Rationale: Programmed cell death protein 1 (PD-1)-expressing CD8+ T cells are typically associated with exhaustion in cancer and infections, but their role in autoimmune diseases, particularly lupus nephritis (LN), remains less understood. Understanding the characteristics and functions of PD-1+CD8+ T cells in LN could help identify novel therapeutic strategies. Methods: We analyzed the abundance and phenotypes of PD-1+CD8+ T cells in LN patients and NZB/W F1 mice. Single-cell RNA sequencing (scRNA-seq) was used to delineate subsets and TCR clonal diversity in PD-1+CD8+ T cells in NZB/W F1 mice. The therapeutic efficacy of a PD-L1 Fc fusion protein on kidney pathology and proteinuria in NZB/W F1 mice was evaluated. In addition, the inhibitory mechanism of PD-1 in CD8+ T cells were further explored using RNA-seq, q-PCR, flow cytometry, and Western blot. Results: PD-1+CD8+ T cells were enriched in LN patients and NZB/W F1 mice, exhibiting elevated activation markers and robust TCR clonal expansion in the kidney of NZB/W F1 mice with severe disease. PD-L1 Fc treatment reduced kidney damage and proteinuria in NZB/W F1 mice, which correlated with decreased frequencies of PD-1+CD8+ and IFN-gamma+CD8+ T cells. Mechanistically, PD-L1 Fc inhibited Stat1 phosphorylation, T-bet expression, and IFN-gamma production in CD8+ T cells. Conclusion: These findings show that PD-1+CD8+ T cells in LN are hyperactive, clonally expanded, and contribute to disease progression. Targeting the PD-1/PD-L1 pathway with PD-L1 Fc effectively reduced kidney pathology in a murine model of LN, underscoring the potential of modulating PD-1 signaling as a treatment strategy for LN.
基金:
National Natural Science Foundation of China [82071816, 82101104, 82071792, 31630021, 32141004, 31930037]; Science and Technology Commission of Shanghai Municipality [21140903000]; Shanghai Municipal Key Medical Centre Construction Project [2017ZZ01024-002]; Science and Technology Innovation Action Plan" medicine innovation fund [21Y31900200]; Science and Technology Department of Henan Province [222102310352]
第一作者机构:[1]Shanghai Jiao Tong Univ, Renji Hosp, Shanghai Inst Rheumatol, Dept Rheumatol,Sch Med, Shanghai, Peoples R China[2]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Shanghai Canc Inst,State Key Lab Syst Med Canc, Shanghai, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Shanghai Jiao Tong Univ, Renji Hosp, Shanghai Inst Rheumatol, Dept Rheumatol,Sch Med, Shanghai, Peoples R China[2]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Shanghai Canc Inst,State Key Lab Syst Med Canc, Shanghai, Peoples R China[5]Cincinnati Childrens Hosp Med Ctr, Ctr Autoimmune Genom & Etiol CAGE, Cincinnati, OH USA
推荐引用方式(GB/T 7714):
Deng Jun,Zhu Junling,Jiang Xiaoyue,et al.PD-1 activation mitigates lupus nephritis by suppressing and PD-1+CD8+T cells[J].THERANOSTICS.2025,15(11):5029-5044.doi:10.7150/thno.107418.
APA:
Deng, Jun,Zhu, Junling,Jiang, Xiaoyue,Yao, Chao,Chen, Haifeng...&Shen, Nan.(2025).PD-1 activation mitigates lupus nephritis by suppressing and PD-1+CD8+T cells.THERANOSTICS,15,(11)
MLA:
Deng, Jun,et al."PD-1 activation mitigates lupus nephritis by suppressing and PD-1+CD8+T cells".THERANOSTICS 15..11(2025):5029-5044