Abstract
Background PD-1 and IL-10 blockade can restore antigen-specific T cell functions in chronic infections and cancer. However, not all subjects respond to inhibition of either pathway, the potential differences in functions restored by these interventions are unknown, and mechanistic interactions between these pathways are poorly understood. Methods We investigated 45 subjects with HIV-1 infection with different disease status. We used CFSE assays to measure proliferation of HIV-1-specific CD4 T cells and Luminex arrays to analyze IFN-g(Th1), IL-2(Th0), IL-13(Th2) and IL-12 secretion in supernatants of CD8-depleted PBMC stimulated for 48h with Gag peptide pools in the presence of isotype control antibody, anti-PD-L1 and/or anti-IL-10Ra, anti-IFN-g or anti-IL-12. We used flow cytometry to evaluate the role of IFN-g in regulating PD-L1, HLA-DR, HLA-ABC and CD86 expression by monocytes.
Highlights
PD-1 and IL-10 blockade can restore antigen-specific T cell functions in chronic infections and cancer
Whereas PD-L1 blockade had a balanced impact on proliferation and cytokine secretion by HIV-1-specific CD4 T cells, anti-IL-10Ra preferentially restored IFN-g production
Combined PD-L1/ IL-10Ra induced a striking increase in IL-12 production by antigen-presenting cells(APCs) that was governed by IFN-g derived from the Thelper cells
Summary
PD-1 and IL-10 blockade can restore antigen-specific T cell functions in chronic infections and cancer. Not all subjects respond to inhibition of either pathway, the potential differences in functions restored by these interventions are unknown, and mechanistic interactions between these pathways are poorly understood
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