Endogenous glucocorticoids control host resistance to viral infection through the tissue-specific regulation of PD-1 expression on NK cells

Nat Immunol. 2018 Sep;19(9):954-962. doi: 10.1038/s41590-018-0185-0. Epub 2018 Aug 20.

Abstract

Controlling the balance between immunity and immunopathology is crucial for host resistance to pathogens. After infection, activation of the hypothalamic-pituitary-adrenal (HPA) axis leads to the production of glucocorticoids. However, the pleiotropic effects of these steroid hormones make it difficult to delineate their precise role(s) in vivo. Here we found that the regulation of natural killer (NK) cell function by the glucocorticoid receptor (GR) was required for host survival after infection with mouse cytomegalovirus (MCMV). Mechanistically, endogenous glucocorticoids produced shortly after infection induced selective and tissue-specific expression of the checkpoint receptor PD-1 on NK cells. This glucocorticoid-PD-1 pathway limited production of the cytokine IFN-γ by spleen NK cells, which prevented immunopathology. Notably, this regulation did not compromise viral clearance. Thus, the fine tuning of NK cell functions by the HPA axis preserved tissue integrity without impairing pathogen elimination, which reveals a novel aspect of neuroimmune regulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cells, Cultured
  • Female
  • Glucocorticoids / metabolism*
  • Herpesviridae Infections / immunology*
  • Hypothalamo-Hypophyseal System
  • Immunity, Innate
  • Interferon-gamma / metabolism
  • Killer Cells, Natural / physiology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Muromegalovirus / physiology*
  • Neuroimmunomodulation
  • Organ Specificity
  • Pituitary-Adrenal System
  • Programmed Cell Death 1 Receptor / metabolism*
  • Receptors, Glucocorticoid / genetics
  • Receptors, Glucocorticoid / metabolism*
  • Signal Transduction
  • Viral Load

Substances

  • Glucocorticoids
  • Pdcd1 protein, mouse
  • Programmed Cell Death 1 Receptor
  • Receptors, Glucocorticoid
  • Interferon-gamma