[HTML][HTML] Deglycosylation of PD-L1 by 2-deoxyglucose reverses PARP inhibitor-induced immunosuppression in triple-negative breast cancer

B Shao, CW Li, SO Lim, L Sun, YJ Lai… - American journal of …, 2018 - ncbi.nlm.nih.gov
B Shao, CW Li, SO Lim, L Sun, YJ Lai, J Hou, C Liu, CW Chang, Y Qiu, JM Hsu, LC Chan
American journal of cancer research, 2018ncbi.nlm.nih.gov
Triple-negative breast cancer (TNBC), the most difficult-to-treat breast cancer subtype, lacks
well-defined molecular targets. TNBC has increased programmed death-ligand 1 (PD-L1)
expression, and its immunosuppressive nature makes it suitable for immune checkpoint
blockade therapy. However, the response rate of TNBC to anti-PD-L1 or anti-programmed
cell death protein 1 (PD-1) therapy remains unsatisfactory, as only 10-20% of TNBC patients
have a partial response. Glycosylated PD-L1, the functional form of PD-L1, is required for PD …
Abstract
Triple-negative breast cancer (TNBC), the most difficult-to-treat breast cancer subtype, lacks well-defined molecular targets. TNBC has increased programmed death-ligand 1 (PD-L1) expression, and its immunosuppressive nature makes it suitable for immune checkpoint blockade therapy. However, the response rate of TNBC to anti-PD-L1 or anti-programmed cell death protein 1 (PD-1) therapy remains unsatisfactory, as only 10-20% of TNBC patients have a partial response. Glycosylated PD-L1, the functional form of PD-L1, is required for PD-L1-PD-1 interaction. TNBC cells have significantly higher levels of glycosylated PD-L1 than non-TNBC cells do. In a screening of glucose analogs to block PD-L1 glycosylation, we found that 2-deoxyglucose (2-DG) can act as a glucose analog to decrease PD-L1 glycosylation. Because PARP inhibition upregulates PD-L1, 2-DG reduced PARP inhibition-mediated expression of glycosylated PD-L1. The combination of PARP inhibition and 2-DG had potent anti-tumor activity. Together, our results provide a strong rationale for investigating the targeting of PD-L1 glycosylation in TNBC further.
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