首页> 美国卫生研究院文献>Cellular and Molecular Immunology >The altered PD-1/PD-L1 pathway delivers the ‘one-two punch’ effects to promote the Treg/Th17 imbalance in pre-eclampsia
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The altered PD-1/PD-L1 pathway delivers the ‘one-two punch’ effects to promote the Treg/Th17 imbalance in pre-eclampsia

机译:改变后的PD-1 / PD-L1途径产生一两次冲动效应以促进先兆子痫中Treg / Th17失衡

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摘要

The programmed cell death-1 (PD-1)/PD-ligand 1 (PD-L1) pathway is critical for normal pregnancy by promoting regulatory T (Treg) cell development and inhibiting the Th17 response. However, the relationship between the PD-1/PD-L1 pathway and the Treg/Th17 imbalance in pre-eclampsia (PE) is an enigma. In this study, decreased PD-1 and PD-L1 expression and a Treg/Th17 imbalance were observed at the maternal-fetal interface in PE. The regulatory effects of the PD-1/PD-L1 pathway on the Treg and Th17 cell quantities were determined in vitro by targeting T-cell proliferation, differentiation and transdifferentiation. First, decreased PD-1 expression might contribute to a higher Th17 cell frequency by promoting proliferation in PE. Second, the percentages of Treg but not Th17 cells differentiated from peripheral naive CD4+ T cells were increased by PD-L1 Fc administration. This effect was accompanied by decreased PI3K/AKT/m-TOR and increased PTEN mRNA expression and was completely reversed by PD-1 blockade. Finally, the percentage of IL-17-producing Treg cells increased and was positively associated with the Th17 cell frequency in PE. Increased RORγt and IL-17 but not Foxp3 and IL-10 mRNA expression by Treg cells was observed with PD-1 blockade. Similar findings occurred when Treg cells were exposed to IL-6/IL-23/IL-1β and were reversed by PD-L1 Fc. Taken together, our findings indicate that the PD-1/PD-L1 pathway contributes to the Treg/Th17 imbalance via ‘one-two punch’ approaches: (i) promoting Th17 cell proliferation, (ii) inhibiting Treg cell differentiation and (iii) enhancing Treg cell plasticity into Th17 cells in PE. The therapeutic value of PD-L1 Fc for PE treatment will be explored in the future.
机译:程序性细胞死亡1(PD-1)/ PD-配体1(PD-L1)通路通过促进调节性T(Treg)细胞发育并抑制Th17反应,对于正常妊娠至关重要。然而,先兆子痫(PE)中PD-1 / PD-L1途径与Treg / Th17不平衡之间的关系是一个谜。在这项研究中,在PE的母胎界面中观察到PD-1和PD-L1表达降低以及Treg / Th17不平衡。通过靶向T细胞增殖,分化和转分化,体外确定PD-1 / PD-L1途径对Treg和Th17细胞数量的调节作用。首先,降低的PD-1表达可能会通过促进PE的增殖而导致更高的Th17细胞频率。其次,通过施用PD-L1 Fc增加了从外周幼稚CD4 + T细胞分化而来的Treg而不是Th17细胞的百分比。该作用伴随着PI3K / AKT / m-TOR的降低和PTEN mRNA表达的提高,并被PD-1阻断完全逆转。最后,产生IL-17的Treg细胞的百分比增加,并且与PE中的Th17细胞频率呈正相关。用PD-1阻断剂观察到Treg细胞的RORγt和IL-17升高,但Foxp3和IL-10 mRNA表达没有升高。当Treg细胞暴露于IL-6 / IL-23 /IL-1β并被PD-L1 Fc逆转时,也会发生类似的发现。综上所述,我们的发现表明,PD-1 / PD-L1途径通过“一两拳”方法促进了Treg / Th17失衡:(i)促进Th17细胞增殖,(ii)抑制Treg细胞分化和(iii )增强Treg细胞对PE中Th17细胞的可塑性。将来将探讨PD-L1 Fc在PE治疗中的治疗价值。

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