Effect of PTEN Overexpression Plus Anti-PD-1 on Immune Escape in Oral Squamous Cell Carcinoma

Jiaxin Luo1, Yang Yang1, Yuanyang Li1

  • 1Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital, Southwest Medical University, Luzhou, China.

Oral Diseases
|July 20, 2025
PubMed
Abstract

Insights

Restoring Phosphatase and tensin homolog (PTEN) in oral squamous cell carcinoma (OSCC) boosts CD8+ T-cell immunity. This suggests PTEN upregulation is a promising immunotherapy strategy for OSCC, potentially improving patient outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Phosphatase and tensin homolog (PTEN) is a key regulator of tumor cell behavior, including proliferation, apoptosis, and migration.
  • The role of PTEN in immune evasion and its potential in combination immunotherapy for oral squamous cell carcinoma (OSCC) is not well understood.

Purpose of the Study:

  • To investigate the mechanisms by which PTEN influences immune escape in OSCC.
  • To evaluate the efficacy of PTEN modulation in combination with immune checkpoint inhibitors for OSCC treatment.

Main Methods:

  • Analysis of PTEN and PD-L1 expression in OSCC tissues and cell lines.
  • Western blotting and T-cell cytotoxicity assays to assess PTEN's role in PD-L1 regulation and immune evasion.
  • In vivo studies using humanized xenograft mice to evaluate PTEN-based therapies, alone and with immune checkpoint inhibitors.

Main Results:

  • Reduced PTEN and elevated PD-L1 expression correlated with advanced clinical stage, lymph node metastasis, and decreased CD8+ T-cell infiltration in OSCC.
  • Lower PTEN and higher PD-L1 levels were associated with poorer patient survival.
  • PTEN overexpression inhibited PI3K/AKT signaling, suppressed PD-L1, and enhanced cytotoxic T-cell activity in vitro.
  • Upregulating PTEN, alone or with anti-PD-1 therapy, reduced tumor progression and increased CD8+ T-cell infiltration in vivo.

Conclusions:

  • PTEN upregulation enhances the antitumor immune response mediated by CD8+ T-cells.
  • Modulating PTEN presents a potential immunotherapy strategy for oral squamous cell carcinoma.