Targeting ubiquitin-specific protease 8 sensitizes anti-programmed death-ligand 1 immunotherapy of pancreatic cancer

  • Cell Death Differ. 2022 Dec 20. doi: 10.1038/s41418-022-01102-z.
Hanshen Yang  #  1  2  3  4  5  6 Xiaozhen Zhang  #  1  2  3  4  5  6 Mengyi Lao  1  2  3  4  5  6 Kang Sun  1  2  3  4  5  6 Lihong He  1  2  3  4  5  6 Jian Xu  1  2  3  4  5  6 Yi Duan  1  2  3  4  5  6 Yan Chen  1  2  3  4  5  6 Honggang Ying  1  2  3  4  5  6 Muchun Li  1  2  3  4  5  6 Chengxiang Guo  1  2  3  4  5  6 Qingsong Lu  1  2  3  4  5  6 Sicheng Wang  1  2  3  4  5  6 Wei Su  1  2  3  4  5  6 Tingbo Liang  7  8  9  10  11  12 Xueli Bai  13  14  15  16  17  18
Affiliations
  • 1. Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
  • 2. Zhejiang Provincial Key Laboratory of Pancreatic Disease, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
  • 3. Innovation Center for the Study of Pancreatic Diseases, Hangzhou, Zhejiang, China.
  • 4. Zhejiang Clinical Research Center of Hepatobiliary and Pancreatic Disease, Hangzhou, Zhejiang, China.
  • 5. Zhejiang University Cancer Center, Hangzhou, Zhejiang, China.
  • 6. Research Center for Healthcare Data Science, Zhejiang Lab, Hangzhou, Zhejiang, China.
  • 7. Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China. [email protected].
  • 8. Zhejiang Provincial Key Laboratory of Pancreatic Disease, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China. [email protected].
  • 9. Innovation Center for the Study of Pancreatic Diseases, Hangzhou, Zhejiang, China. [email protected].
  • 10. Zhejiang Clinical Research Center of Hepatobiliary and Pancreatic Disease, Hangzhou, Zhejiang, China. [email protected].
  • 11. Zhejiang University Cancer Center, Hangzhou, Zhejiang, China. [email protected].
  • 12. Research Center for Healthcare Data Science, Zhejiang Lab, Hangzhou, Zhejiang, China. [email protected].
  • 13. Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China. [email protected].
  • 14. Zhejiang Provincial Key Laboratory of Pancreatic Disease, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China. [email protected].
  • 15. Innovation Center for the Study of Pancreatic Diseases, Hangzhou, Zhejiang, China. [email protected].
  • 16. Zhejiang Clinical Research Center of Hepatobiliary and Pancreatic Disease, Hangzhou, Zhejiang, China. [email protected].
  • 17. Zhejiang University Cancer Center, Hangzhou, Zhejiang, China. [email protected].
  • 18. Research Center for Healthcare Data Science, Zhejiang Lab, Hangzhou, Zhejiang, China. [email protected].
  • # Contributed equally.
Abstract

Programmed death-1 (PD-1) and its ligand programmed death-ligand 1 (PD-L1) help tumor cells evade immune surveillance, and are regarded as important targets of anti-tumor immunotherapy. Post-translational modification of PD-L1 has potential value in immunosuppression. Here, we identified that Ubiquitin-Specific Protease 8 (USP8) deubiquitinates PD-L1. Pancreatic Cancer tissues exhibited significantly increased USP8 levels compared with those in normal tissues. Clinically, the expression of USP8 showed a significant association with the tumor-node-metastasis stage in multiple patient-derived cohorts of pancreatic Cancer. Meanwhile, USP8 deficiency could reduce tumor invasion and migration and tumor size in an immunity-dependent manner, and improve anti-tumor immunogenicity. USP8 Inhibitor pretreatment led to reduced tumorigenesis and immunocompetent mice with USP8 knockdown tumors exhibited extended survival. Moreover, USP8 interacted positively with PD-L1 and upregulated its expression by inhibiting the ubiquitination-regulated Proteasome degradation pathway in pancreatic Cancer. Combination therapy with a USP8 Inhibitor and anti-PD-L1 effectively suppressed pancreatic tumor growth by activation of cytotoxic T-cells and the anti-tumor immunity was mainly dependent on the PD-L1 pathway and CD8 + T cells. Our findings highlight the importance of targeting USP8, which can sensitize PD-L1-targeted pancreatic Cancer to immunotherapy and might represent a novel therapeutic strategy to treat patients with pancreatic tumors in the future.

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