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Programmed Death Ligand 1 Indicates Pre-Existing Adaptive Immune Response by Tumor-Infiltrating CD8<sup>+</sup> T Cells in Non-Small Cell Lung Cancer
oleh: Yi-Ming Li, Jing-Min Yu, Zhen-Yu Liu, Hai-Jiao Yang, Juan Tang, Zhi-Nan Chen
Format: | Article |
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Diterbitkan: | MDPI AG 2019-10-01 |
Deskripsi
Aberrant expression of programmed death ligand 1 (PD-L1) on tumor cells impedes antitumor immunity and instigates immune evasion. The remarkable efficacy of immune checkpoint blockade has been confirmed in various solid tumors. However, the correlation between PD-L1 expression and host immunological landscape remains of considerable controversy in non-small cell lung cancer (NSCLC). In the present study, PD-L1 expression and CD8<sup>+</sup> tumor-infiltrating lymphocyte (TIL) infiltration levels were determined by immunohistochemistry (IHC) in tumor sections of 138 NSCLC patients. The expression level of PD-L1 was positively correlated with the abundance of CD8 <sup>+</sup> TILs (<i>p</i> < 0.0001). Furthermore, no constitutive expression of PD-L1 was observed in the majority of six NSCLC cell lines detected by Western blot; but exposure to interferon-γ (IFN-γ), a primary cytokine secreted by activated CD8<sup>+</sup> T cells, prominently increased PD-L1 expression. Notably, a significantly positive association was determined within PD-L1, CD8 and IFN-γ gene expression by qRT-PCR, which was corroborated by RNA-sequencing from TCGA lung cancer dataset. These findings demonstrate that PD-L1 expression indicates an adaptive immune resistance mechanism adopted by tumor cells in the aversion of immunogenic destruction by CD8<sup>+</sup> TILs. Both higher expression of PD-L1 and infiltration of CD8<sup>+</sup> TILs were correlated with superior prognosis (<i>p</i> = 0.044 for PD-L1; <i>p</i> = 0.002 for CD8). Moreover, Cox multivariate regression analysis showed that the combination of PD-L1 and CD8 were independent prognostic factors, which was more accurate in prediction of prognosis in NSCLC than individually. Finally, we found that IFN-γ induced the upregulation of PD-L1 in NSCLC cells, mainly through the JAK/STAT1 signaling pathway. In conclusion, PD-L1 expression is mainly induced by activated CD8<sup>+</sup> TILs via IFN-γ in the immune milieu and indicates pre-existing adaptive immune response in NSCLC.