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MTSS1 curtails lung adenocarcinoma immune evasion by promoting AIP4-mediated PD-L1 monoubiquitination and lysosomal degradation.


ABSTRACT: Immune checkpoint blockade (ICB) therapy targeting PD-1/PD-L1 has shown durable clinical benefits in lung cancer. However, many patients respond poorly to ICB treatment, underscoring an incomplete understanding of PD-L1 regulation and therapy resistance. Here, we find that MTSS1 is downregulated in lung adenocarcinoma, leading to PD-L1 upregulation, impairment of CD8+ lymphocyte function, and enhanced tumor progression. MTSS1 downregulation correlates with improved ICB efficacy in patients. Mechanistically, MTSS1 interacts with the E3 ligase AIP4 for PD-L1 monoubiquitination at Lysine 263, leading to PD-L1 endocytic sorting and lysosomal degradation. In addition, EGFR-KRAS signaling in lung adenocarcinoma suppresses MTSS1 and upregulates PD-L1. More importantly, combining AIP4-targeting via the clinical antidepressant drug clomipramine and ICB treatment improves therapy response and effectively suppresses the growth of ICB-resistant tumors in immunocompetent mice and humanized mice. Overall, our study discovers an MTSS1-AIP4 axis for PD-L1 monoubiquitination and reveals a potential combinatory therapy with antidepressants and ICB.

SUBMITTER: Wang Y 

PROVIDER: S-EPMC9944270 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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MTSS1 curtails lung adenocarcinoma immune evasion by promoting AIP4-mediated PD-L1 monoubiquitination and lysosomal degradation.

Wang Yuan Y   Jia Zhenchang Z   Liang Chenxi C   He Yunfei Y   Cong Min M   Wu Qiuyao Q   Tian Pu P   He Dasa D   Miao Xiang X   Sun Beibei B   Yin Yue Y   Peng Chao C   Yao Feng F   Fu Da D   Liang Yajun Y   Zhang Peiyuan P   Xiong Hua H   Hu Guohong G  

Cell discovery 20230221 1


Immune checkpoint blockade (ICB) therapy targeting PD-1/PD-L1 has shown durable clinical benefits in lung cancer. However, many patients respond poorly to ICB treatment, underscoring an incomplete understanding of PD-L1 regulation and therapy resistance. Here, we find that MTSS1 is downregulated in lung adenocarcinoma, leading to PD-L1 upregulation, impairment of CD8<sup>+</sup> lymphocyte function, and enhanced tumor progression. MTSS1 downregulation correlates with improved ICB efficacy in pat  ...[more]

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