PARD6G mediates resistance to PD-1 immune checkpoint blockade in head and neck squamous cell carcinoma

Wei Xu1, Aibo Xu2, Xiaoting Zhang2

  • 1School of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China; Laboratory Medicine Center, Allergy Center, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang 310014, People's Republic of China; Key Laboratory of Precision Medicine for Head and Neck Cancers of Zhejiang Province, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, China.

Insights

Researchers identified PARD6G as a key gene for predicting head and neck squamous cell carcinoma response to anti-PD-1 immunotherapy. Low PARD6G expression correlates with immune evasion and resistance to treatment.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Head and neck squamous cell carcinoma (HNSCC) shows limited response to immune checkpoint blockade (ICB).
  • Predictive biomarkers are crucial for optimizing ICB therapy in HNSCC patients.
  • Understanding mechanisms of ICB resistance is vital for therapeutic advancement.

Purpose of the Study:

  • To identify novel biomarkers predicting anti-PD-1 therapy response in HNSCC.
  • To elucidate the functional role of PARD6G in HNSCC tumorigenesis and immune evasion.
  • To investigate PARD6G's impact on the tumor immune microenvironment.

Main Methods:

  • Integrative analysis of single-cell and bulk transcriptomic data from HNSCC patients pre- and post-anti-PD-1 treatment.
  • Virtual PARD6G knockout modeling to assess immune cell infiltration.
  • In vitro studies on HNSCC cell proliferation and cell-cycle progression.
  • In vivo xenograft models to evaluate tumor growth and response to anti-PD-1 therapy.

Main Results:

  • PARD6G was identified as a key gene associated with anti-PD-1 therapy response in HNSCC.
  • Low PARD6G expression correlated with increased overall immune infiltration but reduced functional T cell infiltration.
  • PARD6G overexpression suppressed HNSCC growth, while knockdown promoted proliferation and tumor growth.
  • PARD6G-deficient tumors showed resistance to anti-PD-1 treatment and an immunosuppressive immune microenvironment.

Conclusions:

  • PARD6G serves as a novel predictive biomarker for anti-PD-1 efficacy in HNSCC.
  • PARD6G functions as a tumor suppressor in HNSCC, with its loss mediating ICB resistance.
  • Loss of PARD6G reshapes the tumor immune microenvironment, contributing to immunotherapy resistance.