Department of Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, Jiangsu, China.
Oncogene. 2022 Feb;41(6):865-877. doi: 10.1038/s41388-021-02133-5. Epub 2021 Dec 3.
In many types of cancer, tumor cells prefer to use glycolysis as a major energy acquisition method. Here, we found that the fluoro-deoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT)-based markers were positively associated with the expression of programmed cell death ligand 1 (PD-L1), pyruvate kinase M2 (PKM2), both of which indicate poor prognosis in patients with pancreatic ductal adenocarcinoma (PDAC). However, the regulatory mechanism of PD-L1 remains elusive. In this study, we confirmed that transforming growth factor-beta1 (TGF-β1) secreted by tumor-associated macrophages (TAMs) was a key factor contributing to the expression of PD-L1 in PDAC cells by inducing the nuclear translocation of PKM2. Using co-immunoprecipitation and chromatin immunoprecipitation assays, we demonstrated that the interaction between PKM2 and signal transducer and activator of transcription 1 (STAT1) was enhanced by TGF-β1 stimulation, which facilitated the transactivation of PD-L1 by the binding of PKM2 and STAT1 to its promoter. In vivo, PKM2 knockdown decreased PD-L1 expression in PDAC cells and inhibited tumor growth partly by promoting natural killer cell activation and function, and the combination of PD-1/PD-L1 blockade with PKM2 knockdown limited tumor growth. In conclusion, PKM2 significantly contributes to TAM-induced PD-L1 overexpression and immunosuppression, providing a novel target for immunotherapies for PDAC.
在许多类型的癌症中,肿瘤细胞更倾向于将糖酵解作为主要的能量获取方式。在这里,我们发现氟脱氧葡萄糖(FDG)正电子发射断层扫描(PET)/计算机断层扫描(CT)为基础的标志物与程序性细胞死亡配体 1(PD-L1)和丙酮酸激酶 M2(PKM2)的表达呈正相关,这两者都表明胰腺导管腺癌(PDAC)患者的预后不良。然而,PD-L1 的调节机制仍不清楚。在这项研究中,我们证实肿瘤相关巨噬细胞(TAMs)分泌的转化生长因子-β1(TGF-β1)是通过诱导 PKM2 的核易位导致 PDAC 细胞中 PD-L1 表达的关键因素。通过共免疫沉淀和染色质免疫沉淀实验,我们证明了 TGF-β1 刺激增强了 PKM2 和信号转导和转录激活因子 1(STAT1)之间的相互作用,这促进了 PKM2 和 STAT1 通过与启动子结合对 PD-L1 的反式激活。在体内,PKM2 敲低降低了 PDAC 细胞中 PD-L1 的表达,并通过促进自然杀伤细胞的激活和功能部分抑制肿瘤生长,PD-1/PD-L1 阻断与 PKM2 敲低的联合限制了肿瘤生长。总之,PKM2 显著促进了 TAM 诱导的 PD-L1 过表达和免疫抑制,为 PDAC 的免疫治疗提供了一个新的靶点。
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