eIF5B drives integrated stress response-dependent translation of PD-L1 in lung cancer

Nat Cancer. 2020 May;1(5):533-545. doi: 10.1038/s43018-020-0056-0. Epub 2020 Apr 20.

Abstract

Cancer cells express high levels of PD-L1, a ligand of the PD-1 receptor on T cells, allowing tumors to suppress T cell activity. Clinical trials utilizing antibodies that disrupt the PD-1/PD-L1 checkpoint have yielded remarkable results, with anti-PD-1 immunotherapy approved as first-line therapy for lung cancer patients. We used CRISPR-based screening to identify regulators of PD-L1 in human lung cancer cells, revealing potent induction of PD-L1 upon disruption of heme biosynthesis. Impairment of heme production activates the integrated stress response (ISR), allowing bypass of inhibitory upstream open reading frames in the PD-L1 5' UTR, resulting in enhanced PD-L1 translation and suppression of anti-tumor immunity. We demonstrated that ISR-dependent PD-L1 translation requires the translation initiation factor eIF5B. eIF5B overexpression, which is frequent in lung adenocarcinomas and associated with poor prognosis, is sufficient to induce PD-L1. These findings illuminate mechanisms of immune checkpoint activation and identify targets for therapeutic intervention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • B7-H1 Antigen* / genetics
  • Eukaryotic Initiation Factors* / genetics
  • Heme / biosynthesis
  • Humans
  • Lung Neoplasms* / genetics

Substances

  • B7-H1 Antigen
  • Eukaryotic Initiation Factors
  • eukaryotic initiation factor-5B
  • Heme