Παρασκευή 4 Μαρτίου 2016

PD-L1 expression is regulated by hypoxia inducible factor in clear cell renal cell carcinoma

Abstract

The immune checkpoint protein PD-L1 is aberrantly expressed in several tumor types including clear cell renal cell carcinoma (ccRCC). The mechanism of the upregulation of PD-L1 in ccRCC is still unknown. As the loss of function of the Von Hippel-Lindau protein (pVHL) with the resulting activation of HIF target genes is a hallmark of ccRCC, we asked whether PD-L1 expression might be regulated by HIF.

In our study we demonstrate that ccRCC cell lines with impaired function of pVHL to degrade HIFα express elevated levels of PD-L1. In vitro analysis provided evidence that both reconstitution of pVHL and silencing of HIF2α, but not of HIF1α, lead to reduced PD-L1 expression. The strong correlation of expression between the HIF2α-specific HIF target Glut1 and PD-L1 confirmed this finding in ccRCC cell lines and tissue. Soluble PD-L1 levels remained constant in the sera of ccRCC patients regardless of the PD-L1 expression status in their tumors.

In conclusion, our data suggest PD-L1 as HIF2α target, which is upregulated in pVHL deficient ccRCC. The combination of PD-L1 targeting drugs with HIF inhibiting agents may be an additional option for the treatment of ccRCC. This article is protected by copyright. All rights reserved.



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