Immunotherapy using anti-PD-1 and anti-PD-L1 in Leishmania amazonensis-infected BALB/c mice reduce parasite load

Sci Rep. 2019 Dec 30;9(1):20275. doi: 10.1038/s41598-019-56336-8.

Abstract

Leishmaniasis is a neglected disease, for which current treatment presents numerous issues. Leishmania amazonensis is the etiological agent of cutaneous and diffuse cutaneous leishmaniasis. The roles of the programmed death-1 (PD-1) receptor on lymphocytes and its ligand (PD-L1) on antigen-presenting cells have been well studied in tumor and other infection models; but little is known about their roles in non-healing cutaneous leishmaniasis. In this study, we observed that L. amazonensis induced PD-1 expression on both CD4+ and CD8+ T cells and PD-L1 on dendritic cells on BALB/c mice. We tested the therapeutic potential of anti-PD-1 and anti-PD-L1 monoclonal antibodies (MoAbs) against a non-healing L. amazonensis infection in BALB/c mice, and that anti-PD-1 and anti-PD-L1 treatment significantly increased IFN-γ-producing CD4+ and CD8+ T cells, respectively. Compared with infection controls, mice treated with anti-PD-1 and anti-PD-L1, but not anti-PD-L2, displayed bigger lesions with significantly lower parasite loads. Treatment did not affect anti-Leishmania antibody (IgM, IgG, IgG1 and IgG2a) or IL-10 production, but anti-PD-1 treatment reduced both IL-4 and TGF-β production. Together, our results highlight the therapeutic potential of an anti-PD-1-based treatment in promoting the reinvigoration of T cells for the control of parasite burden.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / pharmacology*
  • B7-H1 Antigen / antagonists & inhibitors*
  • Cytokines / metabolism
  • Disease Models, Animal
  • Female
  • Host-Parasite Interactions / drug effects
  • Host-Parasite Interactions / immunology
  • Leishmania / drug effects*
  • Leishmania / immunology
  • Leishmaniasis / drug therapy*
  • Leishmaniasis / immunology
  • Leishmaniasis / parasitology*
  • Mice
  • Mice, Inbred BALB C
  • Parasite Load
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors*
  • T-Lymphocyte Subsets / drug effects
  • T-Lymphocyte Subsets / immunology
  • T-Lymphocyte Subsets / metabolism

Substances

  • Antibodies, Monoclonal
  • B7-H1 Antigen
  • Cytokines
  • Pdcd1 protein, mouse
  • Programmed Cell Death 1 Receptor