Inhibition of PI3Kδ Differentially Regulates Poly I:C– and Human Metapneumovirus–Induced PD–L1 and PD–L2 Expression in Human Bronchial Epithelial Cells

Bronchial epithelial cells are front sentinels eliciting innate and adaptive immunity to respiratory viral pathogens. Recognition of viral double-stranded RNA induces antiviral interferon (IFN) responses in bronchial epithelial cells. Co-inhibitory molecules programmed cell death 1 ligand 1 (PD-L1) and ligand 2 (PD-L2) were also induced on bronchial epithelial cells, which bind programmed cell death 1 on T cell and inhibit the function of virus-specific cytotoxic T lymphocyte. A previous study showed that antiviral type I IFN increased PD-L1 and PD-L2 expression in cultured melanoma cells. However, it remains unknown whether antiviral IFNs affect PD-L1 and PD-L2 expression in bronchial epithelial cells. In addition, we previously reported that inhibition of PI3Kδ signaling enhanced antiviral IFN responses in human primary bronchial epithelial cells (PBECs). Here we assessed the effect of exogenous IFNs or a selective PI3Kδ inhibitor IC87114 on PD-L1 and PD-L2 in PBECs stimulated with a synthetic double-stranded RNA poly I:C or human metapneumovirus. Treatment with IFNβ or IFNλ increased PD-L1 and PD-L2, and IFNβ or IFNλ treatment plus poly I:C further increased both expressions. Treatment with IC87114 or transfection with siRNA targeting PI3K p110δ enhanced poly I:C–induced gene and protein expression of PD-L2, whereas IC87114 suppressed poly I:C–induced PD-L1. IC87114 enhanced poly I:C–induced gene expression of IFNβ, IFNλ, and IFN-regulated genes via increased TBK1 and IRF3 phosphorylation. Transfection with siIRF3 counteracted the enhancement of poly I:C–induced PD-L2 by IC87114, whereas IC87114 suppressed poly I:C–induced PD-L1 regardless of transfection with siNC or siIRF3. Similar effects of IC87114 on PD-L1 and PD-L2 expression were observed in human metapneumovirus–infected PBECs. We showed for the first time that type I and type III IFNs induced the expression of PD-L1 and PD-L2 in PBECs. Our findings suggest that during viral infections, inhibition of PI3Kδ differentially regulates PD-L1 and PD-L2 expression in bronchial epithelial cells.


INTRODUCTION
Programmed cell death 1 ligand 1 (PD-L1) and ligand 2 (PD-L2) are ligands of the programmed cell death 1 (PD-1) co-inhibitory receptor on T cells. The PD-1/PD-L1 axis is a negative modulatory signaling pathway for the activation of T cells, and recent experimental evidence has shown that the PD-1/PD-L1 axis also regulates antiviral immune responses (1)(2)(3). In respiratory virus infections, such as human metapneumovirus (hMPV) or influenza virus infection, inhibition of the PD-1/PD-L1 pathway restored virus-specific CD8 + T cell activity and resulted in faster virus clearance in lungs, which suggests that PD-L1 upregulation on infected cells is responsible for CD8 + T cell exhaustion (2,4,5). Although studies have shown that the expression of PD-L2 is induced in bronchial epithelial cells following viral infection such as respiratory syncytial virus (6), the precise role of PD-L2 in the antiviral immune response remains unknown.
Respiratory virus infections exacerbate chronic lung diseases such as asthma and chronic obstructive pulmonary disease (COPD). Bronchial epithelial cells are the primary target of infections by viruses such as rhinovirus, respiratory syncytial virus, influenza virus, and hMPV. These single-stranded RNA viruses generate double-stranded RNA (dsRNA) or a panhandlelike dsRNA structure in infected host cells during replication. Viral dsRNA is recognized by pattern-recognition receptors (PRRs), such as toll-like receptor (TLR) 3 on endosomes and cytosolic RNA helicase retinoic acid-inducible gene-I or melanoma differentiation-associated gene 5, leading to the secretion of antiviral interferons (IFNs) and pro-inflammatory cytokines and chemokines (7)(8)(9). Type I IFNs (IFNa and IFNb) and type III IFNs (IFNl) secreted from infected bronchial epithelial cells stimulate neighboring cells through IFN receptors to express IFN-regulated genes (IRGs), inducing an antiviral state (10,11). We previously showed that viral infection or stimulation with a synthetic dsRNA analog, polyinosinic-polycytidylic acid (poly I: C), increased PD-L1 and PD-L2 expression on human bronchial epithelial cells, and the NF-kB pathway plays an essential role in poly I:C-induced upregulation of PD-L1 (12)(13)(14). Recent studies showed that exogenous type I IFN induces not only PD-L1 expression in endothelial cells, monocytes, and dendritic cells but also PD-L2 expression in cultured melanoma cells (15)(16)(17). While type I and III IFNs are induced as the first line response against respiratory viral infection, the effect of antiviral IFNs on the expression of PD-L1 and PD-L2 in bronchial epithelial cells has not been investigated.
Phosphoinositide 3-kinases (PI3Ks) regulate various biological functions including cell proliferation, differentiation, and migration via several downstream molecules such as v-akt murine thymoma viral oncogene homolog (Akt) and the mechanistic target of rapamycin (mTOR). PI3Kd is a class IA PI3K and predominantly expressed in cells of the myeloid and lymphoid lineages (18). We recently reported that inhibition of PI3Kd signaling enhanced poly I:C-induced antiviral IFN responses in human primary bronchial epithelial cells (PBECs), which suggests that PI3Kd may negatively regulate the antiviral IFN response (14). We have also shown that a selective PI3Kd inhibitor attenuated poly I:C-induced PD-L1 expression by inhibiting translational induction of PD-L1 via the Akt/mTOR pathway (14). However, the association between PI3Kd signaling and poly I:C-induced expressions of PD-L2 on PBECs remains unknown.
In this study, we assessed whether exogenous IFNs induce the expression of PD-L1 and PD-L2 using PBECs and treatment with IFN plus poly I:C further enhances PD-L1 and PD-L2. We also evaluated whether inhibition of PI3Kd signaling affects the poly I:Cinduced activation of downstream transcription factors of PRRs, antiviral IFN responses, and expression of PD-L1 and PD-L2 in healthy PBECs and PBECs from asthma patients and COPD patients. Finally, we analyzed the effect of the selective PI3Kd inhibitor on hMPV-induced PD-L1 and PD-L2 expressions on PBECs.

Culture and Treatment of PBECs
PBECs were collected and cultured according to our previously described protocol (14). Briefly, PBECs were obtained during routine fibreoptic bronchoscopy from never-smoker patients with normal lung function and pulmonary nodules by performing bronchial brushings from healthy lobes without a pulmonary nodule (healthy PBECs). All bronchial brushings were obtained from the same anatomical region (bronchial generations 4-7). PBECs were also collected from patients with asthma and patients with COPD for use in some experiments. The characteristics of patients with asthma or COPD at bronchoscopy are shown in Table S1. Unless otherwise stated, healthy PBECs were used in the experiments. The study protocol was approved by the Kyushu University Institutional Review Board for Clinical Research . All subjects provided written informed consent in accordance with the principles laid out in the Declaration of Helsinki.
Cells were cultured in flasks coated with collagen (Cell Applications, Inc., San Diego, CA, USA) containing supplemented bronchial epithelial growth medium (BEGM; Lonza, Basel, Swiss) at 37°C in 5% CO 2 and used within four passages. PBECs (approximately 80% confluency) were pretreated with 250 U/ml human IFNb1a (PBL Assay Science, Piscataway, NJ, USA), 250 U/ml human IFNl1 (PBL Assay Science), 10 mM IC87114 (BioVision, Milpitas, CA, USA), 10 mM AS604850 (FUJIFILM Wako Pure Chemical Corporation, Osaka, Japan) or vehicle for 1 h and then stimulated by the addition of 1 mg/mL poly I: C (Innaxon, Tewkesbury, United Kingdom) to the culture medium. In virus infection experiments, 10 mM IC87114 was added to cells for 1 h prior to hMPV infection, and IC87114 was maintained in medium after infection. PBECs were cultured in BEGM without hydrocortisone for at least 24 h prior to stimulation or infection.

Flow Cytometry
PBECs were cultured to semi-confluence in 12-well plates. Cells were incubated in 100 mL of PBS containing 0.5% BSA containing PE anti-human PD-L1 (clone: MIH1; Invitrogen, Carlsbad, CA, USA) or PE anti-human PD-L2 (clone: MIH18; Invitrogen) at room temperature for 30 min in initial experiments. In some experiments, cells were incubated in 100 mL of PBS with 0.5% BSA containing APC anti-human PD-L1 (clone: MIH1; Invitrogen) and PE anti-human PD-L2 (clone: MIH18; Invitrogen) at room temperature for 30 min. Cells were thoroughly washed and analyzed using a BD FACSVerse flow cytometer with FACSuite software (Becton Dickinson, Franklin Lakes, NJ, USA). Ten thousand events were acquired in list mode with debris excluded by the forward scatter threshold.
For the analysis of cell viability, resuspended lung cells or PBECs were incubated with propidium iodide (PI), and nonviable cells (stained with PI) were counted in a flow cytometer with debris excluded by the forward scatter threshold.

Quantitative Reverse-Transcription PCR
Total RNA was isolated from PBECs using TRI Reagent (Molecular Research Centre, Inc., Cincinnati, OH, USA).
Reverse transcription was performed using Multiscribe Reverse Transcriptase (Invitrogen). Real-time quantitative RT-PCR analyses were performed once per sample using Fast Start SYBR Green Master (Roche, Mannheim, Germany) and a Thermal Cycler Dice Real Time System II (Takara, Shiga, Japan). The mRNA expression levels were calculated from the threshold cycle according to the DDCt method. Target gene expression levels were normalized to the expression of 18S rRNA. Primer sequences are provided in Table S2.

Virus Infection of Cultured Cells
The CAN97-83 strain of hMPV was used; hMPV was propagated in Vero E6 cells (CRL-1586; ATCC, Manassas, VA, USA) and virus titer was determined by TCID 50 assay. In brief, virus was prepared in serum-free MEM (Gibco, Thermo Fisher Scientific, San Diego, CA, USA) containing 5 mg/ml trypsin (Gibco) by infecting cells in a 10-cm culture dish at a multiplicity of infection (MOI) of 0.05. After absorption for 2 h at 37°C, serum-free MEM containing 5 mg/ml trypsin was added. Serum-free medium containing 5 mg/ml trypsin was changed every other day during incubation and cells were incubated until a 70%-90% cytopathic effect was observed, usually within 7 days. Cells and culture supernatant were collected and virus was obtained by freeze-thawing the cells. This strain of hMPV has been used in other studies (19), and we did not attempt further purification to avoid altering key properties of the virus (20).
Virus was quantified by immunostaining assay. Briefly, semiconfluent Vero E6 monolayers in a 24-well plate were infected with 200 ml of 10-fold serial dilutions. Trypsin (5 mg/ml) was added in serum-free MEM during infection. After absorption for 2 h at 37°C, 200 ml of MEM containing 5% FBS was added. After 6 days of cell culture, infected wells were identified by immunostaining with mouse anti-hMPV monoclonal primary antibody (MAB8510; EMD Millipore, Temecula, CA, USA) and horseradish peroxidase-labeled goat anti-mouse secondary antibody (Abcam, Cambridge, UK). Cells were visualized using DAB peroxidase substrate (Vector Laboratories, Inc., Burlingame, CA, USA) and the TCID 50 /ml was determined using standard methods.
Control experiments using UV-inactivated hMPV were included to confirm that responses were a result of hMPV infection and not from factors remaining in the culture media following hMPV propagation. To UV-irradiate virus, hMPV was exposed to a short wavelength (254 nm) UV lamp at a distance of 5 cm for 15 min. PBECs (approximately 80% confluency) were washed with PBS and infected with hMPV in BEGM without hydrocortisone for 1 h at a MOI of 0.1. Cell monolayers were washed and then incubated in BEGM without hydrocortisone for 24-72 h. Standard biosecurity and institutional safety procedures were followed during this study.

Statistical Analyses
Unless otherwise stated, data were expressed as means ± standard error (SEM). The Mann-Whitney U-test was used for comparisons between two groups. Comparisons of three or more groups were conducted using one-way analysis of variance (ANOVA) or two-way ANOVA followed by Tukey's multiple comparisons test. Correlations were examined using Spearman correlation. All statistical analyses were conducted using GraphPad Prism 8 software (GraphPad Software, San Francisco, CA, USA). Differences were considered statistically significant at p<0.05.

Antiviral IFNs Increase the Expression of PD-L1 and PD-L2 on PBECs
Stimulation with IFNb1a alone or poly I:C alone increased the expression of PD-L1 and PD-L2 on PBECs at 6 and 12 h following stimulation, respectively ( Figure 1A). The combination treatment of IFNb1a plus poly I:C upregulated the expression of PD-L1 and PD-L2 to higher levels compared with stimulation with IFNb1a or poly I:C alone. Stimulation with IFNb1a alone or the combination treatment of IFNb1a plus poly I:C induced higher gene expression levels of IFN-stimulated gene (ISG) 56 than stimulation with poly I:C alone ( Figure 1B). Similarly, IFNl1 or poly I:C alone increased the expression of PD-L1 and PD-L2 on PBECs at 24 h after stimulation, and further upregulation of PD-L1 and PD-L2 was observed after the combination treatment of IFNl1 plus poly I:C ( Figure S1A). The cell viability of PBECs at 24 h after stimulation was not affected by treatment with IFNb1a or IFNl1 and/or poly I:C ( Figure S1B).

Antiviral IFN Induces the Gene and Protein Expression of PD-L1 and PD-L2 in PBECs
Next, we assessed the effect of treatment with IFNb1a and/or poly I:C on gene expression of PD-L1 and PD-L2. Treatment with IFNb1a alone or poly I:C alone induced PD-L1 and PD-L2 gene expression 6 h following stimulation (Figure 2A). The combination treatment of IFNb1a plus poly I:C further increased gene expression levels of PD-L1 and PD-L2 compared to treatment with IFNb1a or poly I:C alone. IFNb1a alone or poly I:C alone also increased the protein levels of PD-L1 and PD-L2 at 24 h following stimulation, and combination treatment enhanced both protein levels ( Figure 2B).

A PI3Kd Inhibitor Enhances Poly I:C-Induced PD-L2 Expression on PBECs, Whereas It Suppresses Poly I:C-Induced PD-L1 Expression
We previously reported that the selective PI3Kd inhibitor IC87114 attenuated poly I:C-induced PD-L1 expression on bronchial epithelial cells via inhibition of the Akt/mTOR signaling pathway (14). However, it has been unclear whether IC87114 affects poly I:C-induced PD-L2 expression. Here we analyzed the effects of IC87114 on the expression of PD-L1 and PD-L2 in PBECs. Although IC871114 did not affect poly I:C-induced gene expression levels of PD-L1, IC87114 markedly increased poly I:Cinduced gene expression levels of PD-L2 at 12 h and 18 h following stimulation with poly I:C ( Figure 3A). Consistent with our previous report, IC87114 suppressed poly I:C-induced PD-L1 expression at 24 h after poly I:C stimulation ( Figure 3B). In contrast, IC87114 significantly enhanced poly I:C-induced PD-L2 expression. However, the combination treatment of IC87114 plus IFNb1a did not additively enhanced gene expression levels of PD-L1 and PD-L2 ( Figure S2). PI3Kg knockout mice were reported to be highly susceptible to lethality following infection with influenza A virus due to impaired antiviral IFNs responses (21). Hence, we also evaluated the effects of the selective PI3Kg inhibitor AS604850 on the expression of PD-L1 and PD-L2. Unlike IC87114, AS604850 suppressed poly I:C-mediated gene and protein induction of both PD-L1 and PD-L2 expressions (Figures 3C,  D). AS604850 also decreased poly I:C-induced gene expression levels of ISG56 ( Figure S3A). Treatment with IC87114 or AS604850 with or without poly I:C did not affect the cell viability of PBECs ( Figure S3B). These results indicate that To confirm that inhibition of PI3Kd signaling enhanced poly I: C-induced upregulation of PD-L2, we examined the effect of knockdown of the PIK3CD gene, which encodes PI3K p110d, in PBECs. PI3K p110d expression was suppressed in PBECs transfected with siPIK3CD at 48 h and 72 h following transfection compared with cells transfected with si-negative control (NC) ( Figure 4A). PBECs transfected with siPIK3CD or siNC for 48 h were stimulated with poly I:C for 24 h, and PD-L2 expression was analyzed. Untreated cells transfected with siPIK3CD showed no changes in PD-L2 expression ( Figure 4B). However, poly I:C-induced PD-L2 expression was enhanced on PBECs transfected with siPIK3CD compared with cells transfected with siNC ( Figure 4B). Cell viability of PBECs was not affected by siRNA knockdown of PIK3CD and stimulation of poly I:C ( Figure 4C).

A PI3Kd Inhibitor Enhances Poly I:C-Induced Antiviral IFN Responses by Promoting TBK1/IRF3 Phosphorylation in PBECs
We previously reported that IC87114 enhanced poly I:Cinduced protein levels of IFNb and IFNl in bronchial epithelial cell culture supernatants (14). To investigate the mechanism of enhanced gene and protein expression of PD-L2 by IC87114 plus poly I:C, we examined the effects of IC87114 on the gene expression levels of poly I:C-induced antiviral IFNs and IRGs in PBECs. Stimulation with poly I:C increased gene expression levels of IFNb and IFNl at 3 h and 6 h following stimulation, respectively, as well as IRGs such as MxA and ISG56 at later time points ( Figure 5A). Treatment with IC87114 together with poly I:C significantly enhanced gene expression levels of IFNs and IRGs compared with levels in cells treated with poly I:C alone. Activation of TBK1/IRF3 pathway is essential to elicit antiviral IFN responses after the binding of viral dsRNA to toll-like receptor 3 (22). Thus, we examined the effects of IC87114 on TBK1 and IRF3 phosphorylation in PBECs by western blot analysis. The combined treatment of IC87114 plus poly I:C significantly increased the levels of phosphorylated TBK1 and IRF3 at 1 h and 2 h following stimulation, respectively, compared with levels in cells treated with poly I:C alone ( Figure 5B). Total TBK1 and IRF3 levels were not affected by the combined treatment of IC87114 and poly I:C stimulation ( Figure S4).

siRNA Knockdown of IRF3 Counteracts the Enhancement of Poly I:C-Induced PD-L2 Expression by a PI3Kd Inhibitor
Next, we assessed the effects of knockdown of the IRF3 gene, which encodes a key transcription factor in the poly I:C-induced antiviral IFNs response, on the expression of PD-L1 and PD-L2 in PBECs stimulated with poly I:C with or without IC87114. We confirmed decreased protein levels of IRF3 in PBECs at 48 h and 72 h following siIRF3 transfection ( Figure 6A). PBECs transfected with siIRF3 or siNC for 48 h were stimulated with poly I:C alone or IC87114 plus poly I:C, and the expressions of PD-L1 and PD-L2 were analyzed 24 h following stimulation. We previously showed that the NF-kB pathway plays an essential  Figure 8B). There was a linear association between the gene expression of hMPV nucleocapsid protein (hMPV N) and hMPV-induced IFNb, PD-L1, and PD-L2 in cells treated with or without IC87114 ( Figure 8C). Treatment with IC87114 changed the slope of a regression line of IFNb and PD-L2 larger, which indicates more efficient induction of IFNb and PD-L2 gene responsive to hMPV infection in cells treated with IC87114.

DISCUSSION
Activation of PI3K pathway is involved in lung tumorigenesis (24). Therefore, the use of lung cancer-derived bronchial epithelial cell lines such as A549 may not be suitable for analyzing involvement of PI3Kd signaling in antiviral IFN responses and induction of co-inhibitory molecules by virus infection. Hence, we assessed the influence of antiviral IFNs or PI3Kd on the expressions of PD-L1 and PD-L2 using PBECs. We previously reported that poly I:C induced PD-L1 expression on bronchial epithelial cells via the NF-kB pathway (23). Our results showed that exogenous type I and III IFNs also could increase PD-L1 and PD-L2 in PBECs, and IFN combined poly I:C additively enhanced PD-L1 and PD-L2 expressions. The selective PI3Kd inhibitor IC87114 as well as siRNA-mediated knockdown of the PIK3CD gene enhanced poly I:C-induced PD-L2 expression, whereas IC87114 suppressed poly I:C-induced PD-L1 possibly by inhibiting translational induction of PD-L1 via the Akt/mTOR pathway. Treatment with IC87114 also enhanced the poly I:C-induced gene expressions of IFNs and IRGs via increased phosphorylation of TBK1 and IRF3. siRNAmediated knockdown of the IRF3 gene counteracted the enhancement of poly I:C-induced PD-L2 by IC87114, suggesting that PI3Kd negatively regulates poly I:C-induced IFNs production and subsequent induction of PD-L2 in PBECs ( Figure 9). We further confirmed similar effects of IC87114 on PD-L1 and PD-L2 expression in PBECs from patients with asthma or COPD and after hMPV infection. Previous studies showed that type I IFNs increased PD-L1 expression on microvascular endothelial cells, monocytes, and dendritic cells (15,16). Garcia-Diaz et al. reported that IFNb induced both PD-L1 and PD-L2 expressions in melanoma cells and exerted a stronger effect on PD-L2 expression through its binding of signal transducer and activator of transcription 3 to the PD-L2 promoter (17). Here we showed for the first time that Data represent means ± SEM (n=6-9 per group) were pooled from a minimum of two independent donors with three replicates. *p<0.05, **p<0.01, ***p<0.001 by one-or two-way ANOVA as appropriate. MFI, mean fluorescence intensity.  (25). The recognition of virus-associated molecules by host PRRs after viral infection mediates the induction of the innate immune response typified by the production of antiviral IFNs and IRGs and the subsequent development of adaptive immunity to viruses (26,27).
Research has shown that the PD-1/PD-L1 axis is responsible for CD8 + T cell exhaustion and failure to achieve viral clearance in acute respiratory virus infections (4,5). However, the role of PD-L2 in adaptive immunity has not been fully elucidated. PD-L2 binds not only to PD-1 but also repulsive guidance molecule b (RGMb), and the PD-L2/RGMb interaction promotes CD4 + Thelper cell-1 (Th1) responses (28,29). In malarial infections, PD-L2 expression on dendritic cells inversely correlated with disease severity, and PD-L2 improved parasite-specific CD4 + Th1 responses and inhibited PD-L1 binding to PD-1 (30). These studies demonstrate the differential co-inhibitory function of PD-L1 and co-stimulatory function of PD-L2 in T-cell immunity. Viral infections of the airway are one of the leading causes of asthma and COPD exacerbation and accelerate disease progression (31,32). Therefore, antiviral strategies targeting A B FIGURE 5 | A PI3Kd inhibitor enhances poly I:C-induced antiviral IFN responses by promoting TBK1/IRF3 phosphorylation in PBECs. PBECs were pretreated with 10 mM IC87114 or vehicle for 1 h and then stimulated with 1 mg/mL poly I:C for the indicated times. (A) IFNb, IFNl1, MxA, and ISG56 gene expressions were measured by real-time quantitative reverse-transcription PCR and normalized to that of 18S rRNA. Data represent means ± SEM (n=6-12 per group) and pooled from a minimum of two independent donors with three replicates. (B) Representative western blots showing phosphorylated TBK1, total TBK1, phosphorylated IRF3, and total IRF3 in PBECs. Band intensity was quantitated using densitometry. Data represent means ± SEM (n=7 per group) were pooled from four independent donors with two replicates. *p<0.05, **p<0.001 by two-way ANOVA.  the underlying pathogenesis of asthma and COPD are needed. We previously showed that the NF-kB pathway plays an essential role in poly I:C-induced upregulation of PD-L1, and IC87114 attenuated poly I:C-induced PD-L1 expression in healthy PBECs by inhibiting translational induction of PD-L1 via the Akt/ mTOR pathway (14,23). In this study, we observed suppressive effects of IC87114 on poly I:C-induced PD-L1 in PBECs from asthma patients, but not patients with COPD. Chronic exposure to cigarette smoke is a major etiologic factor in the pathogenesis of COPD and is reported to induce PD-L1 expression in human bronchial epithelial cells and murine lungs through the aryl hydrocarbon receptor (33). This etiology-specific mechanism underlying the upregulation of PD-L1 expression may be the reason for the insufficient suppressive effect of IC87114 on poly I:C-induced PD-L1 in PBECs from patients with COPD. Contrary to IC87114-induced suppression of PD-L1 expression, IC87114 enhanced poly I:C-or hMPVinduced PD-L2 gene and protein expressions in PBECs, possibly via increased production of antiviral IFNs (Figure 9). Our findings, along with the previous studies of the role of PD-L1 and PD-L2 expressions in T-cell immunity, suggest that a selective PI3Kd inhibitor may simultaneously enhance innate antiviral and adaptive immunity and represent an efficacious treatment for respiratory virus infections. Correlation between the gene expression of hMPV nucleocapsid protein (hMPV N) and IFNb, PD-L1, and PD-L2 mRNAs. Cell lysates for RNA extraction were collected at 24, 36, and 48 h post-infection. Gene expressions were measured by real-time quantitative reverse-transcription PCR and normalized to that of 18S rRNA. Data represent means ± SEM (n=6-12 per group) and pooled from a minimum of two independent donors with three replicates. *p<0.01, **p<0.001 by oneor two-way ANOVA and Spearman correlation as appropriate. MFI, mean fluorescence intensity.
One limitation of our study was that we did not analyze the effect of IC87114 on adaptive immune responses in other cells. Further in vivo investigations are needed to evaluate whether a PI3Kd inhibitor activates T-cell immunity through changes in PD-L1 and PD-L2 expression in the lungs and promotes viral clearance from the infected lungs. Another limitation was that we analyzed the effects of IC87114 on PD-L1 and PD-L2 expression using PBECs from patients with relatively mild asthma and COPD. It remains unclear whether similar effects are observed in patients with severe asthma and COPD.
In conclusion, we showed that antiviral IFNs and poly I:C additively induced PD-L1 and PD-L2 expressions in PBECs. The selective PI3Kd inhibitor IC87114 differentially regulated poly I: C-and virus-induced PD-L1 and PD-L2 expressions in healthy PBECs as well as PBECs from asthma patients and COPD patients. IC87114 further increased poly I:C-induced PD-L2 expression possibly via enhanced induction of antiviral IFNs. The use of a selective PI3Kd inhibitor may be beneficial for the treatment of respiratory viral infections by enhancing the crosstalk between innate and adaptive immune responses.

DATA AVAILABILITY STATEMENT
The original contributions presented in the study are included in the article/Supplementary Material. Further inquiries can be directed to the corresponding author.

ETHICS STATEMENT
The studies involving human participants were reviewed and approved by the Kyushu University Institutional Review Board for Clinical Research. The patients/participants provided their written informed consent to participate in this study.

AUTHOR CONTRIBUTIONS
KK, YI, SF, and KM conceived the study design and supervised the scientific work. TO, AS, and AF performed the experiments. TO and KK analyzed the data. All authors contributed to and approved the final manuscript.