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TFEB Mediates Immune Evasion and Resistance to mTOR Inhibition of Renal Cell Carcinoma via Induction of PD-L1

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单位: [1]Huazhong Univ Sci & Technol, Sch Basic Med, Dept Immunol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [2]HUST, Sch Basic Med, Dept Pathol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [3]HUST,Inst Pathol,Tongji Hosp,Tongji Med Coll,Wuhan,Hubei,Peoples R China [4]HUST, Sch Basic Med, Dept Neurobiol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [5]HUST, Union Hosp, Dept Urol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [6]HUST,Tongji Hosp,Tongji Med Coll,Dept Obstet & Gynecol,Wuhan,Hubei,Peoples R China [7]HUST,Tongji Hosp,Dept Surg,Wuhan,Hubei,Peoples R China [8]HUST, Union Hosp, Tongji Med Coll, Lab Cardiovasc Immunol,Inst Cardiol, Wuhan, Hubei, Peoples R China [9]HUST, Union Hosp, Tongji Med Coll, Dept Cardiovasc Surg, Wuhan, Hubei, Peoples R China [10]Univ Coll Hosp, Dept Haematol, London, England
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Purpose: Despite the FDA approval of mTOR inhibitors (mTORi) for the treatment of renal cell carcinoma (RCC), the benefits are relatively modest and the few responders usually develop resistance. We investigated whether the resistance to mTORi is due to upregulation of PD-L1 and the underlying molecular mechanism. Experimental Design: The effects of transcription factor EB (TFEB) on RCC proliferation, apoptosis, and migration were evaluated. Correlation of TFEB with PD-L1 expression, as well as effects of mTOR inhibition on TFEB and PD-L1 expression, was assessed in human primary clear cell RCCs. The regulation of TFEB on PD-L1 was assessed by chromatin immunoprecipitation and luciferase reporter assay. The therapeutic efficacies of mTORi plus PD-L1 blockade were evaluated in a mouse model. The function of tumor-infiltrating CD8(+) T cells was analyzed by flow cytometry. Results: TFEB did not affect tumor cell proliferation, apoptosis, and migration. We found a positive correlation between TFEB and PD- L1 expression in RCC tumor tissues, primary tumor cells, and RCC cells. TFEB bound to PD-L1 promoter in RCCs and inhibition of mTOR led to enhanced TFEB nuclear translocation and PD-L1 expression. Simultaneous inhibition of mTOR and blockade of PD- L1 enhanced CD8(+) cytolytic function and tumor suppression in a xenografted mouse model of RCC. Conclusions: These data revealed that TFEB mediates resistance to mTOR inhibition via induction of PD-L1 in human primary RCC tumors, RCC cells, and murine xenograft model. Our data provide a strong rationale to target mTOR and PD-L1 jointly as a novel immunotherapeutic approach for RCC treatment.

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出版当年[2018]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
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大类 | 1 区 医学
小类 | 2 区 肿瘤学
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Q1 ONCOLOGY
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Q1 ONCOLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Sch Basic Med, Dept Immunol, Tongji Med Coll, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Sch Basic Med, Dept Immunol, Tongji Med Coll, Wuhan, Hubei, Peoples R China [*1]Huazhong Univ Sci & Technol, Tongji Med Coll, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
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