CD137L promotes immune surveillance in melanoma via HLTF regulation

Long Liang1,2, Lin Zhu1,3, Xin Li2

  • 1Department of Dermatology, Xiangya Hospital & School of Life Sciences, Central South University, Changsha, China.

Nature Communications
|September 26, 2025
PubMed

Insights

Boosting CD137L expression in melanoma cells enhances anti-tumor immunity and T cell survival. This finding supports combination therapies with immune checkpoint blockers (ICBs) for improved cancer treatment outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Immune checkpoint blockers (ICBs) show efficacy in various cancers but benefit only a subset of patients.
  • Identifying novel therapeutic targets is crucial to improve ICB response rates.
  • Melanoma treatment with ICBs necessitates understanding mechanisms of resistance and response.

Purpose of the Study:

  • To identify novel therapeutic targets for enhancing ICB efficacy in melanoma.
  • To elucidate the role of CD137L in anti-tumor immunity and ICB response.
  • To explore combination strategies involving CD137L induction and ICBs.

Main Methods:

  • Integration of multi-omics data from melanoma patients treated with ICBs.
  • In vitro and in vivo functional assays to assess CD137L's impact on anti-tumor immunity.
  • Mechanistic studies to identify transcriptional regulators of CD137L.
  • Evaluation of AICAR as a therapeutic agent for CD137L induction.

Main Results:

  • A positive correlation was found between tumor CD137L expression and PD-1 blockade efficacy.
  • CD137L induction in cancer cells enhanced CD8+ T cell survival and anti-tumor immunity.
  • Helicase-like transcription factor (HLTF) was identified as a key regulator of CD137L expression.
  • AICAR, an AMPK agonist, induced CD137L and showed synergistic effects with PD-1 and CTLA-4 blockade.

Conclusions:

  • CD137L plays a critical role in enhancing anti-tumor immunity and ICB efficacy in melanoma.
  • HLTF-mediated regulation of CD137L offers a mechanistic insight into immune response modulation.
  • AICAR-mediated induction of CD137L represents a promising combination therapy strategy to improve melanoma treatment outcomes.