Differential Immune Checkpoint Protein Expression in HNSCC: The Role of HGF/MET Signaling

Verena Boschert1, Johannes Boenke1, Ann-Kathrin Böhm1

  • 1Department of Oral and Maxillofacial Plastic Surgery, University Hospital Wuerzburg, D-97070 Würzburg, Germany.

Insights

VISTA is the most common immune checkpoint ligand in head and neck squamous cell carcinoma (HNSCC) cells. Hepatocyte growth factor (HGF) affects checkpoint ligand expression, potentially influencing treatment resistance in HNSCC.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Immune checkpoint inhibitors targeting PD1/PD-L1 show promise but have limited efficacy in a subset of head and neck squamous cell carcinoma (HNSCC) patients.
  • Non-responding HNSCC tumors may possess alternative immune checkpoints that could be therapeutically targeted.
  • Hepatocyte Growth Factor (HGF) and its receptor MET signaling pathways are implicated in cancer progression and immune evasion.

Purpose of the Study:

  • To investigate the expression profile of various immune checkpoint ligands on HNSCC tumor cell lines.
  • To determine the impact of HGF/MET signaling on the expression of these checkpoint ligands.
  • To identify potential alternative immune targets in HNSCC that do not respond to PD1/PD-L1 blockade.

Main Methods:

  • Utilized mRNA sequencing to identify checkpoint ligand expression in six HNSCC cell lines.
  • Employed antibody-based techniques for validation and quantification of checkpoint ligand expression.
  • Assessed the effect of HGF stimulation on checkpoint ligand levels in HNSCC cell lines.

Main Results:

  • VISTA exhibited the highest and most ubiquitous RNA expression among the investigated checkpoint ligands in HNSCC cell lines.
  • PD-L2 and B7-H3 showed lower and variable expression across cell lines, while B7-H4 was detected only in the Detroit 562 cell line.
  • HGF stimulation enhanced PD-L2 expression but decreased other checkpoint ligands, notably B7-H4, suggesting a complex regulatory role.

Conclusions:

  • VISTA represents a highly expressed and broadly distributed immune checkpoint ligand in HNSCC.
  • HGF signaling differentially modulates immune checkpoint ligand expression in HNSCC, with implications for therapeutic resistance.
  • The interplay between HGF/MET signaling and checkpoint ligands like B7-H4 warrants further investigation, particularly concerning its link to epithelial-mesenchymal transition.

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