PMID- 28288138 OWN - NLM STAT- MEDLINE DCOM- 20170929 LR - 20210109 IS - 1476-5594 (Electronic) IS - 0950-9232 (Print) IS - 0950-9232 (Linking) VI - 36 IP - 28 DP - 2017 Jul 13 TI - MUC1-C integrates PD-L1 induction with repression of immune effectors in non-small-cell lung cancer. PG - 4037-4046 LID - 10.1038/onc.2017.47 [doi] AB - Immunotherapeutic approaches, particularly programmed death 1/programmed death ligand 1 (PD-1/PD-L1) blockade, have improved the treatment of non-small-cell lung cancer (NSCLC), supporting the premise that evasion of immune destruction is of importance for NSCLC progression. However, the signals responsible for upregulation of PD-L1 in NSCLC cells and whether they are integrated with the regulation of other immune-related genes are not known. Mucin 1 (MUC1) is aberrantly overexpressed in NSCLC, activates the nuclear factor-kappaB (NF-kappaB) p65-->︀ZEB1 pathway and confers a poor prognosis. The present studies demonstrate that MUC1-C activates PD-L1 expression in NSCLC cells. We show that MUC1-C increases NF-kappaB p65 occupancy on the CD274/PD-L1 promoter and thereby drives CD274 transcription. Moreover, we demonstrate that MUC1-C-induced activation of NF-kappaB-->︀ZEB1 signaling represses the TLR9 (toll-like receptor 9), IFNG, MCP-1 (monocyte chemoattractant protein-1) and GM-CSF genes, and that this signature is associated with decreases in overall survival. In concert with these results, targeting MUC1-C in NSCLC tumors suppresses PD-L1 and induces these effectors of innate and adaptive immunity. These findings support a previously unrecognized central role for MUC1-C in integrating PD-L1 activation with suppression of immune effectors and poor clinical outcome. FAU - Bouillez, A AU - Bouillez A AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Rajabi, H AU - Rajabi H AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Jin, C AU - Jin C AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Samur, M AU - Samur M AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Tagde, A AU - Tagde A AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Alam, M AU - Alam M AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Hiraki, M AU - Hiraki M AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Maeda, T AU - Maeda T AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Hu, X AU - Hu X AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Adeegbe, D AU - Adeegbe D AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Kharbanda, S AU - Kharbanda S AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Wong, K-K AU - Wong KK AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. FAU - Kufe, D AU - Kufe D AD - Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. LA - eng GR - P50 CA100707/CA/NCI NIH HHS/United States GR - R01 CA097098/CA/NCI NIH HHS/United States GR - R01 CA166480/CA/NCI NIH HHS/United States GR - R21 CA216553/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170313 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (MUC1 protein, human) RN - 0 (Mucin-1) SB - IM MH - A549 Cells MH - Animals MH - B7-H1 Antigen/*genetics MH - *Carcinoma, Non-Small-Cell Lung/genetics/immunology/pathology MH - Cell Line, Tumor MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunity, Cellular/*genetics MH - *Lung Neoplasms/genetics/immunology/pathology MH - Mice MH - Mice, Nude MH - Mucin-1/*physiology MH - Signal Transduction/genetics/immunology MH - Tumor Escape/*genetics PMC - PMC5509481 MID - NIHMS849355 COIS- CONFLICT OF INTEREST The authors declare competing financial interests; D.K. holds equity in Genus Oncology and is a consultant to the company. The other authors disclosed no potential conflicts of interest. EDAT- 2017/03/14 06:00 MHDA- 2017/09/30 06:00 PMCR- 2017/09/13 CRDT- 2017/03/14 06:00 PHST- 2016/10/12 00:00 [received] PHST- 2016/12/15 00:00 [revised] PHST- 2017/02/01 00:00 [accepted] PHST- 2017/03/14 06:00 [pubmed] PHST- 2017/09/30 06:00 [medline] PHST- 2017/03/14 06:00 [entrez] PHST- 2017/09/13 00:00 [pmc-release] AID - onc201747 [pii] AID - 10.1038/onc.2017.47 [doi] PST - ppublish SO - Oncogene. 2017 Jul 13;36(28):4037-4046. doi: 10.1038/onc.2017.47. Epub 2017 Mar 13.