligand 2 Protein
  • Radiation Chimera
  • Skin Transplantation / immunology
  • Transplantation Tolerance / genetics
  • Transplantation Tolerance / immunology*

Substances

  • B7-1 Antigen
  • B7-H1 Antigen
  • Cd274 protein, mouse
  • H-2 Antigens
  • H-2Kb protein, mouse
  • Immunoconjugates
  • Membrane Glycoproteins
  • Pdcd1lg2 protein, mouse
  • Peptides
  • Programmed Cell Death 1 Ligand 2 Protein
  • Abatacept