Fluorouracil enhances the anti-pancreatic cancer effect of anti-PD-L1 antibodies via up-regulating the expression of PD-L1 in cancer cells

  • 0Department of Oncology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.

Summary

This summary is machine-generated.

Combining fluorouracil (5-FU) with anti-programmed cell death ligand 1 (PD-L1) antibodies enhances immune response in pancreatic cancer models. This combination increases PD-L1 expression and T-cell infiltration, improving anti-PD-L1 therapy effectiveness.

Area Of Science

  • Immunology
  • Oncology
  • Pharmacology

Background

  • Pancreatic cancer has poor prognosis due to late diagnosis and limited treatment options.
  • Programmed cell death ligand 1 (PD-L1) expression is often low in pancreatic cancer, limiting immunotherapy efficacy.
  • Fluorouracil (5-FU) can increase PD-L1 expression in pancreatic cancer cells.

Purpose Of The Study

  • To investigate the synergistic effects of combining 5-FU with anti-PD-L1 antibodies in pancreatic cancer.
  • To provide a rationale for the clinical use of PD-L1 inhibitors in pancreatic cancer treatment.

Main Methods

  • A pancreatic cancer mouse model was established.
  • Mice were treated with a combination of 5-FU and anti-mouse PD-L1 antibodies.
  • Immunohistochemistry and Western blot assays were used to analyze PD-L1 expression, IFN-γ, CD8+ T cell infiltration, and signaling pathways (NF-κB, AKT).

Main Results

  • The combination therapy significantly increased PD-L1 expression, IFN-γ levels, and CD8+ T cell infiltration in tumor tissues.
  • Combined 5-FU and anti-PD-L1 treatment enhanced immune cytotoxicity in vivo.
  • In vitro, 5-FU upregulated PD-L1 via the NF-κB and AKT pathways, an effect reversed by pathway inhibitors.

Conclusions

  • 5-FU can sensitize pancreatic cancer to anti-PD-L1 therapy by upregulating PD-L1 expression through NF-κB and AKT pathways.
  • Combination therapy demonstrates synergistic effects, enhancing anti-tumor immunity and providing a potential therapeutic strategy for pancreatic cancer.

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