Targeting the upstream transcriptional activator of PD-L1 as an alternative strategy in melanoma therapy

B Zhu, L Tang, S Chen, C Yin, S Peng, X Li, T Liu… - Oncogene, 2018 - nature.com
B Zhu, L Tang, S Chen, C Yin, S Peng, X Li, T Liu, W Liu, C Han, L Stawski, ZX Xu, G Zhou…
Oncogene, 2018nature.com
Programmed cell death ligand 1 (PD-L1) interacts with programmed cell death protein-1 (PD-
1) as an immune checkpoint. Reactivating the immune response by inhibiting PD-L1 using
therapeutic antibodies provides substantial clinical benefits in many, though not all,
melanoma patients. However, transcriptional suppression of PD-L1 expression as an
alternative therapeutic anti-melanoma strategy has not been exploited. Here we provide
biochemical evidence demonstrating that ultraviolet radiation (UVR) induction of PD-L1 in …
Abstract
Programmed cell death ligand 1 (PD-L1) interacts with programmed cell death protein-1 (PD-1) as an immune checkpoint. Reactivating the immune response by inhibiting PD-L1 using therapeutic antibodies provides substantial clinical benefits in many, though not all, melanoma patients. However, transcriptional suppression of PD-L1 expression as an alternative therapeutic anti-melanoma strategy has not been exploited. Here we provide biochemical evidence demonstrating that ultraviolet radiation (UVR) induction of PD-L1 in skin is directly controlled by nuclear factor E2-related transcription factor 2 (NRF2). Depletion of NRF2 significantly induces tumor infiltration by both CD8+ and CD4+ T cells to suppress melanoma progression, and combining NRF2 inhibition with anti-PD-1 treatment enhanced its anti-tumor function. Our studies identify a critical and targetable PD-L1 upstream regulator and provide an alternative strategy to inhibit the PD-1/PD-L1 signaling in melanoma treatment.
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