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.

Abstract

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.