Platelet PD-L1 suppresses anti-cancer immune cell activity in PD-L1 negative tumors

Sci Rep. 2020 Nov 9;10(1):19296. doi: 10.1038/s41598-020-76351-4.

Abstract

Strategies that interfere with the binding of the receptor programmed cell death protein-1 (PD-1) to programmed death ligand-1 (PD-L1) have shown marked efficacy against many advanced cancers, including those that are negative for PD-L1. Precisely why patients with PD-L1 negative tumors respond to PD-1/PD-L1 checkpoint inhibition remains unclear. Here, we show that platelet-derived PD-L1 regulates the growth of PD-L1 negative tumors and that interference with platelet binding to PD-L1 negative cancer cells promotes T cell-induced cancer cytotoxicity. These results suggest that the successful outcomes of PD-L1 based therapies in patients with PD-L1 negative tumors may be explained, in part, by the presence of intra-tumoral platelets. Altogether, our findings demonstrate the impact of non-cancer/non-immune cell sources of PD-L1 in the tumor microenvironment in the promotion of cancer cell immune evasion. Our study also provides a compelling rationale for future testing of PD-L1 checkpoint inhibitor therapies in combination with antiplatelet agents, in patients with PD-L1 negative tumors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Antineoplastic Agents / pharmacology*
  • B7-H1 Antigen / metabolism*
  • Blood Platelets / metabolism
  • Cell Line, Tumor
  • Female
  • Humans
  • Immune System
  • Immunohistochemistry
  • Jurkat Cells
  • Male
  • Mice
  • Mice, Knockout
  • Mice, Transgenic
  • Middle Aged
  • Neoplasms / immunology*
  • Neoplasms / metabolism*
  • Platelet Activation
  • Platelet Aggregation Inhibitors / pharmacology
  • Retrospective Studies
  • T-Lymphocytes / cytology
  • Tumor Microenvironment

Substances

  • Antineoplastic Agents
  • B7-H1 Antigen
  • CD274 protein, human
  • Cd274 protein, mouse
  • Platelet Aggregation Inhibitors