Reverse signaling via PD-L1 supports malignant cell growth and survival in classical Hodgkin lymphoma

Blood Cancer J. 2019 Feb 19;9(3):22. doi: 10.1038/s41408-019-0185-9.

Abstract

Treatment with programmed death-1 (PD-1) blocking antibodies results in high overall response rates in refractory and relapsed classical Hodgkin lymphoma (cHL) patients, indicating that PD-1/PD-1 ligand interactions are integral to progression of this disease. Given the genetically driven increased PD-L1/2 expression in HL, we hypothesized that reverse signaling through PD-1 ligands may be a potential mechanism contributing to the growth and survival of Hodgkin Reed-Sternberg (HRS) cells in cHL. Our data show that engagement of PD-L1 using an agonistic monoclonal antibody increases cell survival and proliferation and reduces apoptosis in HL cell lines. We show that HL patients have significantly higher serum levels of soluble PD-1 than healthy controls, and find that both membrane-bound and soluble forms of PD-1 are able to induce PD-L1 reverse signaling in HL cell lines. PD-L1 signaling, which is associated with activation of the MAPK pathway and increased mitochondrial oxygen consumption, is reversed by PD-1 blockade. In summary, our data identify inhibition of reverse signaling through PD-L1 as an additional mechanism that accounts for clinical responses to PD-1 blockade in cHL.

Publication types

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

MeSH terms

  • Antineoplastic Agents, Immunological / pharmacology
  • Apoptosis / drug effects
  • B7-H1 Antigen / metabolism*
  • Biomarkers, Tumor
  • Cell Line, Tumor
  • Cell Proliferation
  • Cell Survival
  • Hodgkin Disease / diagnosis
  • Hodgkin Disease / immunology
  • Hodgkin Disease / metabolism*
  • Humans
  • MAP Kinase Signaling System
  • Programmed Cell Death 1 Receptor / metabolism
  • Protein Binding
  • Signal Transduction* / drug effects
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism

Substances

  • Antineoplastic Agents, Immunological
  • B7-H1 Antigen
  • Biomarkers, Tumor
  • CD274 protein, human
  • Programmed Cell Death 1 Receptor