# PD-L1 interacts with CD80 and PD-1 to regulate GVHD and GVL activity

> **NIH NIH R01** · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · 2020 · $395,946

## Abstract

Allogeneic hematopoietic cell transplantation (HCT) is a curative therapy for relapsed hematological
malignances (i.e. leukemia) due to graft-versus-leukemia (GVL) activity mediated by alloreactive T cells.
However, alloreactive T cells also mediate graft-versus-host disease (GVHD), which remains the major
obstacle for wide-spread application of allogeneic HCT. The long-term goal of our study is to develop novel
regimens that prevent GVHD while preserving GVL activity. PD-L1 interacts with CD80 and PD-1. Although
PD-L1/PD-1 regulation of immune responses plays an important role in animal models and humans, the role of
PD-L1/CD80 remains largely unknown. Our recent publication in JCI has shed light on the importance of PD-
L1/CD80 interactions. Our studies indicate that the outcome of PD-L1-mediated signaling in CD8+ T cells
depends on the presence or absence of CD4+ T cells, the nature of the interacting receptors (i.e. CD80 versus
PD-1) expressed by CD8+ T cells and the tissue environment (i.e. lymphoid versus parenchymal tissues) in
which the signaling occurs. We observed that, in the absence of donor CD4+ T cells, CD8+ T-T interactions via
PD-L1/CD80 augmented naïve/activating CD8+ T proliferation and survival in lymphoid tissues, leading to
strong GVL activity. In contrast, host-tissue PD-L1 interactions with PD-1 and CD80 on CD8+ T cells in GVHD
target tissues induced their proliferation and apoptosis, leading to prevention of GVHD. Donor CD4+ T cells
helped CD8+ T cells via IL-2 become resistant against tissue PD-L1-mediated tolerance. Agonistic PD-L1-Ig
binding to both CD80 and PD-1 augmented activated T cell proliferation and apoptosis. Conflicting results have
been reported regarding the effects of glycolysis and oxidative phosphorylation (OXPHOS) in alloreactive T
cells during the pathogenesis of acute GVHD. In kinetic studies, we observed that expression of CD80 and PD-
1 was associated with shift from glycolysis to OXPHOS. Therefore, we hypothesize that 1) PD-L1/CD80 and
PD-L1/PD-1 interactions reciprocally regulate T cell glycolysis and OXPHOS, and the outcome depends
on the tissue environment, due to differential T cell expression of CD80, PD-1, and PD-L1; 2) Reduction
of serum IL-2 will increase the sensitivity of T cells towards tissue PD-L1-mediated or agonistic PD-L1-
Ig-mediated tolerance in association with metabolic profile changes. The proposed studies will dissect the
mechanisms by which PD-L1/CD80 interactions regulate glycolysis and OXPHOS in naïve/activating and
activated T cells in lymphoid and GVHD target tissues (Aim 1). We will also design a regimen of sequentially
administered anti-IL-2 and agonistic PD-L1-Ig to prevent GVHD and preserve strong GVL activity (Aim 2).
These studies will reveal novel insights into T cell biology and GVHD pathogenesis and could lead to
development of novel regimens that prevent GVHD while preserving GVL activity in humans.
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## Key facts

- **NIH application ID:** 9857573
- **Project number:** 5R01CA228465-03
- **Recipient organization:** BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
- **Principal Investigator:** Defu Zeng
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $395,946
- **Award type:** 5
- **Project period:** 2018-03-01 → 2023-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9857573

## Citation

> US National Institutes of Health, RePORTER application 9857573, PD-L1 interacts with CD80 and PD-1 to regulate GVHD and GVL activity (5R01CA228465-03). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9857573. Licensed CC0.

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