[PDF][PDF] The transcription factor FoxO1 sustains expression of the inhibitory receptor PD-1 and survival of antiviral CD8+ T cells during chronic infection

MM Staron, SM Gray, HD Marshall, IA Parish, JH Chen… - Immunity, 2014 - cell.com
MM Staron, SM Gray, HD Marshall, IA Parish, JH Chen, CJ Perry, G Cui, MO Li, SM Kaech
Immunity, 2014cell.com
Protein kinase B (also known as AKT) and the mechanistic target of rapamycin (mTOR) are
central regulators of T cell differentiation, proliferation, metabolism, and survival. Here, we
show that during chronic murine lymphocytic choriomeningitis virus infection, activation of
AKT and mTOR are impaired in antiviral cytotoxic T lymphocytes (CTLs), resulting in
enhanced activity of the transcription factor FoxO1. Blockade of inhibitory receptor
programmed cell death protein 1 (PD-1) in vivo increased mTOR activity in virus-specific …
Summary
Protein kinase B (also known as AKT) and the mechanistic target of rapamycin (mTOR) are central regulators of T cell differentiation, proliferation, metabolism, and survival. Here, we show that during chronic murine lymphocytic choriomeningitis virus infection, activation of AKT and mTOR are impaired in antiviral cytotoxic T lymphocytes (CTLs), resulting in enhanced activity of the transcription factor FoxO1. Blockade of inhibitory receptor programmed cell death protein 1 (PD-1) in vivo increased mTOR activity in virus-specific CTLs, and its therapeutic effects were abrogated by the mTOR inhibitor rapamycin. FoxO1 functioned as a transcriptional activator of PD-1 that promoted the differentiation of terminally exhausted CTLs. Importantly, FoxO1-null CTLs failed to persist and control chronic viral infection. Collectively, this study shows that CTLs adapt to persistent infection through a positive feedback pathway (PD-1→FoxO1→PD-1) that functions to both desensitize virus-specific CTLs to antigen and support their survival during chronic viral infection.
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