Chronic immune activation that persists despite anti-retroviral therapy (ART) is the strongest predictor of disease progression in HIV infection. Monocyte/macrophages in HIV-infected individuals are known to spontaneously secrete cytokines, although neither the mechanism nor the molecules involved are known. Here we show that overexpression of the newly described co-stimulatory molecule, PD1 homologue (PD-1H) in human monocyte/macrophages is sufficient to induce spontaneous secretion of multiple cytokines. The process requires signaling via PD-1H as cytokine secretion could be abrogated by deletion of the cytoplasmic domain. Such overexpression of PD-1H, associated with spontaneous cytokine expression is seen in monocytes from chronically HIV-infected individuals and this correlates with immune activation and CD4 depletion, but not viral load. Moreover, antigen presentation by PD-1H-overexpressing monocytes results in enhanced cytokine secretion by HIV-specific T cells. These results suggest that PD-1H might play a crucial role in modulating immune activation and immune response in HIV infection.

Introduction The Ig superfamily costimulatory and coinhibitory molecules serve as important regulators of immune functions. The best-characterized costimulatory/inhibitory pathways include B7.1 (CD80), B7.2 (CD86)/CD28 or CTLA 4; B7-H2 (ICOS-L, CD275)/ICOS (CD278); and B7-H1 (CD274)/PD1 (CD279) –. Functional delineation of these pathways have led to the development of treatment approaches for several human diseases, including autoimmunity and cancer. Recently a new member of the B7 family, B7-H5 has been shown to interact with CD28H to costimulate human T cells Another such pathway involving a new B7 family member known as PD1 homologue (PD-1H) or V-domain Ig suppressor of T cell activation (VISTA) has recently been described in mice.

Pseudane-VII Isolated from Pseudoalteromonas sp. M2 Ameliorates LPS-Induced Inflammatory Response In Vitro and In Vivo. Mi Eun Kim 1,†, Inae Jung 1,†, Jong Suk Lee 2,† Orcid, Ju Yong Na 1, Woo Jung Kim 2, Young-Ok Kim 3, Yong-Duk Park 4 and Jun Sik Lee 1,*. Department of Life Science,.

This molecule appears to be derived from a different precursor than all other B7 family members. PD-1H is a type I transmembrane protein of 309 amino acids (aa) with homology to both PD-1 and its ligand PD-L1 (∼25% sequence identity) but also has distinct features. Unlike most other B7 family members, it has a single Ig-V domain within the extracellular domain.

In addition to two canonical cysteines conserved in all B7 family members, the PD-1H Ig-V domain contains three additional cysteines and also another cysteine in the stalk region that is unique to PD-1H and its orthologs. Additionally, unlike PD-1, the cytoplasmic domain does not contain the immunoreceptor tyrosine-based inhibitory motif (ITIM) or the immunoreceptor tyrosine-based switch motif (ITSM). However, it does contain two potential protein kinase C binding sites as well as proline residues that could function as docking sites, suggesting that PD-1H may potentially function as both a receptor and a ligand. Thus, PD-1H is likely to be functionally distinct from other B7 family members. Published studies characterizing this molecule in mice have reported differing functions. While one study found that VISTA (PD-1H) expression on antigen-presenting cells (APCs) suppresses T cell activation and anti-VISTA mAb treatment exacerbates autoimmune encephalomyelitis (EAE), suggesting an immuno-inhibitory role for the molecule, another study found that treatment with mAb abolishes graft-vs-host disease (GVHD), suggesting a costimulatory role.

Although a human orthologue exists, its function in human hematopoietic cells has not been clearly elucidated. Chronic immune activation is the strongest predictor of disease progression in HIV infection. Immune activation persists (albeit at a lower level) even in individuals on ART. More importantly, the risk of disease progression is independent of viral load, suggesting that factors other than direct viral replication may be important predictors of mortality and non-HIV morbidities (reviewed in –). A key role for chronic immune activation is also supported by the fact that the natural hosts of simian immunodeficiency virus (SIV) do not show immune activation despite high levels of virus replication and do not develop AIDS-associated immunodeficiency. Conversely, SIV infection of unnatural hosts, such as rhesus macaques, results in a high level of immune activation, CD4 T-cell depletion, and rapid progression to AIDS. Understanding the mechanism of chronic immune activation may therefore help identify novel targets for therapeutic intervention in HIV-infection.

Direct effects of viral proteins and nucleic acids, innate and adaptive responses to viral antigens, bystander activation of immune cells, and translocation of microbial TLR ligands from the gut to the systemic circulation are some of the myriad factors hypothesized to cause immune activation. It is noteworthy that production of proinflammatory cytokines appears to be a common downstream effect for all these pathways. Monocytes/macrophages in HIV-infected individuals have been reported to be capable of spontaneous cytokine secretion, but neither the mechanism nor the molecules involved in this process have been delineated –. In this study, we found that PD-1H is expressed by human hematopoietic cells, especially monocytes, and is upregulated by certain cytokines and TLR ligands.

Overexpression of PD-1H in monocytes leads to spontaneous multiple cytokine secretion in a process that requires signaling via the cytoplasmic domain of PD-1H. Because our studies determined that high expression of PD-1H in monocytes resulted in spontaneous cytokine secretion and also because such spontaneous cytokine secretion occurs in HIV infection, we further characterized this molecule in PBMCs from HIV seropositive individuals. Our data also show that PD-1H is highly expressed in monocytes from HIV infected subjects that correlates with cytokine mRNA expression and immune activation. Moreover, enforced expression of PD-1H in monocytes enhances their ability to stimulate HIV-specific IFN- γ secretion by T cells. Expression of PD-1H in human tissues and hematopoietic cells Although an orthologue of mouse PD-1H occurs in humans and an antibody to human PD-1H is available, this molecule remains uncharacterized.

Therefore, we first tested PD-1H protein expression in human tissues. Three tissue arrays from different donors were stained with PD-1H antibody and examined by immunohistochemistry.

PD-1H was highly expressed in several regions in the brain, thyroid, and stomach. Moderate expression was present in spleen and liver but the expression was quite low in tissues like bone and heart (). Thus, PD-1H is expressed in both hematopoietic and non-hematopoietic cells. Next, we characterized its expression in different subsets of hematopoietic cells. PD-1H protein expression was analyzed by flow cytometry on monocyte- (CD14 +), T cell- (CD3 +), and B cell- (CD19 +) gated populations.

The data showed that PD-1H was expressed at high levels on CD14 + monocytes but only at low levels on CD3 + T lymphocytes, and CD19 + B cells (, ). We also examined PD-1H expression on monocyte-derived macrophages (MDMs) and monocyte derived dendritic cells (MDDCs) generated by culturing CD14 + monocytes for 5 days in the presence of M-CSF or GM-CSF and IL-4 respectively. MDMs and MDDCs expressed low levels of PD-1H compared with freshly isolated CD14 + cells (). This difference may have resulted from the prolonged in vitro culture involved in their generation. When monocytes isolated by immunomagnetic selection were tested for PD-1H expression at various time points after culture by surface staining for protein, the expression was progressively down-modulated and was barely detectable by 72 h ().

These results are in agreement with studies in mice showing that PD-1H is lost when mouse monocytes are cultured in vitro and probably suggest a need for interaction with other cells or the tissue microenvironment to maintain expression. Factors that modulate PD-1H expression on monocytes Since monocytes contribute to the innate immune response, we investigated whether TLR ligands or cytokines influence PD-1H expression. Freshly isolated monocytes were cultured with various TLR ligands (TLR1/2: PAM3CSK4, TLR2: HKLM, TLR3: Poly I:C, TLR4: LPS, TLR5: flagellin, TLR6/2: FSL1, TLR7: Imiquimod, TLR8: ssRNA40, TLR9: ODN2006; Invivogen human TLR agonist kit) and examined for PD-1H expression by flow cytometry. PD-1H expression was significantly upregulated by TLR3 (Poly I:C) and TLR5 (flagellin) agonists, was not affected by TLR1, 2, 4, and was down-modulated by TLR8/9 ligands (). Engagement of TLR3 as well as TLR5 induced a dose-dependent increase in PD-1H expression ().

The upregulation by TLR3 and TLR5 ligands also occurred when whole PBMCs instead of isolated CD14 + cells were tested. These results suggest that PD-1H might be increased following viral (via the dsRNA–TLR3 interaction) and bacterial (via the flagellin–TLR5 interaction) infection. Effect of TLR ligands and cytokines on monocyte PD-1H expression.

We also tested whether cytokines regulate PD-1H expression. Isolated monocytes were cultured with IL-6, IL-1β, GM-CSF, IL-4, TGF-β, IL-10, IFN-γ, and TNF-α before testing PD-1H expression by flow cytometry on CD14-gated cells. Significant upregulation was seen with IL-10 and IFN-γ, but not other cytokines ().

Both IL-10 and IFN-γ induced a dose-dependent increase in PD-1H expression (). A combination of IL-10 and IFN-γ resulted in a synergistic, nearly 4-fold increase in expression.

Although the reason for this is unclear, since both of these cytokines are induced after viral infection, it is likely that PD-1H levels go up after infection. Overexpression of PD-1H induces spontaneous cytokine secretion by monocytes Because monocytes lose PD-1H expression in vitro, it was difficult to apply direct approaches to elucidate the function of this molecule. Therefore, we chose to transfect monocytes with a plasmid encoding PD-1H under control of the CMV promoter (this plasmid also has a GFP marker). We nucleofected PD-1H-overexpressing plasmid or a control plasmid into immunomagnetically isolated normal donor monocytes and determined PD-1H levels after 24 h.

As shown in, although transfection with both plasmids was efficient, as assessed by GFP expression (∼60%), PD-1H expression increased only with PD-1H but not control plasmid transfection (). To test the effect of overexpression, we measured cytokine levels in supernatants after 12, 24, and 48 h using a cytometric bead array (CBA). There was a basal level of IL-8 secretion that was seen in the supernatants from untreated monocyte cultures, consistent with what is reported in the literature. However, compared with controls, PD-1H-transfected monocytes exhibited a dramatic spontaneous secretion of several cytokines, including IL-6, IL-8, IL-1β, and TNF-α ().

The levels of spontaneously secreted cytokines resembled that in LPS-stimulated monocyte cultures. We also confirmed the results with cytokine-specific ELISA for each cytokine, which revealed detection levels comparable with the CBA (). The spontaneous cytokine secretion following PD-1H overexpression was observed as early as 12 h and continued to increase till 48 h.

To determine whether the increased cytokine secretion was specific to PD-1H expression, monocytes were transfected with PD-1H-specific siRNA (validated in cell culture, ) or scrambled siRNA as control along with the PD-1H-encoding plasmid. While scrambled siRNA-treated cells continued to secrete cytokines spontaneously, PD-1H siRNA treatment abolished the response ().

We also tested whether PD-1H signalling is needed for cytokine secretion. For this, we transfected monocytes with full-length or cytoplasmic domain truncated PD-1H-expression plasmids. Cytokine secretion seen in full-length PD-1H-transfected cells was abolished when the cytoplasmic domain was deleted () despite equivalent surface expression of PD-1H, as assessed by antibody staining (). Collectively, these results suggest that signaling through PD-1H is sufficient to spontaneously induce a cytokine secretion pattern resembling that of fully activated monocytes. Activation status was also reflected by the enhanced HLA-DR expression and phagocytic ability of PD-1H-transfected monocytes ().

PD-1H is upregulated on monocytes of HIV-infected individuals, and the expression correlates with immune activation Our results in normal human donors suggested that high expression of PD-1H in monocytes leads to spontaneous cytokine secretion. Such spontaneous cytokine secretion also occurs in HIV infection. Therefore, we further characterized this molecule in PBMCs from HIV seropositive individuals. HIV infection is characterized by activation of all immune cell types as well as increased serum cytokine levels. Thus, we tested whether PD-1H expression is increased on monocytes in HIV-infected individuals compared to seronegative controls. We stained PBMCs from HIV-infected patients with PD-1H antibody and examined its expression on CD14-gated cells, using similar staining of normal human PBMCs as a control. We observed that compared to seronegative controls, PD-1H expression on monocytes was two- to four-fold higher in chronically HIV infected subjects, regardless of treatment status ( and.

PD-1H MFI in normal donors was 880±120 whereas in HIV donors it was 1700±250 (p. Overexpression of PD-1H on monocytes in HIV infection. Monocytes are divided into classical (CD14 ++CD16 −) and activated (CD14 ++CD16 +) monocytes. Activated monocytes (5% of the monocyte population) secrete high levels of proinflammatory cytokines and possess potent antigen-presentation capability. PD-1H expression was significantly higher on activated monocytes than on the classic subset (, ). The expression levels were equivalent to that achieved in normal monocytes after transfection with PD-1H plasmid, shown in. Hence, this level of PD-1H should be sufficient to induce spontaneous cytokine secretion.

However, although PD-1H expression was high on activated monocytes that are considered inflammatory and more mature than the other cell subsets, it was difficult to evaluate how this affects cytokine expression at the protein level, because purified CD14 + cells rapidly lose PD-1H expression during in vitro culture. Thus, we tested cytokine production in freshly isolated monocytes at the mRNA level by real time PCR. RNA isolated from CD14 + cells from HIV-infected (PD-1H HI and PD-1H LO) and seronegative individuals were tested for mRNA expression levels of TNF-α, IL-1β, and IL-6. Monocytes from HIV-infected patients showed significantly increased levels of TNF-α, IL-1β, and IL-6 compared with seronegative donors (). We also determined whether the cytokine expression levels in HIV-infected individuals correlated with the intensity of PD-1H expression. Indeed, evaluation of cytokine mRNA levels revealed a significant correlation between levels of PD-1H expression and TNF-α, IL-1β, and IL-6 mRNA levels.

We also attempted to discern the cause of PD-1H overexpression in HIV-infected individuals. Because our results in suggest that IL-10 and IFN-γ can induce overexpression, and also because these cytokines are elevated in HIV infection, we tested whether serum IL-10 and IFN-γ levels correlate with PD-1H expression levels in monocytes. Indeed, PD1H levels correlated well with serum IL-10 and IFN-γ levels (). Moreover, cultures of monocytes from seronegative individuals in the presence of 20% sera from HIV-infected individuals also resulted in overexpression of PD-1H (). Thus, HIV-induced cytokines such as IL-10/IFN-γ in serum may be the likely cause of PD-1H upregulation in this setting. Next, we tested whether PD-1H expression is associated with markers of immune activation/exhaustion.

PD-1H expression on monocytes from HIV infected patients significantly correlated with CD38 and HLA-DR on both CD4 and CD8 T cell subsets (). On the other hand, the activation/exhaustion marker PD-1 showed good correlation with PD-1H levels on monocytes for CD4 T cells whereas there was only a trend towards significance for CD8 T cells. Elite controllers/controllers showed very low expression of all immune activation markers that corresponds to the low intensity of monocyte PD-1H expression observed in this group. PD-1H overexpression enhances monocyte's ability to stimulate HIV-specific IFN-γ production by T cells We tested the impact of PD-1H overexpression on the ability of monocytes to stimulate HIV-specific T cells. Monocytes isolated from HIV-infected individuals were transfected with PD-1H expression plasmid, pulsed with HIV gag peptide pool, and used to stimulate autologous T cells.

In parallel, monocytes were similarly transfected with siRNA to silence PD-1H expression. Compared with mock and vector controls, IFN-γ secretion was significantly enhanced when monocytes overexpressing PD-1H were used to stimulate T cells from HIV-seropositive donors ().

Consistent with these results, silencing of PD-1H showed the opposite effect of significantly reducing HIV gag-specific IFN-γ production by T cells. Of note, although the most dramatic effect of siRNA treatment on IFN-γ secretion was seen upon co-transfection with PD-1H plasmid, siRNA also reduced IFN-γ production by T cells stimulated with mock and control vector-transfected monocytes, suggesting that PD-1H expression already present on monocytes or induced after antigen exposure is important for their T cell stimulatory function. Discussion This is the first report on the characterization of PD-1H function in human monocytes. We show here that PD-1H acts both as a signaling molecule to induce cytokine secretion by monocytes and as a ligand to stimulate antigen-specific T cell responses.

Monocytes from HIV-infected individuals show increased expression of PD-1H, which correlated with expression of immune-activation markers, CD4 depletion and cytokine mRNA levels. Moreover, antigen presentation by PD-1H overexpressing monocytes leads to enhanced HIV-specific T cell responses. Shiro Can We Talk Rar Download. Thus, PD-1H regulates both innate and adaptive immunity that could impact HIV-induced immune activation and T cell response. PD-1H is a newly discovered member of the B7 family of costimulatory/coinhibitory receptors related to PDL-1 and PD-1,.

This molecule appears to be derived from a different precursor than all other B7 family members. The cytoplasmic domain of PD-1H does not contain ITIM or ITSM. However, it does contain two potential protein kinase C binding sites as well as proline residues that could function as docking sites, suggesting that PD-1H may potentially function as both a receptor and a ligand. Thus, PD-1H is likely to be functionally distinct from other B7 family members.

Indeed, our results suggest that, unlike any other molecule, mere expression of PD-1H is sufficient to elicit a cytokine response in monocytes. Transfection of monocytes with PD-1H expression plasmid was enough to induce spontaneous cytokine production that was abrogated with siRNA silencing of PD-1H. Moreover, transfection with cytoplasmic tail-deficient PD-1H was unable to trigger cytokine production. Other measures of monocyte activation, such as phagocytosis and DR expression were also enhanced in presence of PD-1H.

Because monocytes needed to be transfected with an expression plasmid to induce cytokine secretion, it appears that a certain threshold level of PD-1H expression is required for PD-1H to induce monocyte activation and spontaneous cytokine secretion. That certain cytokines and TLR ligands can increase PD-1H expression may be a regulatory mechanism to ensure that cytokines are induced only when required, as during infection, while avoiding activation of monocytes in a normal setting. However, in the setting of chronic HIV infection, this can also set up a positive feedback loop, with cytokines increasing PD-1H levels, which in turn leads to more cytokine secretion.

Several mechanisms, including direct effects of viral proteins and nucleic acids, an innate response to antigen, and translocation of microbial TLR ligands from the gut to the systemic circulation, have been thought to be responsible for inducing immune activation in HIV infection. Elevated levels of proinflammatory cytokines appear to be the common result of all of these pathways. In this study, we found that the higher PD-1H levels on monocytes correlate with immune activation. Whether this is indeed the primary cause for immune activation is not clear. However, a number of studies have shown that HIV infection is associated with increased spontaneous cytokine production by monocytes, and it appears logical that this aberrant cytokine secretion contributes to immune activation. It is also possible that a monocyte–T cell interaction may contribute to upregulate immune activation markers on T cells. More studies are needed to directly test the role of PD-1H in HIV-induced immune activation.

Studies in mice suggest contradictory functions for PD-1H, with one study suggesting a stimulatory role while others suggest a predominantly inhibitory role,,. The reason for this seeming discrepancy is not clear. It is possible that the interpretation could vary depending on whether PD-1H serves as a receptor or a ligand for the particular function studied. Our studies in humans suggest that PD-1H could act both act as a signaling receptor and as a ligand to activate monocytes and enhance T cell responses. This is in agreement with the postulation by Flies et al. On PD-1H potentially functioning both as a receptor and a ligand. We observed that PD-1H expression beyond a certain threshold is sufficient to activate monocytes, leading to spontaneous cytokine production.

In this setting, signaling via PD-1H appears to be required since cytokine secretion is abrogated upon deletion of the cytoplasmic domain. Although the exact signaling events remain to be characterized, it is likely that it is indirect because the cytoplasmic domain has only docking modules and lacks ITAMs, ITIMS or ITSMs. Since PD-1H has been reported to activate MMP2, it is also possible that the PD-1H related activation may be an indirect result of increased activity of matrix metalloproteases. Antigen presentation by PD-1H overexpressing monocytes also enhanced HIV gag specific T cell response. In contrast to our results in human cells, the antigen-presentation function was reportedly reduced when PD-1H was overexpressed on antigen-presenting mouse cells. Species-specific differences might account for this discrepancy.

Indeed, there are precedents for this: for example, 2B4 acts as an NK-activating receptor in humans but as an inhibitory receptor in mice. There are also differences between mouse and human TLRs and their responsiveness to agonist ligands.

These differences highlight the danger of drawing inferences about humans that are based entirely on mouse studies. In summary, our results suggest that PD-1H in humans is a new costimulatory molecule that regulates both innate and adaptive immunity and that it could play an important role in HIV-induced immune activation and T cell response. Reagents, antibodies, and chemicals PD-1H antibody for flow cytometry and immunocytochemistry was obtained from R&D Systems (clone 730804). Secondary antibody was obtained from Dako antibodies tagged to PE (R0480).

Antibodies conjugated to PE (CD4, CD8), APC (CD14, HLA-DR, PD-1), FITC (CD3, CD16) and V450 (CD38), and the respective isotype controls were obtained from BD Biosciences. The Human TLR Agonist kit was obtained from Invivogen, and recombinant human cytokines were purchased from R&D Systems. Mission siRNA Universal negative control siRNA (SIC001) and PD-1H siRNAs were purchased from Sigma-Aldrich. The sequences of PD-1H siRNA used are sense: CUCUUGGGCCCUGUGGACA[dT][dT] and antisense UGUCCACAGGGCCCAAGAG[dT][dT].

Real Time PCR PD-1H mRNA levels were quantitated by real time PCR using RNA from monocytes/T cells/B cells isolated from PBMCs of normal donor/HIV-infected subjects. RNA was extracted using Qiazol (Life Technologies, USA) followed by cDNA synthesis using the Superscript III kit (Life Technologies, USA) using 100 ng RNA. PD-1H-specific primers were used for real time PCR using SYBR mix (Life Technologies, USA), and data was normalized to the internal housekeeping control human 18 sRNA. PD-1H mRNA levels were examined using forward primer GGCACGATGTGACCTTCTAC and reverse primer CATGGTGATGGAGAAGTTGC; 18sRNA was detected using GAGAAGACGGTCGAACTTGACT and ACCTACGGAAACCTTGTTACGA as forward and reverse primers. Published primers were used for detection of IL-6, IL-1β, and TNF-α 14.

Plasmid and siRNA nucleofection Monocytes were isolated from PBMCs of normal or HIV-infected patients by negative isolation, as described earlier, and transfected using the Amaxa Lonza 4D nucleofector system as per the manufacturer's instructions using the Human monocyte cell type transfection protocol. Nucleofection was done with no plasmid (mock) or with control or PD-1H expression plasmid (10 µg plasmid/10 6 monocytes).

In some experiments, scrambled control or PD-1H siRNA (1 µg siRNA for 10 6 monocytes) was also nucleofected with or without plasmids. After nucleofection, monocytes were transferred to pre-warmed media in a 96-well plate in triplicate for each set and cultured overnight. On the next day, supernatants were harvested for cytokine determination by cytometric bead array (CBA) or ELISA.

In some experiments, nucleofected cells were used for antigen stimulation. Statistical analysis Statistical analysis was performed with GraphPad Prism software 5.0d (GraphPad Software, Inc., San Diego, CA) or Microsoft Excel. Results are given as means with standard deviations or medians with ranges. One way repeated measures analysis of variance was used to determine the dose effect of various cytokines and TLR ligands on PD-1H expression followed by Tukey's multiple comparison tests. PD-1H was compared among three (normal, HIV+ and ECC) groups using a Kruskal Wallis test followed by Dunn multiple comparison tests. Correlation analysis between PD-1H and T cell activation/exhaustion markers was carried out using Spearman rank correlation (SRC) coefficients.

Scatter diagrams were constructed to demonstrate significant correlations between PD-1H and different markers for the HIV cohort data. A linear regression line was plotted for all scatter diagrams. Figure S1 Tissue array based immunohistochemical analysis of PD-1H expression in normal donors. PD-1H protein expression was determined by immunohistochemistry (IHC) on a paraffin-embedded normal human tissue array. Magnification: 4X. An IHC score was assigned to each case according to the following criteria: 3+, intense, cytoplasmic and/or granular staining; 2+, moderate, smooth cytoplasmic staining; 1+, faint cytoplasmic staining. All figures had image captured with an Aperio ScanScope XT (Aperio Technologies, Vista, CA, USA).

Figure S4 Nucleofection with PD-1H expression plasmid induces PD-1H overexpression. (a–b) GFP expression after transfection with control or PD-1H expression plasmid and a representative overlay histogram of PD-1H expression by GFP-gated control or PD-1H plasmid- transfected monocytes are shown. Download Epson L210 Scan Driver.

(c) Monocytes were transfected with PD-1H plasmid in the presence of control or PD-1H siRNA and examined for PD-1H expression after 24 h. D) Surface PD-1H expression following nucleofection with full-length or cytoplasmic domain-truncated PD-1H.