Anti-CD20 and -PD-1 antibody effects on proliferation, apoptosis and cell cycle of endometrial cancer cells
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Updated: Jul 1, 2026

Platform for Quantitative Detection of Endometrial Immune Cells Based on Immunohistochemistry and Digital Image Analysis
Published on: October 13, 2023
Jinqiu Su1,2, Jiayuan Du1,2, Yaojie Yu1,2
1Department of Gynecology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi 530200, P.R. China.
Abstract:
The present study aimed to systematically evaluate the functional effects of the anti-CD20 antibody Rituximab and the programmed cell death 1 (PD-1/PDCD1) antibody Pembrolizumab on endometrial cancer (EC) cells. The expression levels of membrane spanning 4-domains A1 (MS4A1) and PDCD1 in EC tissues and cells were analyzed using the The Cancer Genome Atlas database with R programming language. The impacts of Rituximab and Pembrolizumab treatment on proliferation, apoptosis and cell cycle progression were assessed in Ishikawa and HEC-1A EC cell lines by means of CCK-8 assays and flow cytometry. Both MS4A1 and PDCD1 were significantly upregulated in EC tissues and cells compared with normal controls. Rituximab and Pembrolizumab demonstrated concentration-dependent inhibitory effects on the proliferation of EC cells, induced cell apoptosis and arrested cell cycle progression. Furthermore, the combination of Rituximab and Pembrolizumab resulted in enhanced and more potent suppression of cancer cell growth than either monotherapy alone. In conclusion, the combination of anti-CD20 antibody and PD-1 antibody exerts synergistic antiproliferative effects on EC cells in vitro.
Insights
This study shows that combining Rituximab (anti-CD20) and Pembrolizumab (anti-PD-1) effectively inhibits endometrial cancer cell growth, inducing apoptosis and cell cycle arrest. This combination therapy offers a promising strategy for endometrial cancer treatment.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Endometrial cancer (EC) remains a significant health concern.
- Targeting cell surface markers and immune checkpoints is a key strategy in cancer therapy.
Purpose of the Study:
- To evaluate the functional effects of Rituximab (anti-CD20) and Pembrolizumab (anti-PD-1) on endometrial cancer cells.
- To investigate the synergistic potential of combining these two antibodies.
Main Methods:
- Analysis of MS4A1 and PDCD1 expression in EC tissues using The Cancer Genome Atlas (TCGA) database and R programming.
- Assessment of cell proliferation, apoptosis, and cell cycle progression in EC cell lines (Ishikawa, HEC-1A) following treatment with Rituximab and Pembrolizumab using CCK-8 assays and flow cytometry.
Main Results:
- Both MS4A1 and PDCD1 were found to be significantly upregulated in EC tissues and cells.
- Rituximab and Pembrolizumab demonstrated dose-dependent inhibition of EC cell proliferation.
- Both antibodies induced apoptosis and cell cycle arrest in EC cells.
- The combination of Rituximab and Pembrolizumab exhibited enhanced and more potent anti-cancer effects compared to monotherapy.
Conclusions:
- The combination of anti-CD20 and PD-1 antibodies exerts synergistic antiproliferative effects on endometrial cancer cells.
- This combination therapy presents a promising therapeutic strategy for endometrial cancer.
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