The PD-1:PD-L1 axis in Inflammatory Arthritis

Abstract The activation of antigen specific T cells during an immune response is a tightly regulated process at the level of both costimulatory and coinhibitory receptors. One such coinhibitory receptor or checkpoint inhibitor which has received much attention in the field of oncology is the program...

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Main Authors: Mary Canavan, Achilleas Floudas, Douglas J. Veale, Ursula Fearon
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Rheumatology
Subjects:
Online Access:https://doi.org/10.1186/s41927-020-00171-2
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author Mary Canavan
Achilleas Floudas
Douglas J. Veale
Ursula Fearon
author_facet Mary Canavan
Achilleas Floudas
Douglas J. Veale
Ursula Fearon
author_sort Mary Canavan
collection DOAJ
description Abstract The activation of antigen specific T cells during an immune response is a tightly regulated process at the level of both costimulatory and coinhibitory receptors. One such coinhibitory receptor or checkpoint inhibitor which has received much attention in the field of oncology is the programmed cell death protein 1 (PD-1). Blockade of PD-1 or its ligand PD-L1 has proven successful in the treatment of a wide variety of cancers, therefore highlighting an important role for this pathway in anti-tumour immune responses. However, a caveat of PD-1 therapy and boosting anti-tumour immune responses is the development of self-reactive T cells which can lead to the induction of various autoimmune or inflammatory diseases, referred to as immune- related adverse events (irAEs). The emergence of rheumatological irAEs such as Inflammatory Arthritis (IA) in recent years has highlighted the importance of PD-1 in maintaining self-tolerance. Furthermore, the emergence of rheumatology related irAEs raises an important question as to how defects in this pathway can contribute to spontaneous rheumatological disease. In this review, we describe the biological distribution, function and regulation of the PD-1 pathway, its potential role in IA and irAE related IA.
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spelling doaj.art-758799aa613d4acd8d20ec134d4da8a02022-12-21T19:41:38ZengBMCBMC Rheumatology2520-10262021-01-015111010.1186/s41927-020-00171-2The PD-1:PD-L1 axis in Inflammatory ArthritisMary Canavan0Achilleas Floudas1Douglas J. Veale2Ursula Fearon3Department of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College DublinDepartment of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College DublinEULAR Centre of Excellence, Centre for Arthritis & Rheumatic Diseases, St. Vincent’s University Hospital, University College DublinDepartment of Molecular Rheumatology, Trinity Biomedical Sciences Institute, Trinity College DublinAbstract The activation of antigen specific T cells during an immune response is a tightly regulated process at the level of both costimulatory and coinhibitory receptors. One such coinhibitory receptor or checkpoint inhibitor which has received much attention in the field of oncology is the programmed cell death protein 1 (PD-1). Blockade of PD-1 or its ligand PD-L1 has proven successful in the treatment of a wide variety of cancers, therefore highlighting an important role for this pathway in anti-tumour immune responses. However, a caveat of PD-1 therapy and boosting anti-tumour immune responses is the development of self-reactive T cells which can lead to the induction of various autoimmune or inflammatory diseases, referred to as immune- related adverse events (irAEs). The emergence of rheumatological irAEs such as Inflammatory Arthritis (IA) in recent years has highlighted the importance of PD-1 in maintaining self-tolerance. Furthermore, the emergence of rheumatology related irAEs raises an important question as to how defects in this pathway can contribute to spontaneous rheumatological disease. In this review, we describe the biological distribution, function and regulation of the PD-1 pathway, its potential role in IA and irAE related IA.https://doi.org/10.1186/s41927-020-00171-2Checkpoint inhibitorsPD-1Rheumatoid arthritisPsoriatic arthritisAdverse events
spellingShingle Mary Canavan
Achilleas Floudas
Douglas J. Veale
Ursula Fearon
The PD-1:PD-L1 axis in Inflammatory Arthritis
BMC Rheumatology
Checkpoint inhibitors
PD-1
Rheumatoid arthritis
Psoriatic arthritis
Adverse events
title The PD-1:PD-L1 axis in Inflammatory Arthritis
title_full The PD-1:PD-L1 axis in Inflammatory Arthritis
title_fullStr The PD-1:PD-L1 axis in Inflammatory Arthritis
title_full_unstemmed The PD-1:PD-L1 axis in Inflammatory Arthritis
title_short The PD-1:PD-L1 axis in Inflammatory Arthritis
title_sort pd 1 pd l1 axis in inflammatory arthritis
topic Checkpoint inhibitors
PD-1
Rheumatoid arthritis
Psoriatic arthritis
Adverse events
url https://doi.org/10.1186/s41927-020-00171-2
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