Proximity proteome mapping reveals PD-L1-dependent pathways disrupted by anti-PD-L1 antibody specifically in

Anudari Letian1,2, Eyoel Yemanaberhan Lemma1,3, Paola Cavaliere1

  • 1Department of Biochemistry, Weill Cornell Medicine, 1300 York Ave, New York, NY, 10065, USA.

Abstract

Insights

Targeting PD-L1 (programmed death-ligand 1) shows limited durable responses. New research reveals growth factor control of PD-L1 trafficking and unique PD-L1 functions in mutant EGFR cells, impacting anti-PD-L1 therapy effectiveness.

Area of Science:

  • Molecular and Cellular Biology
  • Cancer Immunology
  • Drug Discovery and Development

Background:

  • Immune checkpoint inhibitor therapy targeting PD-L1 (programmed death-ligand 1) is effective in various solid tumors, including non-small cell lung cancer (NSCLC).
  • Durable responses to anti-PD-L1 therapy are observed in only about 20% of patients, with reasons for response heterogeneity, particularly in mutant EGFR tumors, remaining unclear.
  • Emerging evidence suggests PD-L1 possesses functions independent of PD1 signaling, but their cell-intrinsic roles and impact by anti-PD-L1 therapy across different cancer subtypes are not well understood.

Discussion:

  • Quantitative microscopy and APEX2 proximity mapping were employed to elucidate PD-L1 behavior and its proximal proteome in human lung epithelial cells.
  • The study identified growth factor-mediated regulation of PD-L1 recycling, influencing plasma membrane density and potentially immune checkpoint activity.
  • Novel PD-L1 biology was uncovered in mutant EGFR cells, where anti-PD-L1 therapy affects cell migration, EGFR half-life, and extracellular vesicle biogenesis, unlike in wild-type EGFR cells.

Key Insights:

  • Growth factors acutely regulate PD-L1 trafficking and plasma membrane density, offering a mechanism for controlling PD-L1's immune checkpoint function.
  • Anti-PD-L1 therapy uniquely impacts cell-intrinsic PD-L1 functions in mutant EGFR cells, leading to reduced migration and increased extracellular vesicle production.
  • These distinct effects in mutant EGFR cells may explain the poor response rates observed in mutant EGFR-driven tumors treated with anti-PD-L1 antibodies.

Outlook:

  • Understanding the cell-intrinsic functions of PD-L1 and its regulation by growth factors provides new avenues for improving anti-PD-L1 therapy efficacy.
  • Targeting specific PD-L1-mediated pathways in mutant EGFR tumors could overcome resistance to current immunotherapies.
  • Further research into PD-L1's non-immune roles may reveal novel therapeutic strategies beyond immune checkpoint blockade.