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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.
Abstract:
Most cancers are resistant to anti-PD-1/PD-L1 and chemotherapy. Herein we identify PDLIM2 as a tumor suppressor particularly important for lung cancer therapeutic responses. While PDLIM2 is epigenetically repressed in human lung cancer, associating with therapeutic resistance and poor prognosis, its global or lung epithelial-specific deletion in mice causes increased lung cancer development, chemoresistance, and complete resistance to anti-PD-1 and epigenetic drugs. PDLIM2 epigenetic restoration or ectopic expression shows antitumor activity, and synergizes with anti-PD-1, notably, with chemotherapy for complete remission of most lung cancers. Mechanistically, through repressing NF-κB/RelA and STAT3, PDLIM2 increases expression of genes involved in antigen presentation and T-cell activation while repressing multidrug resistance genes and cancer-related genes, thereby rendering cancer cells vulnerable to immune attacks and therapies. We identify PDLIM2-independent PD-L1 induction by chemotherapeutic and epigenetic drugs as another mechanism for their synergy with anti-PD-1. These findings establish a rationale to use combination therapies for cancer treatment.
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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