PD-L1 inhibits acute and chronic pain by suppressing nociceptive neuron activity via PD-1

Nat Neurosci. 2017 Jul;20(7):917-926. doi: 10.1038/nn.4571. Epub 2017 May 22.

Abstract

Programmed cell death ligand-1 (PD-L1) is typically produced by cancer cells and suppresses immunity through the receptor PD-1 expressed on T cells. However, the role of PD-L1 and PD-1 in regulating pain and neuronal function is unclear. Here we report that both melanoma and normal neural tissues including dorsal root ganglion (DRG) produce PD-L1 that can potently inhibit acute and chronic pain. Intraplantar injection of PD-L1 evoked analgesia in naive mice via PD-1, whereas PD-L1 neutralization or PD-1 blockade induced mechanical allodynia. Mice lacking Pd1 (Pdcd1) exhibited thermal and mechanical hypersensitivity. PD-1 activation in DRG nociceptive neurons by PD-L1 induced phosphorylation of the tyrosine phosphatase SHP-1, inhibited sodium channels and caused hyperpolarization through activation of TREK2 K+ channels. PD-L1 also potently suppressed nociceptive neuron excitability in human DRGs. Notably, blocking PD-L1 or PD-1 elicited spontaneous pain and allodynia in melanoma-bearing mice. Our findings identify a previously unrecognized role of PD-L1 as an endogenous pain inhibitor and a neuromodulator.

MeSH terms

  • Analgesia*
  • Animals
  • B7-H1 Antigen / blood
  • B7-H1 Antigen / pharmacology
  • B7-H1 Antigen / physiology*
  • Cells, Cultured
  • Cricetinae
  • Female
  • Ganglia, Spinal / drug effects
  • Ganglia, Spinal / metabolism
  • Ganglia, Spinal / physiology
  • Humans
  • Hyperalgesia / chemically induced
  • Male
  • Melanoma / blood
  • Melanoma / physiopathology
  • Mice
  • Mice, Knockout
  • Neuralgia / physiopathology
  • Neurons / drug effects
  • Neurons / physiology
  • Pain Threshold / drug effects
  • Pain Threshold / physiology
  • Phosphorylation
  • Potassium Channels, Tandem Pore Domain / physiology
  • Primary Cell Culture*
  • Programmed Cell Death 1 Receptor / biosynthesis
  • Programmed Cell Death 1 Receptor / genetics
  • Programmed Cell Death 1 Receptor / physiology*
  • Protein Tyrosine Phosphatase, Non-Receptor Type 6 / metabolism
  • Rats
  • Sodium Channels / physiology
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / physiology

Substances

  • B7-H1 Antigen
  • Cd274 protein, mouse
  • Kcnk10 protein, mouse
  • Pdcd1 protein, mouse
  • Potassium Channels, Tandem Pore Domain
  • Programmed Cell Death 1 Receptor
  • Sodium Channels
  • Protein Tyrosine Phosphatase, Non-Receptor Type 6