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PD-1 deficiency augments bone marrow failure in a minor-histocompatibility antigen mismatch lymphocyte infusion model.

Abstract
Although PD-1 blockade has revolutionized cancer immunotherapy, immune-related adverse events (irAEs) present life-threatening complications. Recent reports of aplastic anemia (AA) as irAEs implicate PD-1/PD-L1 as important in preventing immune-mediated destruction of the hematopoietic niche. Infusion of PD-1-deficient (PD-1 knockout [KO]) lymph node (LN) cells into minor-antigen mismatched mice resulted in early mortality, as well as more severe bone marrow (BM) hypoplasia, anemia, and BM microarchitecture disruption in PD-1 KO LN-infused mice relative to mice that received B6 LN cell infusion. Mice that received PD-1 KO LN cells had more CD8+ T-cell infiltration of the BM and greater expansion of H60-specific CD8+ T cells than did their B6 LN-infused counterparts. In the spleen, CD8+ T cells were skewed to an effector memory phenotype, suggesting accelerated differentiation of PD-1 KO T cells. Our data suggest that PD-1 dysregulation has a role in murine BM failure and vigilance in irAE monitoring may be desirable to treat early AA and related cytopenias.
AuthorsMaile K Hollinger, Valentina Giudice, Nicole A Cummings, Guillermo Rivell, Hansheng Zhang, Sachiko Kajigaya, Keyvan Keyvanfar, Jichun Chen, Xingmin Feng, Neal S Young
JournalExperimental hematology (Exp Hematol) Vol. 62 Pg. 17-23 (06 2018) ISSN: 1873-2399 [Electronic] Netherlands
PMID29524567 (Publication Type: Journal Article, Research Support, N.I.H., Intramural)
CopyrightPublished by Elsevier Inc.
Chemical References
  • Minor Histocompatibility Antigens
  • Pdcd1 protein, mouse
  • Programmed Cell Death 1 Receptor
Topics
  • Anemia, Aplastic (etiology, pathology)
  • Animals
  • Animals, Congenic
  • Bone Marrow (pathology)
  • CD8-Positive T-Lymphocytes (immunology)
  • Disease Models, Animal
  • Immunologic Memory
  • Lymph Nodes (cytology)
  • Lymphocyte Transfusion (adverse effects)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Minor Histocompatibility Antigens (immunology)
  • Programmed Cell Death 1 Receptor (deficiency, physiology)
  • Radiation Chimera
  • Spleen (pathology)
  • T-Lymphocyte Subsets (immunology)

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