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B7-H4 Immune Checkpoint Protein Affects Viability and Targeted Therapy of Renal Cancer Cells
Maite Emaldi1, Caroline E Nunes-Xavier1,2
1Biomarkers in Cancer Unit, Biocruces Bizkaia Health Research Institute, Plaza de Cruces 12, 48903 Barakaldo, Spain.
Abstract:
Targeted therapy in combination with immune checkpoint inhibitors has been recently implemented in advanced or metastatic renal cancer treatment. However, many treated patients either do not respond or develop resistance to therapy, making alternative immune checkpoint-based immunotherapies of potential clinical benefit for specific groups of patients. In this study, we analyzed the global expression of B7 immune checkpoint family members (PD-L1, PD-L2, B7-H2, B7-H3, B7-H4, B7-H5, B7-H6, and B7-H7) in human renal cancer cells (Caki-1, A-498, and 786-O cell lines) upon treatment with clinically relevant targeted drugs, including tyrosine kinase inhibitors (Axitinib, Cabozantinib, and Lenvatinib) and mTOR inhibitors (Everolimus and Temsirolimus). Gene expression analysis by quantitative PCR revealed differential expression patterns of the B7 family members in renal cancer cell lines upon targeted drug treatments. B7-H4 gene expression was upregulated after treatment with various targeted drugs in Caki-1 and 786-O renal cancer cells. Knocking down the expression of B7-H4 by RNA interference (RNAi) using small interfering RNA (siRNA) decreased renal cancer cell viability and increased drug sensitivity. Our results suggest that B7-H4 expression is induced upon targeted therapy in renal cancer cells and highlight B7-H4 as an actionable immune checkpoint protein in combination with targeted therapy in advanced renal cancer cases resistant to current treatments.
Insights
Targeted therapy resistance in renal cancer may be overcome by targeting B7-H4. This immune checkpoint protein is upregulated by targeted drugs, and its inhibition reduces cancer cell viability and improves drug sensitivity.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Advanced renal cancer treatment often combines targeted therapy with immune checkpoint inhibitors.
- Therapeutic resistance and lack of response are significant challenges in current treatment protocols.
- Alternative immunotherapies targeting immune checkpoints may benefit specific patient populations.
Purpose of the Study:
- To investigate the expression of B7 immune checkpoint family members in renal cancer cells after targeted drug treatment.
- To identify potential actionable targets for overcoming resistance in advanced renal cancer.
Main Methods:
- Analysis of B7 family gene expression (PD-L1, PD-L2, B7-H2, B7-H3, B7-H4, B7-H5, B7-H6, B7-H7) in human renal cancer cell lines (Caki-1, A-498, 786-O).
- Treatment of cell lines with tyrosine kinase inhibitors (Axitinib, Cabozantinib, Lenvatinib) and mTOR inhibitors (Everolimus, Temsirolimus).
- Gene expression analysis using quantitative PCR and RNA interference (RNAi) with small interfering RNA (siRNA) to knock down B7-H4 expression.
Main Results:
- Differential expression patterns of B7 family members were observed in renal cancer cell lines following targeted drug treatments.
- B7-H4 gene expression was significantly upregulated in Caki-1 and 786-O cells after treatment with various targeted drugs.
- Knockdown of B7-H4 expression using siRNA led to decreased renal cancer cell viability and enhanced sensitivity to drugs.
Conclusions:
- B7-H4 expression is induced by targeted therapy in renal cancer cells.
- B7-H4 represents a potential actionable immune checkpoint target for combination therapy.
- Targeting B7-H4 may offer a therapeutic strategy for advanced renal cancer resistant to current treatments.
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