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Updated: Dec 1, 2025

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Published on: May 2, 2025
Platelet PD-L1 suppresses anti-cancer immune cell activity in PD-L1 negative tumors
Alexander B Zaslavsky1,2, M P Adams3,4, X Cao3,4
1Department of Urology, University of Michigan Medical School, 3875 Taubman Center, 1500 E. Medical Center Dr., Ann Arbor, MI, USA. azaslavs@med.umich.edu.
Abstract:
Strategies that interfere with the binding of the receptor programmed cell death protein-1 (PD-1) to programmed death ligand-1 (PD-L1) have shown marked efficacy against many advanced cancers, including those that are negative for PD-L1. Precisely why patients with PD-L1 negative tumors respond to PD-1/PD-L1 checkpoint inhibition remains unclear. Here, we show that platelet-derived PD-L1 regulates the growth of PD-L1 negative tumors and that interference with platelet binding to PD-L1 negative cancer cells promotes T cell-induced cancer cytotoxicity. These results suggest that the successful outcomes of PD-L1 based therapies in patients with PD-L1 negative tumors may be explained, in part, by the presence of intra-tumoral platelets. Altogether, our findings demonstrate the impact of non-cancer/non-immune cell sources of PD-L1 in the tumor microenvironment in the promotion of cancer cell immune evasion. Our study also provides a compelling rationale for future testing of PD-L1 checkpoint inhibitor therapies in combination with antiplatelet agents, in patients with PD-L1 negative tumors.
Insights
Platelet-derived programmed death-ligand 1 (PD-L1) fuels PD-L1 negative tumors. Blocking platelet binding to cancer cells enhances anti-tumor immunity, explaining therapy success in PD-L1 negative cancers.
Area of Science:
- Immunology
- Oncology
- Cancer Biology
Background:
- Programmed cell death protein-1 (PD-1) and programmed death-ligand 1 (PD-L1) checkpoint inhibitors are effective cancer therapies.
- The efficacy of these therapies in PD-L1 negative tumors is not fully understood.
Purpose of the Study:
- To investigate the role of platelet-derived PD-L1 in PD-L1 negative tumors.
- To explore the mechanism by which PD-1/PD-L1 inhibition benefits patients with PD-L1 negative tumors.
Main Methods:
- Investigated the function of platelet-derived PD-L1 in regulating tumor growth.
- Examined the effect of blocking platelet binding to cancer cells on T cell-mediated cytotoxicity.
Main Results:
- Platelet-derived PD-L1 was found to regulate the growth of PD-L1 negative tumors.
- Interference with platelet binding to PD-L1 negative cancer cells enhanced T cell-induced cancer cytotoxicity.
- Intra-tumoral platelets may contribute to the success of PD-1/PD-L1 therapies in PD-L1 negative tumors.
Conclusions:
- Non-cancer and non-immune cells, such as platelets, contribute PD-L1 to the tumor microenvironment, promoting immune evasion.
- Combining PD-L1 checkpoint inhibitors with antiplatelet agents may be a promising strategy for treating PD-L1 negative tumors.
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