Bone marrow -derived mesenchymal stem cells inhibiting CD8+ T cell
immune responses via PD-1/PD-L1 pathway in multiple myeloma
Abstract
High expression of the inhibitory receptor programmed death ligand 1
(PD-L1) on the surface of tumor cells have been found play a key role in
tumor immune evasion in several human malignancies. However, the
expression of PD-L1 on bone marrow mesenchymal stem cells (BMSCs) and
whether the PD-1/PD-L1 axis is involved in the BMSCs versus T cell
immune response in Multiple Myeloma (MM) remain poorly defined. In this
study, we explored the expression of PD-L1 on BMSCs from MM patients and
the role of PD-1/PD-L1 pathway in BMSCs-mediated regulation of CD8+T
cells. We observed that the expression of PD-L1 on BMSCs was
significantly higher in NDMM group, compared with the NC group
(18.81±1.61% vs. 2.78±0.70 %; P<0.001). Furthermore, the
expression of PD-1 on CD8+ T cells in NDMM group was significantly
higher than that in control group (43.22±2.98% vs. 20.71±1.08%;
P<0.001). However, there was no significant difference in PD-1
expression of CD4+ T cells and NK cells between NDMM group and NC group.
Additionally, the co-culture assays revealed that BMSCs significantly
promoted CD8+ T cell apoptosis and suppressed CD8+ T cell function.
However, PD-L1 inhibitor effectively reversed BMSCs-mediated suppression
in CD8+ T cells. We also found that the combination of PD-L1 inhibitor
and pomalidomide can further enhance the killing effect of CD8+ T cells
on MM cells. In summary, our findings demonstrated that BMSCs may induce
apoptosis and functional imbalance of CD8+ T cells via PD-1/PD-L1
pathway and promote the immunity escape of MM.