Examination of the Functional Relationship between PD-L1 DNA Methylation and mRNA Expression in Non-Small-Cell Lung

Trine V Larsen1, Nina Dybdal1, Tina F Daugaard1

  • 1Department of Biomedicine, Aarhus University, 8000 Aarhus, Denmark.

Cancers
|March 29, 2023
PubMed

Insights

Investigating programmed death-ligand 1 (PD-L1) DNA methylation in non-small-cell lung cancer (NSCLC) reveals a regulatory link to its expression. However, the weak association suggests further research is needed before using PD-L1 methylation as a biomarker for immunotherapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Immunotherapy targeting programmed cell death protein 1 (PD-1) and programmed death-ligand 1 (PD-L1) interaction is crucial for non-small-cell lung cancer (NSCLC) treatment.
  • PD-L1 expression levels in NSCLC cells are key determinants of treatment efficacy.
  • The precise relationship between PD-L1 DNA methylation and its expression remains incompletely understood.

Purpose of the Study:

  • To investigate the correlation between PD-L1 DNA methylation, mRNA expression, and protein expression in NSCLC.
  • To explore the functional impact of PD-L1 DNA methylation using gene editing technologies.
  • To assess the potential of PD-L1 DNA methylation as a biomarker for PD-1/PD-L1 immunotherapy effectiveness in NSCLC.

Main Methods:

  • Analysis of PD-L1 DNA methylation, mRNA, and protein expression in NSCLC cell lines and tumor biopsies.
  • Utilized clustered regularly interspaced short palindromic repeats-associated protein 9 (CRISPR-Cas9) for genetic modification.
  • Employed dCas9 fusions with TET1 and DNMT3A to manipulate PD-L1 DNA methylation levels.

Main Results:

  • Identified specific CpG sites in NSCLC cell lines where methylation inversely correlated with PD-L1 mRNA expression.
  • Demonstrated that interferon-γ induction of PD-L1 expression did not alter methylation at these sites.
  • Showcased functional impact of methylation: dCas9-DNMT3A induced hyper-methylation and decreased PD-L1 expression, while dCas9-TET1 induced hypo-methylation.
  • Observed a weak inverse correlation between PD-L1 methylation and expression in NSCLC biopsies.

Conclusions:

  • Established a regulatory link between PD-L1 DNA methylation and its expression in NSCLC.
  • The weak association between methylation and expression in clinical samples indicates limitations for current biomarker applications.
  • Further research is essential to determine the utility of PD-L1 DNA methylation as a biomarker and drug target for enhancing PD-1/PD-L1 immunotherapy outcomes in NSCLC.

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