Causative role of PDLIM2 epigenetic repression in lung cancer and therapeutic resistance

Fan Sun1,2, Liwen Li1,2, Pengrong Yan1,2,3

  • 1UPMC Hillman Cancer Center, Pittsburgh, PA, 15213, USA.

Nature Communications
|November 24, 2019
PubMed

Insights

This study identifies PDLIM2 as a tumor suppressor crucial for lung cancer treatment. Restoring PDLIM2 enhances responses to immunotherapy and chemotherapy, offering new combination therapy strategies.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Most cancers exhibit resistance to current therapies like anti-PD-1/PD-L1 and chemotherapy.
  • Tumor suppressor PDLIM2 is epigenetically repressed in lung cancer, correlating with poor prognosis and therapeutic resistance.

Purpose of the Study:

  • To identify novel therapeutic targets for overcoming cancer treatment resistance.
  • To investigate the role of PDLIM2 in lung cancer development and response to therapy.

Main Methods:

  • Analysis of PDLIM2 epigenetic status in human lung cancer.
  • Generation of global and lung epithelial-specific PDLIM2-deficient mouse models.
  • Evaluation of PDLIM2 restoration and combination therapies (anti-PD-1, chemotherapy, epigenetic drugs) in preclinical models.

Main Results:

  • PDLIM2 deficiency in mice led to increased lung cancer, chemoresistance, and resistance to anti-PD-1 and epigenetic drugs.
  • PDLIM2 restoration or ectopic expression demonstrated antitumor activity and synergized with anti-PD-1 and chemotherapy, achieving complete remission in most lung cancers.
  • PDLIM2 represses NF-κB/RelA and STAT3, enhancing antigen presentation and T-cell activation while reducing multidrug resistance genes.

Conclusions:

  • PDLIM2 is a critical tumor suppressor for lung cancer therapeutic responses.
  • Restoring PDLIM2 function or using combination therapies involving PDLIM2 agonists represents a promising strategy for treating lung cancer.
  • PDLIM2-independent PD-L1 induction by drugs also contributes to synergistic effects with anti-PD-1 therapy.

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