AURKA inhibitor-induced PD-L1 upregulation impairs antitumor immune responses

Front Immunol. 2023 Sep 12:14:1182601. doi: 10.3389/fimmu.2023.1182601. eCollection 2023.

Abstract

Introduction: Tumor immunotherapy targeting PD-L1 has emerged as one of the powerful tools for tumor therapy. Numerous studies indicate that tumor-targeted drugs critically have an influence on the interaction between the immune system and tumors by changing the expression of PD-L1, which is beneficial for immunotherapy. Our study provided novel evidence for improving the drug regimen in tumor targeted therapy and immunotherapy.

Methods: The expression of PD-L1 on SKBR3, MDA-MB-231, MCF7, 4T1, MC38 and B16 cells was evaluated by flow cytometry after treatment with six preclinical targeted drugs (ARN-509, AZD3514, Galeterone, Neratinib, MLN8237 and LGK974). AURKA was knockdowned by using the specific siRNA or CRISPR-Cas9 technology. In the 4T1-breast tumor and colorectal cancer xenograft tumor models, we determined the number of infiltrated CD3+ and CD8+ T cells in tumor tissues by IHC.

Results: We found that AURKA inhibitor MLN8237 promoted the expression of PD-L1 in a time- and concentration-dependent manner while exerted its antitumor effect. Knockdown of AURKA could induce the upregulation of PD-L1 on SKBR3 cells. MLN8237-induced PD-L1 upregulation was mainly associated with the phosphorylation of STAT3. In the 4T1-breast tumor xenograft model, the infiltrated CD3+ and CD8+ T cells decreased after treatment with MLN8237. When treated with MLN8237 in combination with anti-PD-L1 antibody, the volumes of tumor were significantly reduced and accompanied by increasing the infiltration of CD3+ and CD8+ T cells in colorectal cancer xenograft tumor model.

Discussion: Our data demonstrated that MLN8237 improved the effect of immunology-related therapy on tumor cells by interacting with anti-PD-L1 antibody, which contributed to producing creative sparks for exploring the possible solutions to overcoming drug resistance to tumor targeted therapy.

Keywords: AURKA inhibitor; MLN8237; PD-L1; p-STAT3; targeted drugs; tumor immunotherapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aurora Kinase A / metabolism
  • B7-H1 Antigen / metabolism
  • Breast Neoplasms*
  • Colorectal Neoplasms* / drug therapy
  • Female
  • Humans
  • Up-Regulation

Substances

  • AURKA protein, human
  • Aurora Kinase A
  • B7-H1 Antigen

Grants and funding

This work was supported by National Natural Science Foundation of China (81972719, 82003164, 82273207), Jiangsu Province Natural Science Foundation (No. BK20201012), Science and Technology Project of Xuzhou (No. KC20126), National science research in Universities of Jiangsu Province (No. 20KJB320032, No. 21KJA320008), China Postdoctoral Science Foundation funded project (No. 2022M722680), Scientific Research Foundation of Xuzhou Medical University (No. D2019050), Jiangsu Research Innovation Program for College Graduates (No. KYCX20_2459).