The expression of PD-L1 in breast cancer is associated with estrogen receptor negativity, chemoresistance and epithelial-to-mesenchymal transition (EMT), all of which are common features of a highly tumorigenic subpopulation of cancer cells termed cancer stem cells (CSCs). Hitherto, the expression and intrinsic role of PD-L1 in the dynamics of breast CSCs has not been investigated. To address this issue, we used transcriptomic datasets, proteomics and several in vitro and in vivo assays. Expression profiling of a large breast cancer dataset (530 patients) showed statistically significant correlation (p < 0.0001, r = 0.36) between PD-L1 expression and stemness score of breast cancer. Specific knockdown of PD-L1 using ShRNA revealed its critical role in the expression of the embryonic stem cell transcriptional factors: OCT-4A, Nanog and the stemness factor, BMI1. Conversely, these factors could be induced upon PD-L1 ectopic expression in cells that are normally PD-L1 negative. Global proteomic analysis hinted for the central role of AKT in the biology of PD-L1 expressing cells. Indeed, PD-L1 positive effect on OCT-4A and Nanog was dependent on AKT activation. Most importantly, downregulation of PD-L1 compromised the self-renewal capability of breast CSCs in vitro and in vivo as shown by tumorsphere formation assay and extreme limiting dilution assay, respectively. This study demonstrates a novel role for PD-L1 in sustaining stemness of breast cancer cells and identifies the subpopulation and its associated molecular pathways that would be targeted upon anti-PD-L1 therapy.

译文

PD-L1在乳腺癌中的表达与雌激素受体阴性,化学耐药性和上皮-间质转化 (EMT) 有关,所有这些都是称为癌症干细胞 (CSCs) 的高度致瘤性癌细胞亚群的共同特征。迄今为止,尚未研究PD-L1在乳腺CSCs动力学中的表达和内在作用。为了解决这个问题,我们使用了转录组数据集和蛋白质组学以及几种体外和体内测定。大乳腺癌数据集 (530例患者) 的表达谱显示,乳腺癌PD-L1表达与stemness评分有统计学意义 (p  <  0.0001,r   =   0.36)。使用ShRNA特异性敲低PD-L1揭示了其在胚胎干细胞转录因子: OCT-4A,Nanog和干性因子bmi1表达中的关键作用。相反,在通常PD-L1阴性的细胞中,PD-L1异位表达可诱导这些因子。全球蛋白质组学分析提示AKT在PD-L1表达细胞生物学中的核心作用。事实上,PD-L1对OCT-4A和Nanog的积极影响取决于AKT激活。最重要的是,如分别通过肿瘤球形成测定和极限稀释测定所示,PD-L1的下调损害了乳腺csc在体外和体内的自我更新能力。这项研究证明了PD-L1在维持乳腺癌细胞干性中的新作用,并确定了anti-PD-L1治疗靶向的亚群及其相关分子途径。

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