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Hyperresponsiveness to interferon gamma exposure as a response mechanism to anti-PD-1 therapy in microsatellite
Wenli Yuan1, Deyao Deng1, Hongchao Jiang2
1Department of Clinical Laboratory, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, 650021, People's Republic of China.
Abstract:
Colorectal cancer (CRC) with high-level microsatellite instability (MSI-H) tends to be associated with a better response to programmed death receptor-1 (PD-1) blockade than does microsatellite stable CRC. However, emerging evidence makes the use of programmed death ligand-1 (PD-L1) as a biomarker problematic. Here, we sought to characterize the interactions between PD-L1 expression and the response to PD-1 blockade therapy in BALB/c mice with a subcutaneous tumor challenge. We further focused on interferon gamma (IFNγ)-induced PD-L1 expression in an in vitro setting to evaluate the responsiveness to IFNγ exposure and the specific signaling of PD-1 in HCT116 and SW480 cell lines. In this study, enhanced PD-L1 expression increased survival in CT26 cells, and PD-1 blockade increased the CTL profile and apoptotic cells in mice with CRC. Our in vitro findings showed that PD-L1 expression was significantly upregulated by a low-dose IFNγ treatment, and the MSI-H cell line might exhibit hyperresponsiveness to IFNγ exposure partly through the JAK-STAT pathway. These results suggest that intrinsic PD-L1 in cooperation with extrinsic IFNγ exposure in CRC may be more responsive to anti-PD-1 therapy, mainly through the CTL profile in the tumor microenvironment.
Insights
High microsatellite instability (MSI-H) colorectal cancer (CRC) shows promise with PD-1 blockade. Interferon gamma (IFNγ) boosts PD-L1 expression, enhancing anti-PD-1 therapy response in MSI-H CRC via the JAK-STAT pathway.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Colorectal cancer (CRC) with high-level microsatellite instability (MSI-H) generally responds better to programmed death receptor-1 (PD-1) blockade compared to microsatellite-stable CRC.
- The utility of programmed death ligand-1 (PD-L1) as a predictive biomarker for PD-1 blockade therapy is increasingly debated.
- Understanding the interplay between PD-L1 expression and therapeutic response is crucial for optimizing cancer immunotherapy.
Purpose of the Study:
- To investigate the relationship between PD-L1 expression and the efficacy of PD-1 blockade in a murine model of CRC.
- To characterize the in vitro induction of PD-L1 by interferon gamma (IFNγ) and its signaling pathways in CRC cell lines.
- To evaluate the combined effect of intrinsic PD-L1 and IFNγ exposure on anti-PD-1 therapy response.
Main Methods:
- Utilized a subcutaneous tumor challenge model in BALB/c mice with colorectal cancer (CT26 cells).
- Assessed PD-1 blockade efficacy by monitoring survival, cytotoxic T lymphocyte (CTL) profile, and apoptosis.
- Conducted in vitro experiments using HCT116 and SW480 cell lines to study IFNγ-induced PD-L1 expression and JAK-STAT pathway activation.
Main Results:
- Enhanced PD-L1 expression in CT26 cells correlated with increased survival in mice treated with PD-1 blockade.
- PD-1 blockade therapy led to an increased CTL profile and elevated levels of apoptotic cells in CRC-bearing mice.
- In vitro, low-dose IFNγ significantly upregulated PD-L1 expression, with MSI-H cell lines showing potential hyperresponsiveness via the JAK-STAT pathway.
Conclusions:
- Intrinsic PD-L1 expression, particularly when combined with extrinsic IFNγ stimulation, may enhance responsiveness to anti-PD-1 therapy in MSI-H colorectal cancer.
- The CTL profile within the tumor microenvironment appears to be a key mechanism mediating the therapeutic benefits.
- These findings suggest a synergistic approach involving IFNγ and PD-1 blockade could be beneficial for specific CRC patient populations.
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