Abstract

BackgroundProgrammed death-1 (PD-1, Pdcd1)-deficient mice develop different types of autoimmune diseases depending on the mouse strain but its role in uterus development has not been reported.MethodsIn this study, the expression of PD-1 and its ligands, PD-L1 and PD-L2, in uterine tissues from aged WT mice in a 129svEv-Brd background was analyzed by immunohistochemistry and the uterine morphology between WT and PD-1-/- mice was compared by hematoxylin and eosin staining.ResultsThe aged PD-1-/- female mice in a 129svEv-Brd rather than Balb/c background develop endometrial hyperplasia. H&E staining showed an increase in the number of glands, neovascularization and an extremely large luminal cavity in aged PD-1-/- uteri. Immunohistochemical assay showed that the expression of PD-1 was observed in glandular/luminal epithelium and cells infiltrating the stroma. Fluorescent double staining demonstrated that PD-1 expresses on CD68+ macrophages, CD3+ T cells, CD16+ monocytes, CD56+ NK cells and CK-18+ epithelial cells, respectively. Additionally, PD-1 co-expresses with vascular endothelial growth factor (VEGF), and PD-1 deficiency resulted in an accumulation of glandular/luminal epithelium derived VEGF, which accelerates the expression of the proliferation-associated protein, proliferating cell nuclear antigen (PCNA), and thus potentially lead to epithelial proliferation in aged PD-1-/- uteri.ConclusionsThese findings showed that PD-1 deficiency augments luminal epithelial cell proliferation probably through induced VEGF secretion, suggesting PD-1 plays an important role in controlling the growth and differentiation of the uterine epithelium.Virtual SlidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/5809067461223905

Highlights

  • Programmed death-1 (PD-1, Pdcd1)-deficient mice develop different types of autoimmune diseases depending on the mouse strain but its role in uterus development has not been reported

  • An interesting finding is the uteri from PD-1-/- female mice in the 129svEv-Brd rather Balb/c background are much larger than that of the WT littermates at 2, 2.5 and 3 years of age (Figure 1B and C), indicating that the aged PD1-/- female mice developed endometrial hyperplasia

  • H&E staining showed that there were numerous glands (Figure 1E) and neovascularizations (Figure 1F) in the aged PD-1-/- uteri (129svEv-Brd background), as compared to WT controls at 2 years of age (Figure 1D). These findings suggested that endometrial hyperplasia was developed in aged PD-1-/- female mice in a 129svEv-Brd background

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Summary

Introduction

Programmed death-1 (PD-1, Pdcd1)-deficient mice develop different types of autoimmune diseases depending on the mouse strain but its role in uterus development has not been reported. Co-signaling by B7/CD28 family members regulates the initiation, maintenance, and termination of immune responses. Programmed death-1 (PD-1) is an inhibitory receptor expressed on activated T cells, B cells and myeloid cells [1]. The expression of PD-L1 has been detected in lymphoid organs and in nonlymphoid tissues and was enhanced in several types of tumor cells under inflammation conditions, suggesting that PD-L1 might regulate lymphocyte function at sites of inflammation [15]. The expression of PD-L2, was restricted in activated dendritic cells (DCs), macrophages, monocytes and T cells [16]

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