KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC

Abstract Immunotherapy has become a prominent first-line cancer treatment strategy. In non-small cell lung cancer (NSCLC), the expression of PD-L1 induces an immuno-suppressive effect to protect cancer cells from immune elimination, which designates PD-L1 as an important target for immunotherapy. Ho...

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Main Authors: Jinghan Li, Daiwang Shi, Siyi Li, Xiang Shi, Yu Liu, Yi Zhang, Gebang Wang, Chenlei Zhang, Tian Xia, Hai-long Piao, Hong-Xu Liu
Format: Article
Language:English
Published: Nature Publishing Group 2024-02-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-024-06563-3
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author Jinghan Li
Daiwang Shi
Siyi Li
Xiang Shi
Yu Liu
Yi Zhang
Gebang Wang
Chenlei Zhang
Tian Xia
Hai-long Piao
Hong-Xu Liu
author_facet Jinghan Li
Daiwang Shi
Siyi Li
Xiang Shi
Yu Liu
Yi Zhang
Gebang Wang
Chenlei Zhang
Tian Xia
Hai-long Piao
Hong-Xu Liu
author_sort Jinghan Li
collection DOAJ
description Abstract Immunotherapy has become a prominent first-line cancer treatment strategy. In non-small cell lung cancer (NSCLC), the expression of PD-L1 induces an immuno-suppressive effect to protect cancer cells from immune elimination, which designates PD-L1 as an important target for immunotherapy. However, little is known about the regulation mechanism and the function of PD-L1 in lung cancer. In this study, we have discovered that KEAP1 serves as an E3 ligase to promote PD-L1 ubiquitination and degradation. We found that overexpression of KEAP1 suppressed tumor growth and promoted cytotoxic T-cell activation in vivo. These results indicate the important role of KEAP1 in anti-cancer immunity. Moreover, the combination of elevated KEAP1 expression with anti-PD-L1 immunotherapy resulted in a synergistic effect on both tumor growth and cytotoxic T-cell activation. Additionally, we found that the expressions of KEAP1 and PD-L1 were associated with NSCLC prognosis. In summary, our findings shed light on the mechanism of PD-L1 degradation and how NSCLC immune escape through KEAP1-PD-L1 signaling. Our results also suggest that KEAP1 agonist might be a potential clinical drug to boost anti-tumor immunity and improve immunotherapies in NSCLC.
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series Cell Death and Disease
spelling doaj-art-7f628e09e17f4d60891e9c3fea91ddce2025-01-12T12:41:46ZengNature Publishing GroupCell Death and Disease2041-48892024-02-0115211410.1038/s41419-024-06563-3KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLCJinghan Li0Daiwang Shi1Siyi Li2Xiang Shi3Yu Liu4Yi Zhang5Gebang Wang6Chenlei Zhang7Tian Xia8Hai-long Piao9Hong-Xu Liu10Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDalian Institute of Chemical Physics, Chinese Academy of SciencesDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteDepartment of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & InstituteAbstract Immunotherapy has become a prominent first-line cancer treatment strategy. In non-small cell lung cancer (NSCLC), the expression of PD-L1 induces an immuno-suppressive effect to protect cancer cells from immune elimination, which designates PD-L1 as an important target for immunotherapy. However, little is known about the regulation mechanism and the function of PD-L1 in lung cancer. In this study, we have discovered that KEAP1 serves as an E3 ligase to promote PD-L1 ubiquitination and degradation. We found that overexpression of KEAP1 suppressed tumor growth and promoted cytotoxic T-cell activation in vivo. These results indicate the important role of KEAP1 in anti-cancer immunity. Moreover, the combination of elevated KEAP1 expression with anti-PD-L1 immunotherapy resulted in a synergistic effect on both tumor growth and cytotoxic T-cell activation. Additionally, we found that the expressions of KEAP1 and PD-L1 were associated with NSCLC prognosis. In summary, our findings shed light on the mechanism of PD-L1 degradation and how NSCLC immune escape through KEAP1-PD-L1 signaling. Our results also suggest that KEAP1 agonist might be a potential clinical drug to boost anti-tumor immunity and improve immunotherapies in NSCLC.https://doi.org/10.1038/s41419-024-06563-3
spellingShingle Jinghan Li
Daiwang Shi
Siyi Li
Xiang Shi
Yu Liu
Yi Zhang
Gebang Wang
Chenlei Zhang
Tian Xia
Hai-long Piao
Hong-Xu Liu
KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
Cell Death and Disease
title KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
title_full KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
title_fullStr KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
title_full_unstemmed KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
title_short KEAP1 promotes anti-tumor immunity by inhibiting PD-L1 expression in NSCLC
title_sort keap1 promotes anti tumor immunity by inhibiting pd l1 expression in nsclc
url https://doi.org/10.1038/s41419-024-06563-3
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