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Expression of Immunomodulatory Checkpoint Molecules in Drug-Resistant Neuroblastoma: An Exploratory Study
Nicholas J Skertich1, Fei Chu1, Imad A M Tarhoni2,3
1Department of Surgery, Division of Pediatric Surgery, Rush University Medical Center, Chicago, IL 60612, USA.
Abstract:
Neuroblastoma is a common childhood cancer with poor prognosis when at its advanced stage. Checkpoint molecule inhibition is successful in treating multiple advanced adult cancers. We investigated PD-L1 and other checkpoint molecule expression to determine their roles in drug resistance and usefulness as targets for drug therapy. We developed three doxorubicin-resistant (DoxR) cell lines from parental cell lines. Matrigel in vitro invasion assays were used to compare invasiveness. Western blot assays were used to compare PD-L1 expression. Immuno-oncology checkpoint protein panels were used to compare concentrations of 17 checkpoint molecules both cellular and soluble. PD-L1 and 12 other checkpoint molecules were present in all cell lysates of each cell line without significantly different levels. Three were solubilized in the media of each cell line. PD-L1 is expressed in all DoxR and parental neuroblastoma cells and may be a potential target for drug therapy although its role in drug resistance remains unclear. Benchmarking checkpoint molecules provides the basis for future studies identifying targets for directed therapy and biomarkers for cancer detection or prognosis.
Insights
Neuroblastoma, a childhood cancer, shows PD-L1 expression in resistant cells. This suggests PD-L1 as a potential therapeutic target, though its role in drug resistance requires further investigation.
Area of Science:
- Oncology
- Cancer Biology
- Immunotherapy
Background:
- Neuroblastoma is a prevalent childhood cancer with a poor prognosis in advanced stages.
- Checkpoint molecule inhibition has shown success in treating advanced adult cancers.
Purpose of the Study:
- To investigate the expression of PD-L1 and other checkpoint molecules in neuroblastoma.
- To determine their roles in drug resistance and potential as therapeutic targets.
Main Methods:
- Developed doxorubicin-resistant (DoxR) neuroblastoma cell lines.
- Utilized in vitro invasion assays, Western blot, and immuno-oncology checkpoint protein panels.
- Quantified 17 checkpoint molecules in cellular and soluble fractions.
Main Results:
- PD-L1 and 12 other checkpoint molecules were present in all cell lysates without significant level differences.
- Three checkpoint molecules were found to be soluble in the cell media.
- PD-L1 was expressed in both DoxR and parental neuroblastoma cells.
Conclusions:
- PD-L1 is expressed in neuroblastoma cells and represents a potential therapeutic target.
- The specific role of PD-L1 in neuroblastoma drug resistance remains unclear.
- Benchmarking checkpoint molecules aids in identifying future therapeutic targets and biomarkers.
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