Zosuquidar Promotes Antitumor Immunity by Inducing Autophagic Degradation of PD-L1

Adv Sci (Weinh). 2024 Nov;11(41):e2400340. doi: 10.1002/advs.202400340. Epub 2024 Sep 4.

Abstract

The intracellular distribution and transportation process are essential for maintaining PD-L1 (programmed death-ligand 1) expression, and intervening in this cellular process may provide promising therapeutic strategies. Here, through a cell-based high content screening, it is found that the ABCB1 (ATP binding cassette subfamily B member 1) modulator zosuquidar dramatically suppresses PD-L1 expression by triggering its autophagic degradation. Mechanistically, ABCB1 interacts with PD-L1 and impairs COP II-mediated PD-L1 transport from ER (endoplasmic reticulum) to Golgi apparatus. The treatment of zosuquidar enhances ABCB1-PD-L1 interaction and leads the ER retention of PD-L1, which is subsequently degraded in the SQSTM1-dependent selective autophagy pathway. In CT26 mouse model and a humanized xenograft mouse model, zosuquidar significantly suppresses tumor growth and accompanies by increased infiltration of cytotoxic T cells. In summary, this study indicates that ABCB1 serves as a negative regulator of PD-L1, and zosuquidar may act as a potential immunotherapy agent by triggering PD-L1 degradation in the early secretory pathway.

Keywords: ABCB1; ER retention; PD‐L1; autophagy; zosuquidar.

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • ATP Binding Cassette Transporter, Subfamily B / metabolism
  • Animals
  • Autophagy*
  • B7-H1 Antigen* / genetics
  • B7-H1 Antigen* / immunology
  • B7-H1 Antigen* / metabolism
  • Cell Line, Tumor
  • Disease Models, Animal
  • Humans
  • Mice

Substances

  • B7-H1 Antigen
  • CD274 protein, human
  • ATP Binding Cassette Transporter, Subfamily B
  • ABCB1 protein, human