PD-L2 expression is a unique feature of CLL cells
Also mediates T-cell dysfunction in CLL
Interaction between PD-L2 on CLL cells and its cognate receptor PD-1 on T-cells was characterized by impaired proliferation of T-cells, failure to localize granzyme B to the immunological synapse, and diminished elaboration of cytokines such as TNFα, IL2 and IFNγ
Partial reversal of T-cell dysfunction was achieved with treatment with ibrutinib