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Enhancing immunotherapy through -1 upregulation : the promising combination of anti--1 plus m inhibitors
Hernández-Prat, Anna (Institut Hospital del Mar d'Investigacions Mèdiques)
Rodriguez-Vida, Alejo (Hospital del Mar (Barcelona, Catalunya))
Cardona, Laura (Institut Hospital del Mar d'Investigacions Mèdiques)
Qin, Mengjuan (Institut Hospital del Mar d'Investigacions Mèdiques)
Arpí-Llucià, Oriol (Institut Hospital del Mar d'Investigacions Mèdiques)
Soria-Jiménez, Luis (Institut Hospital del Mar d'Investigacions Mèdiques)
Menéndez, Sílvia (Institut Hospital del Mar d'Investigacions Mèdiques)
Quimis, Fabricio Gerel (Institut Hospital del Mar d'Investigacions Mèdiques)
Galindo, Miguel (Institut Hospital del Mar d'Investigacions Mèdiques)
Arriola, Edurne (Institut Hospital del Mar d'Investigacions Mèdiques)
Salido, Marta (Institut Hospital del Mar d'Investigacions Mèdiques)
Juanpere-Rodero, Nuria (Hospital del Mar (Barcelona, Catalunya))
Rojo, Federico (Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz)
Muntasell i Castellví, Aura 1972- (Universitat Autònoma de Barcelona)
Albanell Mestres, Joan (Institut Hospital del Mar d'Investigacions Mèdiques)
Rovira, Ana (Institut Hospital del Mar d'Investigacions Mèdiques)
Bellmunt, Joaquim (Harvard Medical School)

Data: 2024
Resum: Immune checkpoint inhibitors (ICIs) targeting the programmed cell death protein 1 (PD-1)/programmed cell death 1 ligand 1 (PD-L1) pathway have transformed urothelial cancer (UC) therapy. The correlation between PD-L1 expression and ICI effectiveness is uncertain, leaving the role of PD-L1 as a predictive marker for ICI efficacy unclear. Among several ways to enhance the efficacy of ICI, trials are exploring combining ICIs with serine/threonine-protein kinase mTOR (mTOR) inhibitors in different tumor types. The potential interaction between mTOR inhibitors and PD-L1 expression in UC has not been well characterized. In our study, we investigated how phosphoinositide 3-kinase (PI3K)/AKT/mTOR pathway inhibitors (TAK-228, everolimus and TAK-117) affect PD-L1 expression and function in preclinical bladder cancer cell models. TAK-228 increased cell surface levels of glycosylated PD-L1 in all but one of the seven cell lines, regardless of baseline levels. TAK-228 promoted the secretion of epidermal growth factor (EGF) and interferon-β (IFNβ), both linked to PD-L1 protein induction. Blocking EGF and IFNβ receptors reversed the TAK-228-induced PD-L1 increase. Additionally, TAK-228 enhanced IFN-γ-induced PD-L1 expression and intracellular HLA-I levels in some cells. TAK-228-treated bladder cancer cells exhibited resistance to the cytotoxic effects of peripheral blood mononuclear cells (PBMCs) and cluster of differentiation 8 (CD8)+ T cells. The addition of an anti-PD-L1 antibody diminished this resistance in T24 cells. Increased expression of PD-L1 under TAK-228 exposure was confirmed in patient-derived explants (PDEs) treated ex vivo. These preclinical findings suggest that mTOR inhibition with TAK-228 can increase PD-L1 levels, potentially impacting the specific immune response against UC cells. This highlights the rationale for exploring the combination of mTOR inhibitors with ICIs in patients with advanced UC. mTOR inhibition with TAK-228 can increase PD-L1 levels, potentially impacting the specific immune response against bladder cancer cell lines.
Ajuts: Ministerio de Economía y Competitividad CB16/12/00241
Ministerio de Economía y Competitividad PI16/00112
Instituto de Salud Carlos III PI18/00006
Instituto de Salud Carlos III PI21/00002
Agència de Gestió d'Ajuts Universitaris i de Recerca 2017/SGR-507
Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00776
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Bladder cancer ; HLA-I ; Mtor ; PD-L1 ; Tumor microenvironment
Publicat a: Molecular oncology, Vol. 19 (september 2024) , p. 151-172, ISSN 1878-0261

DOI: 10.1002/1878-0261.13699
PMID: 39258533


22 p, 2.3 MB

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