Li Jinxin, Sun Huimin, Fu Meiling, Zheng Zeyuan, Xu Chunlan, Yang Kunao, Liu Yankuo, Xuan Zuodong, Bai Yang, Zheng Jianzhong, Zhao Yue, Shi Zhiyuan, Shao Chen
Department of Urology, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361101, China.
Central Laboratory, Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361101, China.
iScience. 2023 Jun 20;26(7):107185. doi: 10.1016/j.isci.2023.107185. eCollection 2023 Jul 21.
Although anti-PD-L1 therapy has been used in the clinical treatment of renal cell carcinoma (RCC), a proportion of patients are not sensitive to it, which may be attributed to the heterogeneity of PD-L1 expression. Here, we demonstrated that high TOPK (T-LAK cell-originated Protein Kinase) expression in RCC promoted PD-L1 expression by activating ERK2 and TGF-β/Smad pathways. TOPK was positively correlated with PD-L1 expression levels in RCC. Meanwhile, TOPK significantly inhibited the infiltration and function of CD8 T cells and promoted the immune escape of RCC. Moreover, inhibition of TOPK significantly enhanced CD8 T cell infiltration, promoted CD8 T cell activation, enhanced anti-PD-L1 therapeutic efficacy, and synergistically enhanced anti-RCC immune response. In conclusion, this study proposes a new PD-L1 regulatory mechanism that is expected to improve the effectiveness of immunotherapy for RCC.
尽管抗PD-L1疗法已用于肾细胞癌(RCC)的临床治疗,但一部分患者对此并不敏感,这可能归因于PD-L1表达的异质性。在此,我们证明RCC中高TOPK(T-LAK细胞起源的蛋白激酶)表达通过激活ERK2和TGF-β/Smad信号通路促进PD-L1表达。TOPK与RCC中PD-L1表达水平呈正相关。同时,TOPK显著抑制CD8 T细胞的浸润和功能,促进RCC的免疫逃逸。此外,抑制TOPK可显著增强CD8 T细胞浸润,促进CD8 T细胞活化,增强抗PD-L1治疗效果,并协同增强抗RCC免疫反应。总之,本研究提出了一种新的PD-L1调控机制,有望提高RCC免疫治疗的有效性。