关键词: 刚地弓形虫, 妊娠, 程序性死亡蛋白1, 程序性死亡蛋白受体1, 自然杀伤细胞, 小鼠

Abstract: Objective　To investigate the regulatory role of the programmed cell death protein 1 (PD⁃1) and its ligand programmed cell death protein ligand 1 (PD⁃L1) signaling on the subtypes and functions of natural killer (NK) cells at the maternal⁃fetal interface during the second trimester in mice following Toxoplasma gondii infection during the first trimester. Methods　Twelve 6⁃ to 8⁃week⁃old female mice of the C57BL/6J strain were divided into a control group and an infection group, of 6 mice in each group. On the 6.5th day of pregnancy (Gd6.5), each pregnant mouse in the infection group was intraperitoneally injected with 150 tachyzoites of the Toxoplasma gondii PRU strain, while mice in the control group were injected with an equal volume of physiological saline. On the 12.5th day of pregnancy (Gd12.5), uterus and placenta tissues were sampled from pregnant mice for pathological observations, and the mRNA expression levels of PD⁃1, PD⁃L1, and tumor necrosis factor⁃α (TNF⁃α) were quantified in uterus and placenta tissues. The PD⁃1 and DX5 expression was measured on NK cells at the maternal⁃fetal interface using flow cytometry. In addition, the in vitro JEG⁃3 trophoblast cells and NK⁃92MI cells co⁃culture system was established as the control group, and the addition of T. gondii tachyzoites in the co⁃culture system served as the infection group. The PD⁃1, PD⁃L1, and DX5 mRNA expression was quantified in cells using real⁃time fluorescence quantitative reverse transcription PCR (RT⁃qPCR) assay, and the TNF⁃α concentration was measured in the cell culture supernatant using enzyme⁃linked immunosorbent assay (ELISA). Results　On Gd12.5, clear and intact cellular structures of placental decidual tissues were seen in pregnant mice in the control group, with no remarkable abnormal changes found in the uterine columnar epithelial cells, and inflammatory cell infiltration and blood stasis at varying degrees were found in uterine and placental tissues from pregnant mice in the infection group. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was (1.004 ± 0.004), (1.001 ± 0.001), and (1.001 ± 0.001) in uterine tissues from pregnant mice in the control group and (2.480 ± 0.720), (3.355 ± 0.920), and (2.391 ± 0.073) in the infection group, respectively. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was (1.007 ± 0.010), (1.006 ± 0.006), and (1.001 ± 0.001) in the uterine tissues in the control group and (6.948 ± 1.918), (3.225 ± 1.034), and (1.536 ± 0.150) in the infection group, respectively. The relative PD⁃1, PD⁃L1, and TNF⁃α mRNA expression was higher in both the uterine (t = 3.55, 4.43 and 33.02, all P values < 0.05) and placental tissues (t = 5.36, 3.72 and 6.18, all P values < 0.05) in the infection group than in the control group. Flow cytometry showed that the proportions of PD⁃1+ NK cells, PD⁃1+ DX5+ NK cells, and DX5+ NK cells were (12.200 ± 1.082)%, (9.373 ± 7.728)%, and (44.000 ± 4.095)% in uterine tissues from pregnant mice in the control group, and (21.733 ± 1.630)%, (18.767 ± 1.242)%, and (73.367 ± 0.611)% in the infection group, respectively. The proportions of PD⁃1+ NK cells, PD⁃1+ DX5+  NK cells, and DX5+ NK cells were (1.100 ± 0.510)%, (2.277 ± 1.337)%, and (96.167 ± 2.831)% in placental tissues from mice in the control group, and (26.867 ± 9.722)%, (23.433 ± 6.983)%, and (82.467 ± 2.248)% in the infection group, respectively. The proportions of PD⁃1+ NK cells (t = 8.45, P < 0.05) and DX5+ NK cells (t = 12.29, P < 0.05) were higher in uterine tissues from pregnant mice in the infection group than in the control group, and no significant difference was seen in the proportion of PD⁃1+DX5+ NK cells (Z = -1.09, P > 0.05). The proportions of PD⁃1+ NK cells (t = 4.58, P < 0.05) and PD⁃1+ DX5+ NK cells (t = 5.15, P < 0.05) were higher in placental tissues from pregnant mice in the infection group than in the control group, while the proportion of DX5+ NK cells was lower in the infection group than in the control group (t = -6.56, P < 0.05). RT⁃qPCR assay revealed that the relative PD⁃1, PD⁃L1, and DX5 mRNA expression was (1.010 ± 0.005), (1.002 ± 0.003), and (1.001 ± 0.001) in the JEG⁃3 cells and NK92MI cells co⁃culture system and (3.638 ± 1.258), (0.397 ± 0.158), and (4.267 ± 1.750) in the control group, and ELISA measured that the TNF⁃α concentration was higher in the cell culture supernatant in the infection group [(22.056 ± 3.205) pg/mL] than in the control group [(12.441 ± 0.001) pg/mL] (t = 5.20, P < 0.05). The PD⁃1(t = 3.62, P < 0.05) and DX5 mRNA expression (t = 3.23, P < 0.05) was higher in the infection group than in the control group, and the PD⁃L1 mRNA expression was lower in the infection group than in the control group (t = -6.63, P < 0.05). Conclusions　Following T. gondii infection, both PD⁃L1 expression and PD⁃1 expression on DX5+ NK cells at the maternal⁃fetal interface are upregulated in mice during the second trimester; however, the proportion of DX5+ NK cells decreases. These findings suggest that PD⁃1/PD⁃L1 signaling may suppress NK cell functions by modulating DX5+ NK cell subsets.

Key words: Toxoplasma gondii, Pregnancy, Programmed cell death protein 1, Programmed cell death protein ligand 1, Natural killer cell, Mouse