Abstract

BackgroundAlthough using a blockade of programmed death-ligand 1 (PD-L1) to enhance T cell immune responses shows great promise in tumor immunotherapy, the immune-checkpoint inhibition strategy is limited for patients with solid tumors. The mechanism and efficacy of such immune-checkpoint inhibition strategies in solid tumors remains unclear.ResultsEmploying qRT-PCR, Sanger sequencing, and RNA BaseScope analysis, we show that human lung adenocarcinoma (LUAD) all produce a long non-coding RNA isoform of PD-L1 (PD-L1-lnc) by alternative splicing, regardless if the tumor is positive or negative for the protein PD-L1. Similar to PD-L1 mRNA, PD-L1-lnc in various lung adenocarcinoma cells is significantly upregulated by IFNγ. Both in vitro and in vivo studies demonstrate that PD-L1-lnc increases proliferation and invasion but decreases apoptosis of lung adenocarcinoma cells. Mechanistically, PD-L1-lnc promotes lung adenocarcinoma progression through directly binding to c-Myc and enhancing c-Myc transcriptional activity.ConclusionsIn summary, the PD-L1 gene can generate a long non-coding RNA through alternative splicing to promote lung adenocarcinoma progression by enhancing c-Myc activity. Our results argue in favor of investigating PD-L1-lnc depletion in combination with PD-L1 blockade in lung cancer therapy.

Highlights

  • Cancer is one of the major threats to human health worldwide and is responsible for millions of deaths annually [1]

  • Our results argue in favor of investigating programmed death-ligand 1 (PD-L1)-lnc depletion in combination with PD-L1 blockade in lung cancer therapy

  • Given that only membrane PD-L1 (mPD-L1) can bind to T cell surface PD-1 and suppress T cell function, a low level of mPD-L1 may contribute to the poor efficacy of anti-PD-L1 antibodies

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Summary

Introduction

Cancer is one of the major threats to human health worldwide and is responsible for millions of deaths annually [1]. Cancer cells have developed sophisticated mechanisms to evade immune surveillance and elimination by immune cells One such mechanism involves the expression of various immune checkpoint molecules that suppress anti-tumor immunity. Among these intrinsic negative checkpoints, programmed death protein 1 (PD-1) and its ligand 1 (PD-L1) are a prominent pair, the blockade of which has proven to be a successful immunotherapeutic strategy to treat cancer. Given that only mPD-L1 can bind to T cell surface PD-1 and suppress T cell function, a low level of mPD-L1 may contribute to the poor efficacy of anti-PD-L1 antibodies. Using a blockade of programmed death-ligand 1 (PD-L1) to enhance T cell immune responses shows great promise in tumor immunotherapy, the immune-checkpoint inhibition strategy is limited for patients with solid tumors. The mechanism and efficacy of such immune-checkpoint inhibition strategies in solid tumors remains unclear

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