-Oncogenic and -Inactivating Alterations Are Independent Factors That Affect Regulation of PD-L1 Expression in Lung Cancer.

Maria Saigi, Juan J Alburquerque-Bejar, Anne Mc Leer-Florin, Carolina Pereira, Eva Pros, Octavio A Romero, Nuria Baixeras, Anna Esteve-Codina, Ernest Nadal, Elisabeth Brambilla, Montse Sanchez-Cespedes
Author Information
  1. Maria Saigi: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.
  2. Juan J Alburquerque-Bejar: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.
  3. Anne Mc Leer-Florin: Département d'Anatomie et Cytologie Pathologiques, Pôle de Biologie et Pathologie, CHU Grenoble Alpes, Grenoble and Université Grenoble Alpes, Grenoble, France.
  4. Carolina Pereira: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.
  5. Eva Pros: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.
  6. Octavio A Romero: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.
  7. Nuria Baixeras: Pathology Department, Bellvitge University Hospital, Hospitalet de Llobregat, Barcelona, Spain.
  8. Anna Esteve-Codina: CNAG-CRG, Centre for Genomic Regulation (CRG), Barcelona Institute of Science and Technology (BIST), Barcelona, Spain. ORCID
  9. Ernest Nadal: Department of Medical Oncology, Catalan Institute of Oncology (ICO), Hospitalet de Llobregat, Barcelona, Spain.
  10. Elisabeth Brambilla: Département d'Anatomie et Cytologie Pathologiques, Pôle de Biologie et Pathologie, CHU Grenoble Alpes, Grenoble and Université Grenoble Alpes, Grenoble, France.
  11. Montse Sanchez-Cespedes: Genes and Cancer Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain. mscespedes@idibell.cat.

Abstract

The blockade of immune checkpoints such as PD-L1 and PD-1 is being exploited therapeutically in several types of malignancies. Here, we aimed to understand the contribution of the genetics of lung cancer to the ability of tumor cells to escape immunosurveillance checkpoints. More than 150 primary non-small cell lung cancers, including pulmonary sarcomatoid carcinomas, were tested for levels of the HLA-I complex, PD-L1, tumor-infiltrating CD8 lymphocytes, and alterations in main lung cancer genes. Correlations were validated in cancer cell lines using appropriate treatments to activate or inhibit selected pathways. We also performed RNA sequencing to assess changes in gene expression after these treatments.-oncogenic activation tended to associate with positive PD-L1 immunostaining, whereas mutations were correlated with negative immunostaining. In -altered cancer cells, MET triggered a transcriptional increase of PD-L1 that was independent of the IFNγ-mediated JAK/STAT pathway. The activation of MET also upregulated other immunosuppressive genes ( and ) and transcripts involved in angiogenesis ( and ) and in cell proliferation. We also report recurrent inactivating mutations in that co-occur with alterations in and which prevented the induction of immunoresponse-related genes following treatment with IFNγ. We show that MET activation promotes the expression of several negative checkpoint regulators of the immunoresponse, including PD-L1. In addition, we report inactivation of in lung cancer cells that prevented the response to IFNγ. These alterations are likely to facilitate tumor growth by enabling immune tolerance and may affect the response to immune checkpoint inhibitors. .

MeSH Term

AMP-Activated Protein Kinase Kinases
Adult
Aged
Aged, 80 and over
B7-H1 Antigen
CD8-Positive T-Lymphocytes
Cell Proliferation
Female
Gene Expression Regulation, Neoplastic
Humans
Interferon-gamma
Janus Kinase 2
Lung Neoplasms
Lymphocytes, Tumor-Infiltrating
Male
Middle Aged
Mutation
Neuropilin-1
Programmed Cell Death 1 Ligand 2 Protein
Protein Serine-Threonine Kinases
Proto-Oncogene Proteins c-met
Sequence Analysis, RNA
Suppressor of Cytokine Signaling 1 Protein
Vascular Endothelial Growth Factor A

Chemicals

B7-H1 Antigen
CD274 protein, human
IFNG protein, human
PDCD1LG2 protein, human
Programmed Cell Death 1 Ligand 2 Protein
SOCS1 protein, human
Suppressor of Cytokine Signaling 1 Protein
VEGFA protein, human
Vascular Endothelial Growth Factor A
Neuropilin-1
Interferon-gamma
MET protein, human
Proto-Oncogene Proteins c-met
JAK2 protein, human
Janus Kinase 2
Protein Serine-Threonine Kinases
STK11 protein, human
AMP-Activated Protein Kinase Kinases