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,化学抗药性和上皮间质转化(EMT)有关,所有这些都是癌细胞的高度致瘤性亚群(称为癌症干细胞(CSC))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,蛋白质组学以及几种体外和体内测定方法。大型乳腺癌数据集(530例患者)的表达谱显示,PD-L1表达与乳腺癌干性评分之间具有统计学显着相关性(p <0.0001,r = 0.36)。使用ShRNA对PD-L1的特异性敲除显示出它在胚胎干细胞转录因子:OCT-4A,Nanog和干性因子BMI1的表达中的关键作用。相反,这些因素可在正常为PD-L1阴性的细胞中在PD-L1异位表达时被诱导。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。实际上,PD-L1对OCT-4A和Nanog的阳性作用取决于AKT激活。最重要的是,PD-L1的下调分别损害了肿瘤球形成试验和极限稀释试验所表明的乳腺CSCs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方面的新作用,并确定了针对抗PD-L1治疗的亚群及其相关的分子途径。

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