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KLF12 overcomes anti-PD-1 resistance by reducing galectin-1 in cancer cells
Yujia Zheng1,2, Hao Zhang1, Chu Xiao1
1Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Backgrounds:
Immune checkpoint blockade has revolutionized cancer treatment and has improved the survival of a subset of patients with cancer. However, numerous patients do not benefit from immunotherapy, and treatment resistance is a major challenge. Krüppel-like factor 12 (KLF12) is a transcriptional inhibitor whose role in tumor immunity is unclear.
Methods:
We demonstrated a relationship between KLF12 and CD8+ T cells in vivo and in vitro by flow cytometry. The role and underlying mechanism that KLF12 regulates CD8+ T cells were investigated using reverse transcription and quantitative PCR, western blot FACS, chromatin immunoprecipitation-PCR and Dual-Luciferase reporter assays, etc, and employing small interfering RNA (siRNA) and inhibitors. In vivo efficacy studies were conducted with multiple mouse tumor models, employing anti-programmed cell death protein 1 combined with KLF12 or galectin-1 (Gal-1) inhibitor.
Results:
Here, we found that the expression of tumor KLF12 correlates with immunotherapy resistance. KLF12 suppresses CD8+ T cells infiltration and function in vitro and in vivo. Mechanistically, KLF12 inhibits the expression of Gal-1 by binding with its promoter, thereby improving the infiltration and function of CD8+ T cells, which plays a vital role in cancer immunotherapy.
Conclusions:
This work identifies a novel pathway regulating CD8+ T-cell intratumoral infiltration, and targeting the KLF12/Gal-1 axis may serve as a novel therapeutic target for patients with immunotherapy resistance.
Insights
Krüppel-like factor 12 (KLF12) hinders anti-cancer immune cell activity, contributing to immunotherapy resistance. Inhibiting KLF12 and Galectin-1 (Gal-1) may overcome this resistance by enhancing CD8+ T cell function.
Area of Science:
- Immunology
- Cancer Biology
- Molecular Biology
Background:
- Immune checkpoint blockade has transformed cancer therapy but faces challenges due to treatment resistance in many patients.
- The role of Krüppel-like factor 12 (KLF12), a transcriptional inhibitor, in tumor immunity remains largely unexplored.
- Understanding factors that limit immunotherapy efficacy is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of KLF12 in regulating anti-tumor immunity and its association with immunotherapy resistance.
- To elucidate the molecular mechanisms by which KLF12 affects CD8+ T cell infiltration and function within the tumor microenvironment.
- To identify potential therapeutic targets for overcoming immunotherapy resistance.
Main Methods:
- Flow cytometry was used to assess the relationship between KLF12 and CD8+ T cells.
- Molecular techniques including qPCR, Western blot, ChIP-PCR, and luciferase assays were employed to study KLF12's regulatory mechanisms.
- In vivo studies utilized mouse tumor models, testing combination therapies involving anti-PD-1 and KLF12 or Galectin-1 inhibitors.
Main Results:
- Tumor KLF12 expression was found to correlate with resistance to cancer immunotherapy.
- KLF12 was demonstrated to suppress both the infiltration and function of CD8+ T cells in vitro and in vivo.
- KLF12 inhibits Galectin-1 (Gal-1) expression by binding to its promoter, thereby enhancing CD8+ T cell activity.
Conclusions:
- KLF12 negatively regulates CD8+ T cell infiltration and function, contributing to immunotherapy resistance.
- The KLF12/Gal-1 signaling axis represents a novel pathway influencing anti-tumor immunity.
- Targeting the KLF12/Gal-1 axis offers a potential therapeutic strategy for patients resistant to current immunotherapies.
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