PD-1/PD-L1 Pathway Modulates Macrophage Susceptibility to Mycobacterium tuberculosis Specific CD8+ T cell Induced

Guadalupe Verónica Suarez1, Claudia Del Carmen Melucci Ganzarain1, María Belén Vecchione1

  • 1Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-Universidad de Buenos Aires. Instituto de Investigaciones Biomédicas en Retrovirus y Sida (INBIRS), Buenos Aires, Argentina.

Scientific Reports
|January 19, 2019
PubMed

Insights

Tuberculosis (TB) infection involves CD8+ T cells killing infected macrophages. The PD-1/PD-L1 pathway influences this process, suggesting checkpoint blockade could be a novel TB therapy adjuvant.

Area of Science:

  • Immunology
  • Cellular Biology
  • Infectious Diseases

Background:

  • CD8+ T cells are crucial for controlling tuberculosis (TB) by inducing macrophage death.
  • Mycobacterium tuberculosis (Mtb) infection is linked to increased PD-1/PD-L1 expression and altered macrophage activation.
  • The interplay between PD-1 pathway, macrophage polarization, and CD8+ T cell cytotoxicity in TB is not fully understood.

Purpose of the Study:

  • To investigate the role of the PD-1 pathway and macrophage polarization in CD8+ T cell-mediated killing of Mtb-infected macrophages.
  • To assess the impact of PD-L1 blockade on CD8+ T cell cytotoxicity against macrophages in TB patients.

Main Methods:

  • Analysis of PD-1 and PD-L1 expression in CD8+ T cells and CD14+ cells from TB patients' pleural effusion and peripheral blood.
  • In vitro co-culture experiments using M1 and M2a macrophages with Mtb-specific CD8+ T cells.
  • Assessment of CD8+ T cell cytotoxicity and degranulation.
  • In vitro blockade of the PD-L1 pathway.

Main Results:

  • High expression of PD-1 on CD8+ T cells and PD-L1 on CD14+ cells was observed in TB pleural effusion samples.
  • M1 macrophages were more susceptible to CD8+ T cell-induced death than M2a macrophages.
  • PD-L1 blockade enhanced CD8+ T cell cytotoxicity against IFN-γ-activated (M1-like) macrophages and patient-derived CD14+ cells, but not IL-4 or IL-10-activated macrophages.
  • Increased CD8+ T cell degranulation correlated with PD-1 and PD-L1 expression.

Conclusions:

  • The PD-1/PD-L1 pathway modulates antigen-specific CD8+ T cell cytotoxicity against M1-polarized macrophages in vitro.
  • PD-L1 blockade enhances CD8+ T cell killing of Mtb-infected macrophages.
  • Targeting the PD-1/PD-L1 pathway could be a potential adjuvant strategy for TB therapies.

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