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NEK2 inhibition triggers anti-pancreatic cancer immunity by targeting PD-L1
Xiaozhen Zhang1,2,3,4,5,6, Xing Huang7,8,9,10,11,12, Jian Xu1,2,3,4,5,6
1Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Abstract:
Despite the substantial impact of post-translational modifications on programmed cell death 1 ligand 1 (PD-L1), its importance in therapeutic resistance in pancreatic cancer remains poorly defined. Here, we demonstrate that never in mitosis gene A-related kinase 2 (NEK2) phosphorylates PD-L1 to maintain its stability, causing PD-L1-targeted pancreatic cancer immunotherapy to have poor efficacy. We identify NEK2 as a prognostic factor in immunologically "hot" pancreatic cancer, involved in the onset and development of pancreatic tumors in an immune-dependent manner. NEK2 deficiency results in the suppression of PD-L1 expression and enhancement of lymphocyte infiltration. A NEK binding motif (F/LXXS/T) is identified in the glycosylation-rich region of PD-L1. NEK2 interacts with PD-L1, phosphorylating the T194/T210 residues and preventing ubiquitin-proteasome pathway-mediated degradation of PD-L1 in ER lumen. NEK2 inhibition thereby sensitizes PD-L1 blockade, synergically enhancing the anti-pancreatic cancer immune response. Together, the present study proposes a promising strategy for improving the effectiveness of pancreatic cancer immunotherapy.
Insights
Never in mitosis gene A-related kinase 2 (NEK2) stabilizes programmed cell death 1 ligand 1 (PD-L1), hindering pancreatic cancer immunotherapy. Inhibiting NEK2 enhances immune response and improves treatment efficacy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Post-translational modifications significantly impact programmed cell death 1 ligand 1 (PD-L1) function.
- The role of PD-L1 in pancreatic cancer therapeutic resistance is not well understood.
- Never in mitosis gene A-related kinase 2 (NEK2) involvement in pancreatic cancer immunity requires further elucidation.
Purpose of the Study:
- To investigate the role of NEK2 in PD-L1 stability and its impact on pancreatic cancer immunotherapy.
- To identify NEK2 as a potential prognostic factor and therapeutic target in pancreatic cancer.
- To explore the mechanism by which NEK2 influences PD-L1 expression and immune cell infiltration.
Main Methods:
- Phosphorylation site analysis of PD-L1.
- Interaction studies between NEK2 and PD-L1.
- Assessment of NEK2 deficiency effects on PD-L1 expression and lymphocyte infiltration.
- Evaluation of NEK2 inhibition in combination with PD-L1 blockade in preclinical models.
Main Results:
- NEK2 phosphorylates PD-L1 at T194/T210 residues, stabilizing it and preventing degradation.
- NEK2 deficiency suppresses PD-L1 expression and increases lymphocyte infiltration in pancreatic tumors.
- NEK2 acts as a prognostic factor in immunologically "hot" pancreatic cancer.
- NEK2 inhibition sensitizes tumors to PD-L1 blockade, enhancing anti-cancer immunity.
Conclusions:
- NEK2 stabilizes PD-L1, contributing to immunotherapy resistance in pancreatic cancer.
- Targeting NEK2 offers a promising strategy to improve pancreatic cancer immunotherapy efficacy.
- NEK2 is an immune-dependent factor in pancreatic tumor development and progression.
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