The role of programmed cell death ligand-1 (PD-L1/CD274) in the development of graft versus host disease

PLoS One. 2013 Apr 4;8(4):e60367. doi: 10.1371/journal.pone.0060367. Print 2013.

Abstract

Programmed cell death ligand-1 (PD-L1/CD274) is an immunomodulatory molecule involved in cancer and complications of bone marrow transplantation, such as graft rejection and graft-versus-host disease. The present study was designed to assess the dynamic expression of this molecule after hematopoietic stem cell transplantation in relation to acute graft-versus-host disease. Female BALB/c mice were conditioned with busulfan and cyclophosphamide and transplanted with either syngeneic or allogeneic (male C57BL/6 mice) bone marrow and splenic cells. The expression of PD-L1 was evaluated at different time points employing qPCR, western blot and immunohistochemistry. Allogeneic- but not syngeneic-transplanted animals exhibited a marked up-regulation of PD-L1 expression in the muscle and kidney, but not the liver, at days 5 and 7 post transplantation. In mice transplanted with allogeneic bone marrow cells, the enhanced expression of PD-L1 was associated with high serum levels of IFNγ and TNFα at corresponding intervals. Our findings demonstrate that PD-L1 is differently induced and expressed after allogeneic transplantation than it is after syngeneic transplantation, and that it is in favor of target rather than non-target organs at the early stages of acute graft-versus-host disease. This is the first study to correlate the dynamics of PD-L1 at the gene-, protein- and activity levels with the early development of acute graft-versus-host disease. Our results suggest that the higher expression of PD-L1 in the muscle and kidney (non-target tissues) plays a protective role in skeletal muscle during acute graft-versus-host disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • B7-H1 Antigen / genetics*
  • B7-H1 Antigen / immunology*
  • B7-H1 Antigen / metabolism
  • Bone Marrow Transplantation / immunology
  • Female
  • Gene Expression Profiling
  • Gene Expression Regulation*
  • Graft vs Host Disease / genetics*
  • Graft vs Host Disease / immunology*
  • Graft vs Host Disease / metabolism
  • Interferon-gamma / biosynthesis
  • Kidney / metabolism
  • Liver / metabolism
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Muscles / metabolism
  • RNA, Messenger / genetics
  • Transplantation Conditioning
  • Transplantation, Homologous
  • Transplantation, Isogeneic
  • Tumor Necrosis Factor-alpha / biosynthesis

Substances

  • B7-H1 Antigen
  • RNA, Messenger
  • Tumor Necrosis Factor-alpha
  • Interferon-gamma

Grants and funding

The authors would like to acknowledge grants obtained from The Swedish Cancer Foundation (CF) and the Swedish Childhood Cancer Society (BCF). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.