Johne's disease, caused by Mycobacterium avium subsp. paratuberculosis , is a bovine chronic infection that is endemic in Japan and many other countries. The expression of immunoinhibitory molecules is upregulated in cattle with Johne's disease, but the mechanism of immunosuppression is poorly understood. Prostaglandin E2(PGE2) is immunosuppressive in humans, but few veterinary data are available. In this study, functional and kinetic analyses of PGE2were performed to investigate the immunosuppressive effect of PGE2during Johne's disease.In vitroPGE2treatment decreased T-cell proliferation and Th1 cytokine production and upregulated the expression of immunoinhibitory molecules such as interleukin-10 and programmed death ligand 1 (PD-L1) in peripheral blood mononuclear cells (PBMCs) from healthy cattle. PGE2was upregulated in sera and intestinal lesions of cattle with Johne's disease.In vitrostimulation with Johnin purified protein derivative (J-PPD) induced cyclooxygenase-2 (COX-2) transcription, PGE2production, and upregulation of PD-L1 and immunoinhibitory receptors in PBMCs from cattle infected with M. avium subsp. paratuberculosis . Therefore, Johnin-specific Th1 responses could be limited by the PGE2pathway in cattle. In contrast, downregulation of PGE2with a COX-2 inhibitor promoted J-PPD-stimulated CD8+T-cell proliferation and Th1 cytokine production in PBMCs from the experimentally infected cattle. PD-L1 blockade induced J-PPD-stimulated CD8+T-cell proliferation and interferon gamma productionin vitro. Combined treatment with a COX-2 inhibitor and anti-PD-L1 antibodies enhanced J-PPD-stimulated CD8+T-cell proliferationin vitro, suggesting that the blockade of both pathways is a potential therapeutic strategy to control Johne's disease. The effects of COX-2 inhibition warrant further study as a novel treatment of Johne's disease.
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Sajiki et al. (2018) studied this question.
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