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Updated: Aug 25, 2025

Multiplexed Immunofluorescence Analysis and Quantification of Intratumoral PD-1+ Tim-3+ CD8+ T Cells
Published on: February 8, 2018
Regulation of programmed death ligand 1 (PD-L1) expression by TNF-related apoptosis-inducing ligand (TRAIL) in
Julio M Pimentel1,2,3, Jun-Ying Zhou1,3, Gen Sheng Wu1,2,3,4
1Molecular Therapeutics Program, Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, Michigan, USA.
Abstract:
Triple-negative breast cancer (TNBC) is an aggressive form of breast cancer that lacks targeted therapies. Previous studies have shown that TNBC cells are highly sensitive to tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), making it a promising agent for treating TNBC. However, the development of TRAIL resistance limits its further clinical development, and the underlying mechanisms are not fully understood. In this study, we report the role of PD-L1 in TRAIL resistance. Specifically, we found that TRAIL treatment increases PD-L1 expression in TRAIL-sensitive cells and that basal PD-L1 expression is increased in acquired TRAIL-resistant cells. Mechanistically, we found that increased PD-L1 expression was accompanied by increased extracellular signal-regulated kinase (ERK) activation. Using both genetic and pharmacological approaches, we showed that knockdown of ERK by siRNA or inhibition of ERK activation by the mitogen-activated protein kinase kinase inhibitor U0126 decreased PD-L1 expression and increased TRAIL-induced cell death. Furthermore, we found that knockout or knockdown of PD-L1 enhances TRAIL-induced apoptosis, suggesting that PD-L1-mediated TRAIL resistance is independent of its ability to evade immune suppression. Therefore, this study identifies a noncanonical mechanism by which PD-L1 promotes TRAIL resistance, which can be potentially exploited for immune checkpoint therapy.
Insights
Triple-negative breast cancer (TNBC) exhibits resistance to tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) therapy. This study reveals that Programmed Death-Ligand 1 (PD-L1) promotes TRAIL resistance via extracellular signal-regulated kinase (ERK) activation, offering new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking targeted treatments.
- Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) shows promise for TNBC but faces resistance.
- Mechanisms of TRAIL resistance in TNBC are not fully understood.
Purpose of the Study:
- To investigate the role of Programmed Death-Ligand 1 (PD-L1) in TRAIL resistance in TNBC.
- To elucidate the underlying molecular mechanisms linking PD-L1 to TRAIL resistance.
- To explore potential therapeutic strategies targeting PD-L1 for overcoming TRAIL resistance.
Main Methods:
- Analysis of PD-L1 expression in TRAIL-sensitive and resistant TNBC cells.
- Investigating the role of extracellular signal-regulated kinase (ERK) pathway in regulating PD-L1.
- Utilizing siRNA and pharmacological inhibitors (U0126) to modulate ERK and PD-L1.
- Assessing the impact of PD-L1 manipulation on TRAIL-induced apoptosis.
Main Results:
- TRAIL treatment increased PD-L1 expression in sensitive cells; resistant cells showed higher basal PD-L1.
- Increased PD-L1 expression correlated with elevated ERK activation.
- ERK inhibition (U0126) or knockdown reduced PD-L1 and enhanced TRAIL-induced cell death.
- PD-L1 knockout/knockdown potentiated TRAIL-induced apoptosis, independent of immune evasion.
Conclusions:
- PD-L1 plays a significant role in mediating TRAIL resistance in TNBC through a noncanonical mechanism.
- The ERK pathway regulates PD-L1 expression, contributing to TRAIL resistance.
- Targeting PD-L1, potentially in combination with TRAIL, could overcome therapeutic resistance in TNBC.
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