Medical Oncology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
The Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Center and Institute, Tianjin Medical University General Hospital, Tianjin, China.
Oncogene. 2017 Oct 19;36(42):5829-5839. doi: 10.1038/onc.2017.188. Epub 2017 Jun 12.
The clinical success of immunotherapy that inhibits the negative immune regulatory pathway programmed cell death protein 1/PD-1 ligand (PD-1/PD-L1) has initiated a new era in the treatment of metastatic cancer. PD-L1 expression is upregulated in many solid tumors including lung cancer and functions predominantly in lactate-enriched tumor microenvironments. Here, we provided evidence for PD-L1 induction in response to lactate stimulation in lung cancer cells. Lactate-induced PD-L1 induction was mediated by its receptor GPR81. The silencing of GPR81 signaling in lung cancer cells resulted in a decrease in PD-L1 protein levels and functional inactivation of PD-L1 promoter activity. In addition, GPR81-mediated upregulation of PD-L1 in glucose-stimulated lung cancer cells that recapitulates the enhanced glycolysis in vivo was dependent on lactate dehydrogenase A (LDHA). We also demonstrated that activation of GPR81 decreases intracellular cAMP levels and inhibits protein kinase A (PKA) activity, leading to activation of the transcriptional coactivator TAZ. Interaction of TAZ with the transcription factor TEAD was essential for TAZ activation of PD-L1 and induction of its expression. Furthermore, we found that lactate-induced activation of PD-L1 in tumor cells led to reduced production of interferon-γ and induction of apoptosis of cocultured Jurkat T-cell leukemia cells. Our findings reveal an unexpected role of lactate in contributing to tumor cell protection from cytotoxic T-cell targeting and establishes a direct connection between tumor cell metabolic reprograming and tumor evasion from the immune response.
免疫疗法通过抑制负免疫调节途径程序性细胞死亡蛋白 1/PD-1 配体(PD-1/PD-L1)在转移性癌症治疗中开创了一个新时代。PD-L1 在包括肺癌在内的许多实体瘤中上调,主要在富含乳酸的肿瘤微环境中发挥作用。在这里,我们提供了肺癌细胞对乳酸刺激反应中 PD-L1 诱导的证据。乳酸诱导的 PD-L1 诱导是由其受体 GPR81 介导的。肺癌细胞中 GPR81 信号的沉默导致 PD-L1 蛋白水平降低和 PD-L1 启动子活性的功能失活。此外,GPR81 介导的葡萄糖刺激的肺癌细胞中 PD-L1 的上调,再现了体内增强的糖酵解,依赖于乳酸脱氢酶 A(LDHA)。我们还证明,GPR81 的激活降低了细胞内 cAMP 水平并抑制了蛋白激酶 A(PKA)的活性,导致转录共激活因子 TAZ 的激活。TAZ 与转录因子 TEAD 的相互作用对于 TAZ 激活 PD-L1 和诱导其表达是必不可少的。此外,我们发现肿瘤细胞中乳酸诱导的 PD-L1 激活导致共培养的 Jurkat T 细胞白血病细胞中干扰素-γ产生减少和细胞凋亡诱导。我们的发现揭示了乳酸在促进肿瘤细胞免受细胞毒性 T 细胞靶向作用的保护中的意外作用,并建立了肿瘤细胞代谢重编程与肿瘤逃避免疫反应之间的直接联系。
Cancer Cell. 2016-6-13
Nat Rev Cancer. 2016-5
Cell. 2016-3-10
Int J Mol Sci. 2016-1-21
Semin Oncol. 2015-8
Thorac Cancer. 2015-1-7
N Engl J Med. 2015-4-19
Cancer Cell. 2015-4-13
Trends Immunol. 2015-4
Nat Cell Biol. 2015-4