eIF5B drives integrated stress response-dependent translation of PD-L1 in lung cancer

S Suresh, BB Chen, J Zhu, RJ Golden, C Lu, BM Evers… - Nature cancer, 2020 - nature.com
S Suresh, BB Chen, J Zhu, RJ Golden, C Lu, BM Evers, N Novaresi, B Smith, X Zhan…
Nature cancer, 2020nature.com
Cancer cells express high levels of programmed death ligand 1 (PD-L1), a ligand of the
programmed cell death protein 1 (PD-1) receptor on T cells, allowing tumors to suppress T
cell activity. Clinical trials utilizing antibodies that disrupt the PD-1/PD-L1 checkpoint have
yielded remarkable results, with anti-PD-1 immunotherapy approved as a first-line therapy
for patients with lung cancer. We used CRISPR-based screening to identify regulators of PD-
L1 in human lung cancer cells, revealing potent induction of PD-L1 upon disruption of heme …
Abstract
Cancer cells express high levels of programmed death ligand 1 (PD-L1), a ligand of the programmed cell death protein 1 (PD-1) receptor on T cells, allowing tumors to suppress T cell activity. Clinical trials utilizing antibodies that disrupt the PD-1/PD-L1 checkpoint have yielded remarkable results, with anti-PD-1 immunotherapy approved as a first-line therapy for patients with lung cancer. We used CRISPR-based screening to identify regulators of PD-L1 in human lung cancer cells, revealing potent induction of PD-L1 upon disruption of heme biosynthesis. Impairment of heme production activates the integrated stress response, allowing bypass of inhibitory upstream open reading frames in the PD-L1 5′ untranslated region, resulting in enhanced PD-L1 translation and suppression of anti-tumor immunity. We demonstrate that integrated stress-response-dependent PD-L1 translation requires the translation initiation factor eIF5B. eIF5B overexpression, which is frequent in lung adenocarcinomas and associated with poor prognosis, is sufficient to induce PD-L1. These findings illuminate mechanisms of immune checkpoint activation and identify targets for therapeutic intervention.
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