PER2 binding to HSP90 enhances immune response against oral squamous cell carcinoma by inhibiting IKK/NF-κB pathway

Zhiwei Zhang1, Deping Sun2, Hong Tang1

  • 1Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

PubMed
Abstract

Insights

The core clock gene Period2 (PER2) suppresses programmed death-ligand 1 (PD-L1) in oral squamous cell carcinoma (OSCC). Targeting PER2 with anti-PD-L1 immunotherapy enhances anti-tumor effects by promoting T-cell infiltration.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology
  • Chronobiology

Background:

  • Programmed death-ligand 1 (PD-L1) promotes tumor immune escape and is a key immunotherapy target.
  • Mechanisms regulating PD-L1 expression are not fully understood, limiting therapeutic development.
  • Oral squamous cell carcinoma (OSCC) is a significant health concern where immune escape is a challenge.

Purpose of the Study:

  • Investigate the role of the core clock gene Period2 (PER2) in regulating PD-L1 expression in OSCC.
  • Elucidate the molecular mechanism by which PER2 influences PD-L1.
  • Evaluate the efficacy of combining PER2 targeting with anti-PD-L1 therapy for OSCC.

Main Methods:

  • Quantitative real-time PCR, western blotting, and immunohistochemistry were used to assess PER2 and PD-L1 expression in OSCC.
  • In vitro and in vivo experiments involved PER2 overexpression and knockdown.
  • Mechanism studies included bioinformatics, immunoprecipitation, GST pull-down, CHX chase assays, and western blotting.
  • A humanized immune reconstitution subcutaneous xenograft mouse model was utilized.

Main Results:

  • PER2 expression was decreased, while PD-L1 expression was increased in OSCC tissues and cells, showing a negative correlation.
  • PER2 inhibited PD-L1 expression and enhanced T-cell-mediated OSCC cell killing by suppressing the IKK/NF-κB pathway.
  • PER2 binds HSP90, reducing HSP90-IKK interaction, promoting IKK ubiquitination, and inhibiting NF-κB signaling, thus suppressing PD-L1.
  • Combination therapy of PER2 targeting and anti-PD-L1 improved OSCC growth inhibition and CD8+ T-cell infiltration in a mouse model.

Conclusions:

  • PER2 plays a crucial role in regulating PD-L1 expression in OSCC.
  • The findings elucidate the molecular mechanism involving PER2, HSP90, and the IKK/NF-κB pathway.
  • PER2 targeting combined with anti-PD-L1 immunotherapy shows potential for clinical application in OSCC treatment.

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