Quantifying the contribution of transcription factor activity, mutations and microRNAs to CD274 expression in cancer

Imke B Bruns1, Joost B Beltman2

  • 1Division of Drug Discovery and Safety, Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands.

Scientific Reports
|March 15, 2022
PubMed

Insights

Transcription factor activity, mutations, and microRNAs significantly influence programmed cell death protein 1 ligand 1 (PD-L1) expression. Understanding these factors is key to improving patient response to cancer immunotherapies targeting the PD-1/PD-L1 axis.

Area of Science:

  • Immunology
  • Cancer Biology
  • Bioinformatics

Background:

  • Immune checkpoint inhibitors targeting the programmed cell death protein 1 (PD-1)/programmed cell death protein ligand 1 (PD-L1) axis show success in cancer treatment.
  • Non-response to these therapies is a significant clinical challenge, potentially linked to mechanisms driving high PD-L1 expression.
  • Understanding the regulation of PD-L1 (CD274) is crucial for optimizing immunotherapy efficacy.

Purpose of the Study:

  • To bioinformatically analyze the relative importance of transcription factor (TF) activity, microRNAs (miRNAs), and mutations in determining PD-L1 (CD274) mRNA expression.
  • To identify key regulatory mechanisms contributing to PD-L1 expression variability in cancer patients.

Main Methods:

  • Utilized The Cancer Genome Atlas (TCGA) data for bioinformatic analysis.
  • Developed multiple linear regression models to assess TF activity's impact on CD274 expression using TF target genes.
  • Investigated the role of mutations and miRNA levels in explaining CD274 expression in cases not predicted by TF activity.

Main Results:

  • IRF1, STAT1, NFKB, and BRD4 were identified as the most significant TFs regulating CD274 expression, explaining 90-98% of mRNA levels.
  • For patients with CD274 levels not explained by TF activity, mutations or low miRNA abundance accounted for 81-100% of the remaining cases.
  • TF activity is the primary driver of CD274 expression, with mutations and miRNAs explaining residual variability.

Conclusions:

  • CD274 mRNA expression is predominantly regulated by TF activity, specifically IRF1, STAT1, NFKB, and BRD4.
  • A significant portion of unexplained high CD274 expression can be attributed to genetic mutations or reduced miRNA levels.
  • These findings provide critical insights into PD-L1 regulation, potentially informing strategies to overcome resistance to PD-1/PD-L1 axis inhibitors.