eEF2K promotes PD-L1 stabilization through inactivating GSK3β in melanoma.

eEF2K promotes PD-L1 stabilization through inactivating GSK3β in melanoma.
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eEF2K 通过灭活黑色素瘤中的 GSK3β 促进 PD-L1 稳定

DOI:
10.1136/jitc-2021-004026
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发表时间:
2022-03
影响因子:
10.9
通讯作者:
Cheng Y
Cheng Y
中科院分区:
医学2区
文献类型:
--
作者:
Chen X;Wang K;Jiang S;Sun H;Che X;Zhang M;He J;Wen Y;Liao M;Li X;Zhou X;Song J;Ren X;Yi W;Yang J;Chen X;Yin M;Cheng Y

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针对程序性死亡配体-1(PD-L1)/程序性细胞死亡蛋白-1(PD-1)通路的免疫检查点阻断(ICB)已成为一种有吸引力的癌症治疗策略;然而,不令人满意的疗效限制了其临床益处。因此,更全面地了解PD-L1表达的调控对于开发更有效的癌症免疫疗法至关重要。近年来研究发现,真核细胞延伸因子2激酶(eEF 2K)在促进上皮-间质转化(EMT)、血管生成、肿瘤细胞迁移和侵袭等方面具有重要作用,但其在肿瘤免疫微环境(TIME)调控中的确切作用尚不清楚。在这项研究中,我们使用了38例接受抗PD-1治疗的黑色素瘤患者队列,以探索eEF 2K表达与黑色素瘤免疫治疗疗效之间的相关性。采用免疫沉淀-质谱分析和体外实验研究eEF 2K在调节PD-L1表达中的作用和分子机制。我们还确定了eEF 2K对小鼠黑色素瘤模型中TIME中的肿瘤生长和CD 8 + T细胞的细胞毒性的影响。我们进一步研究了eEF 2K抑制与抗PD-1治疗组合的体内功效。高eEF 2K表达与PD-1单克隆抗体(mAb)治疗的黑色素瘤患者的治疗反应更好和生存期更长相关。此外,eEF 2K蛋白表达与PD-L1蛋白表达呈正相关。从机制上讲,eEF 2K通过在丝氨酸9(S9)处磷酸化糖原合成酶激酶3 β(GSK 3 β)直接结合并使其失活,导致PD-L1蛋白稳定和上调,随后导致肿瘤免疫逃避。eEF 2K的敲低降低了PD-L1表达并增强了CD 8 + T细胞活性,从而显著减弱了体内鼠B16 F10黑色素瘤生长。临床上,p-GSK 3 β/S9表达与eEF 2K和PD-L1的表达以及抗PD-1免疫治疗的应答呈正相关。此外,eEF 2K抑制剂、NH 125治疗或eEF 2K敲低增强了PD-1 mAb治疗在黑色素瘤小鼠模型中的疗效。我们的研究结果表明,eEF 2K可作为预测接受抗PD-1治疗的患者的治疗反应和预后的生物标志物,揭示了eEF 2K通过控制PD-L1表达在调节TIME中的重要作用,并提供了潜在的eEF 2K抑制与ICB治疗的联合治疗策略。
Immune checkpoint blockade (ICB) targeting programmed death ligand-1 (PD-L1)/programmed cell death protein-1 (PD-1) pathway has become an attractive strategy for cancer treatment; however, unsatisfactory efficacy has limited its clinical benefits. Therefore, a more comprehensive understanding of the regulation of PD-L1 expression is essential for developing more effective cancer immunotherapy. Recent studies have revealed the important roles of eukaryotic elongation factor 2 kinase (eEF2K) in promoting epithelial-mesenchymal transition (EMT), angiogenesis, tumor cell migration and invasion; nevertheless, the exact role of eEF2K in the regulation of tumor immune microenvironment (TIME) remains largely unknown. In this study, we used a cohort of 38 patients with melanoma who received anti-PD-1 treatment to explore the association between eEF2K expression and immunotherapy efficacy against melanoma. Immunoprecipitation-mass spectrometry analysis and in vitro assays were used to examine the role and molecular mechanism of eEF2K in regulating PD-L1 expression. We also determined the effects of eEF2K on tumor growth and cytotoxicity of CD8+ T cells in TIME in a mouse melanoma model. We further investigated the efficacy of the eEF2K inhibition in combination with anti-PD-1 treatment in vivo. High eEF2K expression is correlated with better therapeutic response and longer survival in patients with melanoma treated with PD-1 monoclonal antibody (mAb). Moreover, eEF2K protein expression is positively correlated with PD-L1 protein expression. Mechanistically, eEF2K directly bound to and inactivated glycogen synthase kinase 3 beta (GSK3β) by phosphorylating it at serine 9 (S9), leading to PD-L1 protein stabilization and upregulation, and subsequently tumor immune evasion. Knockdown of eEF2K decreased PD-L1 expression and enhanced CD8+ T cell activity, thus dramatically attenuating murine B16F10 melanoma growth in vivo. Clinically, p-GSK3β/S9 expression is positively correlated with the expressions of eEF2K and PD-L1, and the response to anti-PD-1 immunotherapy. Furthermore, eEF2K inhibitor, NH125 treatment or eEF2K knockdown enhanced the efficacy of PD-1 mAb therapy in a melanoma mouse model. Our results suggest that eEF2K may serve as a biomarker for predicting therapeutic response and prognosis in patients receiving anti-PD-1 therapy, reveal a vital role of eEF2K in regulating TIME by controlling PD-L1 expression and provide a potential combination therapeutic strategy of eEF2K inhibition with ICB therapy.
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