M2-type tumor-associated macrophages upregulated PD-L1 expression in cervical cancer via the PI3K/AKT pathway

Fan Guo1,2, Weina Kong1, Dewei Li3

  • 1Department of Medical Laboratory Center, Tumor Hospital Affiliated to Xinjiang Medical University, State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, No 789 Suzhou Road, Urumqi, 830011, Xinjiang, China.

Abstract

Insights

Tumor-associated macrophages (TAMs), particularly M2-type, enhance PD-L1 expression and promote cervical cancer progression. Targeting TAMs may improve PD-1/PD-L1 inhibitor efficacy in cervical cancer treatment.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Programmed cell death protein 1 (PD-1)/PD-1 ligand (PD-L1) inhibitors show promise in cancer therapy.
  • Cervical cancer (CC) exhibits low response rates to PD-1/PD-L1 inhibitors, linked to immunosuppressive tumor microenvironments (TME).
  • Tumor-associated macrophages (TAMs) contribute to a suppressive TME and influence therapeutic outcomes.

Purpose of the Study:

  • To elucidate the regulatory mechanisms of TAMs on PD-L1 expression in cervical cancer.
  • To investigate the correlation between TAM infiltration and PD-L1 expression in CC patients.
  • To explore the impact of TAMs on CC cell behavior and progression.

Main Methods:

  • Immunohistochemistry to assess PD-L1, CD68, and CD163 expression in CC tissues.
  • Bioinformatics analysis to identify macrophage subtypes involved in PD-L1 regulation.
  • Co-culture models to evaluate TAM effects on CC cell morphology, migration, and invasion, and PD-L1 regulation.

Main Results:

  • PD-L1 expression on tumor cells correlates with poor prognosis and CD163+ TAM infiltration.
  • Bioinformatics analysis indicated associations between PD-L1 expression and M1/M2 TAM infiltration.
  • Co-culture experiments revealed M1/M2 TAMs upregulate PD-L1, with M2 TAMs potentially acting via the PI3K/AKT pathway. TAMs also enhanced CC cell migration and invasion.

Conclusions:

  • PD-L1 expression serves as a prognostic factor in CC, linked to CD163+ TAM infiltration.
  • M2 TAMs upregulate PD-L1 expression in CC cells via the PI3K/AKT pathway, promoting tumor progression.
  • TAMs influence CC cell migration, invasion, and overall tumor progression, suggesting therapeutic targeting potential.

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