Renal tubular PD-L1 (CD274) suppresses alloreactive human T-cell responses

Kidney Int. 2010 Jul;78(1):38-47. doi: 10.1038/ki.2010.97. Epub 2010 Apr 14.


Renal proximal tubular epithelial cells, a target of infiltrating T cells during renal allograft rejection, may be protected from this injury by the cell surface protein CD274 (also termed PD-L1 for programmed death ligand 1). The co-inhibitory molecules PD-L1 (CD274) and PD-L2 (CD273) are ligands of PD-1 (programmed death 1; CD279). Here we determine the functional role of PD-1/PD-L pathways in human renal allograft rejection. Treatment of human primary tubular epithelial cells with interferon-beta and -gamma caused a dose-dependent and synergistic increase of PD-L1 and PD-L2 expression. Blockade of surface PD-L1, but not PD-L2, on interferon-treated tubular epithelial cells resulted in a significant increase in CD4+ T-cell proliferation and cytokine production by CD4+ and CD8+ T cells. The expression of PD-L1, PD-L2, and PD-1 mRNA and protein was upregulated in biopsies of patients with renal allograft rejection compared to the respective levels found in the pre-transplant biopsies. Induction of PD-L1 was significantly associated with acute vascular rejection. Our study suggests that the renal epithelial PD-1/PD-L1 pathway exerts an inhibitory effect of on alloreactive T-cell responses. The upregulation of PD-L1 on proximal tubular epithelial cells in patients with acute allograft rejection may reduce T-cell-mediated injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD / physiology*
  • B7-H1 Antigen
  • Cell Proliferation
  • Epithelial Cells / immunology
  • Epithelial Cells / metabolism
  • Graft Rejection / genetics
  • Graft Rejection / immunology
  • Humans
  • Interferon-beta / genetics
  • Interferon-beta / immunology
  • Interferon-beta / metabolism
  • Kidney Tubules, Proximal / metabolism*
  • Ligands
  • Lymphocyte Activation / genetics
  • Lymphocyte Activation / immunology
  • Proteins / genetics
  • Proteins / immunology
  • Proteins / metabolism
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism
  • Up-Regulation


  • Antigens, CD
  • B7-H1 Antigen
  • CD274 protein, human
  • Ligands
  • Proteins
  • Interferon-beta