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Updated: Aug 6, 2025

Identifying PD-1/PD-L1 Inhibitors with Surface Plasmon Resonance Technology
Published on: May 2, 2025
ACADL suppresses PD-L1 expression to prevent cancer immune evasion by targeting Hippo/YAP signaling in lung
Li Li1,2,3, Ling-Ling Wang1,2, Tao-Li Wang4
1Department of Medical Oncology of the Eastern Hospital, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhong Shan Er Lu, Guangzhou, 510080, China.
Abstract:
Lung cancer is the leading cause of cancer-related death. Cancer immune evasion is a key barrier in the treatment of lung cancer and the development of effective anticancer therapeutics. Long-chain Acyl-CoA dehydrogenase (ACADL), a key enzyme that regulates β-oxidation of long-chain fatty acyl-CoAs, has been found to act as a tumor suppressor in cancers. However, the role of ACADL in lung adenocarcinoma (LUAD) has not been explored. In the current study, we find that ACADL functions as a tumor suppressor in LUAD to inhibit proliferation and enhanced chemotherapeutic drug-induced apoptosis. Interestingly, ACADL prevents tumor immune evasion by suppressing PD-L1 expression in LUAD. ACADL is critical for Hippo/YAP pathway-mediated PD-L1 regulation. Moreover, YAP activation is essential for ACADL suppression of PD-L1 transcription. In addition, ACADL increases the protein stability and kinase activity of LATS kinase to inhibit YAP activation and PD-L1 transcription. Furthermore, we show that ACADL expression is positively correlated with a better OS and FP in LUAD. Our data reveals that ACADL could be a promising target for regulating Hippo/YAP pathway to prevent tumor immune evasion in LUAD.
Insights
Long-chain Acyl-CoA dehydrogenase (ACADL) acts as a tumor suppressor in lung adenocarcinoma (LUAD), inhibiting cancer growth and immune evasion by suppressing PD-L1. This discovery offers a potential new therapeutic target for LUAD treatment.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Lung cancer remains a leading cause of cancer mortality worldwide.
- Cancer immune evasion presents a significant challenge for effective lung cancer treatment.
- Long-chain Acyl-CoA dehydrogenase (ACADL) is recognized as a tumor suppressor, but its role in lung adenocarcinoma (LUAD) is uncharacterized.
Purpose of the Study:
- To investigate the function of ACADL in LUAD.
- To determine ACADL's impact on tumor proliferation, apoptosis, and immune evasion.
- To elucidate the molecular mechanisms underlying ACADL's effects, particularly its regulation of PD-L1 expression via the Hippo/YAP pathway.
Main Methods:
- Analysis of ACADL expression and its correlation with patient outcomes (overall survival and progression-free survival) in LUAD.
- Experimental investigation of ACADL's effects on LUAD cell proliferation and chemosensitivity.
- Exploration of ACADL's role in regulating PD-L1 expression and its connection to the Hippo/YAP signaling pathway, including LATS kinase activity.
Main Results:
- ACADL functions as a tumor suppressor in LUAD, inhibiting cell proliferation and enhancing apoptosis induced by chemotherapeutic drugs.
- ACADL suppresses PD-L1 expression in LUAD, thereby preventing tumor immune evasion.
- ACADL regulates PD-L1 transcription through the Hippo/YAP pathway by increasing LATS kinase activity, which inhibits YAP activation.
- Higher ACADL expression correlates with improved overall survival and progression-free survival in LUAD patients.
Conclusions:
- ACADL acts as a tumor suppressor in LUAD by inhibiting proliferation and immune evasion.
- ACADL's suppression of PD-L1 expression, mediated by the Hippo/YAP pathway, is a key mechanism for preventing immune evasion in LUAD.
- ACADL represents a promising therapeutic target for modulating the Hippo/YAP pathway to enhance LUAD treatment outcomes.
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