Abstract

Background Despite the large-scale clinical application of programmed death-ligand 1 (PD-L1) monoclonal antibody, reduction in its clinical response rate has become a gradual problem. As such, use of PD-L1 monoclonal antibody in combination with other anticarcinoma drugs has been the main strategy in improving its efficacy. Interleukin 10 (IL10) is a recognized inflammatory and immunosuppressive factor. Previous studies have suggested that there is a link between PD-L1 and IL10. Objective This study was aimed at clarifying the relationship between PD-L1 and IL10 in liver hepatocellular carcinoma (LIHC) and whether IL10 enhances the efficacy of PD-L1 inhibitor. Methods Expression levels of PD-L1 and IL10 in carcinoma and adjacent tissues were tested by immunochemistry, Western blotting, and RT-PCR. Survival duration and follow-up data of each patient were recorded. LIHC cell lines Bel7405 and MHCC 97-H were used for in vitro experiments. Exogenous IL10 and anti-IL10 were added to cell supernatant. Expression level of PD-L1 in the LIHC cell lines was determined using Western blotting and ELISA. CCK8 and transwell assays were adopted to examine the effect of PD-L1 combined with IL10 on proliferation, invasion, and metastasis of LIHC cells. Results The survival period of patients with low expression of IL10 was longer than that of patients with high expression (P = 0.01). Overexpression of PD-L1 increased the IL10 and Met levels in LIHC tissues and cell lines. IL10 downregulated the expression level of PD-L1 and enhanced the efficacy of crizotinib via the Met signaling pathway in the LIHC cells. Conclusions A combination of IL10 and PD-L1 inhibitor holds great promise as an effective treatment for LIHC.

Highlights

  • Primary liver carcinoma ranks second among the top leading cancers with high mortality globally

  • Primary liver carcinoma is divided into liver hepatocellular carcinoma (LIHC), intrahepatic cholangiocarcinoma, hepatocellular bile duct carcinoma, and fibrous liver carcinoma based on histological type

  • We investigated the clinical benefits of a combination of Interleukin 10 (IL10) and programmed death-ligand 1 (PD-L1) inhibitors in LIHC

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Summary

Introduction

Primary liver carcinoma ranks second among the top leading cancers with high mortality globally. LIHC accounts for approximately 90% of primary liver carcinoma. 746,000 people died of liver carcinoma worldwide This accounted for 9.1% of all deaths in the same period. In China, incidence and mortality rates of liver carcinoma are much higher than the global average. Patients diagnosed with advanced liver carcinoma are not fit for surgery They are mainly treated with radiotherapy and chemotherapy. This study was aimed at clarifying the relationship between PD-L1 and IL10 in liver hepatocellular carcinoma (LIHC) and whether IL10 enhances the efficacy of PD-L1 inhibitor. Expression level of PD-L1 in the LIHC cell lines was determined using Western blotting and ELISA. IL10 downregulated the expression level of PD-L1 and enhanced the efficacy of crizotinib via the Met signaling pathway in the LIHC cells. A combination of IL10 and PD-L1 inhibitor holds great promise as an effective treatment for LIHC

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